Dr. Thakare Sampada Avinash
Dermatology
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Patient's Query
Hi doctor,
I have mild to moderate acne. My dermatologist prescribed Isotretinoin 20 mg on alternate days, but I am experiencing hair fall. Also, he prescribed an antibiotic Septra. I took the tablets for only two days. I am reluctant to take these drugs due to its side effect. Please suggest an alternate to control acne. Will Doxycycline help? I am not having ice pick scars rather have some depressed scars and the severity of depression is not much. My doctor suggested me fractional laser along with a series of peels. Would fractional laser help removing acne marks?
Hi,
Welcome to icliniq.com.
Do not take Septra for acne (combination of Sulfamethoxazole and Trimethoprim). Isotretinoin is not safe if you are planning a pregnancy. Otherwise, there is no risk. There are alternatives available like Minocycline and Doxycycline. I suggest a capsule Doxy 100 mg twice daily and antacid along with it. Minocycline, if planning to take for acne, then should be taken at night (capsule Minonil ER 45) as it leads to photosensitivity. You should take one capsule and see if there is any change in pigmentation on face like darkening. If not, then continue. In your case, fractional laser as advised would be better since you have box and roller scar and peels for pigmentation.
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