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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedy for severe acne

hi doctor I am a 28 year old female weighing 138lbs and 5ft 2 tall. I have had mild acne through out my teen years but nothing bad. About 2 years ago I started getting really bad acne on my forehead, my chin and around my nose,my dermatologist told me this was as a result of my excessive use of a topical steroid which was Hydrocortisone 1%.This I didn t understand since she was the one that prescribed for me.She changed all my medications and my face cleared up but kept breaking out around the same time every year after that, and each time a different explanation and a different set of medications both oral and topical.it came to a point where I stopped seeing her and started using St.Ives Apricot Blemish Control scrub along with a mild moisturizer. That worked for almost a year. A couple months ago I started having irregular periods and went to see my MD, he sent me for further test after ruling out I wasn t pregnant ,everything came back normal which lead him to the conclusion I have hormonal imbalance. He also told me that this could be a cause of my acne. he put me on Diane 35 as a log term treatment for my acne. But two days ago the area around my nose flared up with cystic looking painful pimples. I am so confused I don t know what to do ,I am literally scared to leave my house because they look so bad and even more scared to use anything on it. Please help me
Fri, 19 Dec 2014
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Dermatologist 's  Response
Hello. Thank you writing to us at healthcaremagic

Recurrent acne or resistant acne in females could be due to underlying hormonal imbalance. Irregular periods are a clue that there could be underlying hormonal imbalance.
The monthly pills that you been recently started on would be helpful in correcting hormonal imbalance and therefore helpful in controlling your acne too.
Monthly pills take time to act and you may notice an improvement by the third or fourth month.
In addition to the monthly pills, As a treating doctor I would simultaneously suggest Oral antibiotics e.g Lymecycline, Azithromycin Or Minocycline for the inflammatory flare.
Oral antibiotics are faster acting and may be continued till the monthly pills take over the improvement, thereafter they can be stopped.
Topical antiacne remedies which can be used are benzoyl peroxide gel, twice daily.
These are prescription medications and therefore I suggest you to talk to your dermatologist.

Regards
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