What will help manage my severe inflamed and fungal acne?

Hello,

Welcome to icliniq.com.

I understand your concern.

From the pictures (attachment removed to protect the patient’s identity) and your history, it appears you have severe inflammatory acne on your cheeks, along with areas of fungal acne on your jawline and forehead, and your skin is oily and sensitive.

Given that Benzoyl peroxide alone previously helped, but your skin has now become tolerant, a combination approach is appropriate. At this point, you need both oral and topical combination medicine to effectively manage your acne.

I would suggest the following measures:

• Start Adapalene and Benzoyl peroxide gel at bedtime, applying a thin layer over the face under the cover of a moisturizer to avoid dryness.

• Start an oral antibiotic, tablet Doxycycline 100 milligrams once daily, to help reduce inflammation and bacterial overgrowth for at least one month.

Important precautions with Doxycycline:

• Avoid taking it with antacids, dairy, or Iron supplements at the same time, as these reduce absorption.

• Protect your skin from sunlight using a broad-spectrum sunscreen daily, since Doxycycline can make your skin more sensitive to ultraviolet exposure.

• Avoid taking Doxycycline during pregnancy.

• If you experience severe stomach upset, allergic reactions, or signs of yeast overgrowth, contact your doctor promptly.

Continue using a gentle, non-comedogenic cleanser and moisturizer to manage sensitivity, and monitor your skin for improvement over the next few weeks. With this regimen, you should see gradual improvement in inflammation and reduction of acne lesions.

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

Thank you.