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I am 30, male. Why is my severe acne not responding to meds?

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Patient's Query

Hi doctor,

I am a 30-year-old male. I am facing severe acne problem. I am currently using Doxy-1 L-DR Forte Capsule two times a day since 20 days and Persol-plus gel at night and Ahaglow-S face wash. Also, Aziderm cream 20 percent and Cetaphil as a moisturizer. But it is painful and with pus. Sometimes, they break out and sometimes they do not.

What can be done in such a situation? I have lots of acne marks on my face and a lot of blackheads too. My doctor asked me to use Doxy-1 L-DR Forte for two months then he will do something next. But, it is increasing day by day. I have not used Isotretinoin or peel procedures though I have heard about them. Kindly explain what is that. I am attaching the latest picture. Please have a look and suggest some medicines.
Answered by Dr. Thakare Sampada Avinash

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

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Hello,

Welcome to icliniq.com.

All the medications you are using for acne are appropriate. I agree with your treating doctor. Peeling is a procedure where fruit-concentrated extracts are used, such as Glycolic acid and many other (Salicylic acid) which help reduce the activity of the sebaceous glands and in turn reduces acne. This procedure can be done along with your present medications. I guess that is what your dermatologist will do when you visit him next time.

The other alternative is taking oral Isotretinoin. It is also a wonderful medication. It is an oral retinoid (basically a high dose of vitamin A), which has a similar action as the peel. So, either a peel or oral Isotretinoin can be considered. Isotretinoin should not be considered if you are planning to start a family. In females, it is contraindicated and in males, it is said that it does not have any known side effects, but is better to be avoided.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At June 14, 2018
Reviewed At November 11, 2025

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Thakare Sampada Avinash
Dr. Thakare Sampada Avinash

Dermatology

Consult this doctor

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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