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Without medicine or gel, how to get a permanent solution for acne?

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Without medicine or gel, how to get a permanent solution for acne?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Rashmi Singh

Medically reviewed by

Dr. K. Shobana

Published At August 11, 2018
Reviewed AtJanuary 17, 2024

Patient's Query

Hello doctor,

I am a 23-year-old male. My problem is acne. I have been having cystic acne for five years. I am getting a red whitehead with pus. I have been taking Isotretinoin 20 mg for two years. When I was on Isotretinoin, I did not get even a single acne. After two weeks of stopping Isotretinoin, I had a sudden breakout. My skin is very oily, and I do not apply any moisturizer or any makeup. I am using Neutrogena face wash and taking a healthy diet. I do not eat any junk food too. I am also applying Zinderm BPO gel for acne. I have also taken Sotret 20 mg and Zathrin 500 mg for this problem. I want a permanent solution for my acne without medicine or gel. Please help me.

Answered by Dr. Rashmi Singh

Hello,

Welcome to icliniq.com.

I understand your concern.

First of all, if you have acne-prone skin, then it is impossible to have clear skin without any topical and oral intervention. Since you have taken more than a year of Isotretinoin 20 mg daily, I would not suggest repeating that at the moment. I suggest you use Doxy (Doxycycline) 100 mg tablet twice a day and tablet Zitcare (Zinc) 200 mg once a day for 15 days, and if you do not have any gastric issues with that, then 200 mg twice a day post that. Apart from that, apply Tretinoin gel 0.04% at night in a very thin film and Dapsone gel under sunscreen in the morning to prevent further pimples. You can also consult a dermatologist for salicylic peels, which will bring down the intensity of acne. Avoid milk-based products for a while, and decrease sugar intake. Let us know in one month about the improvement you can see.

Hope this helps.

Regards.

Patient's Query

Hello doctor,

Thank you. I had a CO2 fractional laser before. I had ten sittings for my open pores, which were on the cheeks and nose, but there is no improvement. Does salicylic acid peel work for acne? How many sitting can I take? What should be the interval of each sitting? My tongue is white, and patchy, and the lateral border is black. I do not know the exact reason for this. Is it due to the medicine? Which medicine will be more effective for acne?

Answered by Dr. Rashmi Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

Salicylic peels help in better exfoliation in order to decrease the onset of new acne. One peel every three weeks for at least five to six sessions is a must. Can you please attach a picture of your tongue so that we can determine the cause of it? How long have you taken Zathrin (Azithromycin)? Any Zinc 100 mg tablets available can help acne with minimal side effects.

Hope this answers your query.

Regards.

Patient's Query

Hello doctor,

Thanks for your valuable reply.

I would definitely go for salicylic peels. I took lots of medicines when I was suffering from cyst acne and took Zathrin 500 mg for more than a year. I take six tablets in a month. I try different medications like Minocycline, Zathrin, Doxy, and Clindamycin, including lots of multivitamins and vitamin C 500 mg separately. At last, Isotretinoin works for me. All my acne went away, and my face was so clear, like never before. It was so brightening, and finally, I stopped taking medications. I am also attaching my pictures of when I was on Isotretinoin and my tongue pictures. There is white and black coated tongue in the side and some white patches in my mouth. Hope you will solve my problem.

Answered by Dr. Rashmi Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

Please try to scrape a small portion of the white membrane and tell me if it comes out. Do you smoke or consume alcohol on a regular basis?

It could be candidal, but we need to examine that and try to scrape it for a better approach. You can see a dentist or dermatologist in person for better diagnosis as they can observe clinically.

Hope this helps.

Regards.

Patient's Query

Hello doctor,

Thank you.

Yes, it comes out when I scrap it, and will be back in an hour. No, I do not smoke or consume alcohol. Which medication should I take? Or what mouthwash can be used? I want to get rid of this now. Please advise.

Answered by Dr. Rashmi Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

It looks like candidiasis according to the pictures (attachments are hidden to protect the patient's identity), but I suggest you meet a dentist or dermatologist in person to confirm the diagnosis since it again requires you to take oral antifungals and you have taken medications for way too long already.

Hope this helps.

Revert in case of queries.

Thanks and regards.

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

Dr. Rashmi Singh
Dr. Rashmi Singh

Dermatology

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