What are the best ways to eliminate acne?

Question

Hello doctor,

I have been suddenly suffering from acne issues for the past five months. I have consulted several dermatologists and have been prescribed various topical creams. More recently, I was put on Isotretinoin 10 mg, which did not work, and then increased to Isotretinoin 20 mg, but this too has shown no results. I still have nodules, cystic acne, and resistant breakouts. This is now affecting my mental health, as I have always had clear skin. My test results for PCOD are normal. I am a 29-year-old female, soon turning 30 next month. I feel very depressed and am losing hope, as Isotretinoin, which was my last resort, has also failed.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I have reviewed your case. First, you need to understand that pimples are common, and you may experience frequent flare-ups due to stress or hormonal changes. Your history indicates that you have oily and acne-prone skin, and this time, you are experiencing a severe breakout. In my opinion, Isotretinoin 20 mg is the appropriate dose, and it will take around six weeks to show results. Additionally, during these six weeks, some patients may experience an initial flare-up.

In some cases, acne may worsen before it improves. The initial 10 mg dose was slightly lower than required, so that period should not be considered in your treatment timeline. Please continue taking Isotretinoin as prescribed, as you will see maximum improvement within three months. Try to manage stress, as it can aggravate acne.

Regarding topical treatments, apply Duac gel (Benzoyl peroxide and Clindamycin) only on pimples at night, and discontinue the use of other creams. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

I hope this helps you.

Thank you.