HomeAnswersDermatologycontact dermatitis

Will Epiduo gel cause skinburn?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.

Answered by Dr. Rabia Anjum

Education:

FCPS

Professional Bio:

Dr. Rabia Anjum is a Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She provides advanced care in areas such as acne management, eczema, psoriasis, pigmentation disorders, hair loss, and cosmetic dermatology, including skin rejuvenation and anti-aging treatments.

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

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

The probable diagnosis is contact dermatitis and acne vulgaris.

Treatment plan

For treatment, I suggest applying a sunblock of SPF 60. Take Azithromycin 250 mg bd for the first three days, then on alternate days for three weeks. Apply moisturizer four to five times a day.

Preventive measures

For prevention, wash your face with mild soap and water. Avoid using Dettol and other irritants. Avoid scratching or pricking up the lesion.

Regarding follow up

Follow up at three weeks.
Medically reviewed by Dr. Vinodhini J.
Published At January 3, 2020
Reviewed At January 30, 2025

Education:

FCPS

Professional Bio:

Dr. Rabia Anjum is a Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She provides advanced care in areas such as acne management, eczema, psoriasis, pigmentation disorders, hair loss, and cosmetic dermatology, including skin rejuvenation and anti-aging treatments.

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

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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

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

Education:

FCPS

Professional Bio:

Dr. Rabia Anjum is a Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She provides advanced care in areas such as acne management, eczema, psoriasis, pigmentation disorders, hair loss, and cosmetic dermatology, including skin rejuvenation and anti-aging treatments.

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

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

benzoyl peroxidecontact dermatitisadapalene

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.