Patient's Query
Hi doctor,
I am using a treatment for my acne called Epiduo, which was prescribed by my doctor. My skin has very bad hyperpigmentation and acne. I have been using the treatment for three days, and on the second day, it itched and burnt a little. I thought it was just working, and all was fine. But on the third night, I put it on, and my skin began to burn terribly, which was unbearable. It blocked me from breathing, and I nearly passed out. I did not wash it off because I found when I did that on the second night, it made it worse, and when I woke up today, I had terrible chemical burns all over my face.
My hyperpigmentation and acne had become worse, and it is causing immense pain and discomfort. It really does look terrible. It is similar to the worst kind of sunburn ever, and the skin is plastered and dry, too. I do not know what I can do. Is there some sort of treatment I can do in a cosmetic skin clinic? Or something I can use on the burns, the acne, and the hyperpigmentation? Please help.
Thank you.
Hello,
Welcome to icliniq.com.
You have developed contact dermatitis (skin irritation) to this Epiduo (Adapalene and Benzoyl peroxide), which you were using for the treatment of acne. Now, your skin has two problems. It needs to be treated in two steps.
First, we have to treat contact dermatitis. Do not use Epiduo now. Wash your face with mild soap and water. Take tablet Azithromycin 250 mg twice daily for the first three days, then on alternate days for three weeks. Apply sunblock of SPF 60 (sun protection factor) from morning till evening. Use good moisturizer four to five times a day. When your skin improves from this contact, that is., burned condition, then step two of treating acne and leftover pigmentation will be done.
I hope this helps.
Please revert back in case of queries.
Thank you.
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Same symptoms don't mean you have the same problem. Consult a doctor now!
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