How to get rid of persistent acne that have been there for four years despite treatment?

Hello,

Welcome you to icliniq.com.

I have seen your query and concern and examined your picture (attachment removed to protect the patient's identity). Acne vulgaris is a common skin problem in adolescents and in adulthood. It involves pilosebaceous follicles or oil glands and is therefore seen to involve areas where oil glands are dense like the face, chest, back, and upper arms. These are common sites of involvement. You have to do certain dietary restrictions like not eating oily spicy food, junk food, milk products, and nonvegetarian foods. Drink a lot of water to hydrate your skin.

1. You should start with the tablet Azithromycin 500 mg once daily for three consecutive days in a week for three weeks.
2. Along with this take a capsule of Isotretinoin 20 mg once daily and apply Benzoyl peroxide 3.5 % gel on the pimples twice daily for six weeks after consulting your GP or nearby dermatologist.

Before starting the oral medication get the following tests done. Liver function tests and lipid profile. If these come normal you can start with capsule Isotretinoin and revert back after six weeks as acne is a chronic disease and will take time to resolve.

I hope this helps.