How to manage recurrent facial dryness, tanned spots, and skin sensitivity cost-effectively?

Hi,

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I have read your query and understand your concern.

I have reviewed the details and images you provided (attachments removed to protect the patient's identity). Excessive skin dryness can result from using hormonal tablets and Fucidin H cream. If you are still using the mentioned cream, I recommend discontinuing it to prevent further dryness. Please consult the doctor who prescribed it for hormonal medication to discuss concerns about hyperpigmentation and dryness. The other medications from your doctor are beneficial for maintaining skin health.

I suggest the following treatment plan:

1. Stop using face wash for three weeks until the dryness subsides. Cleanse your face with plain water during this time.

2. Use Aha glow repair gel (botanical extracts) for two weeks to aid skin repair in the evening.

3. Apply Angelskin cream (15 percent glycerin by weight) in the morning daily to extremely dry areas for hydration.

4. I suggest taking one capsule of Evion 400 (Vitamin E) after dinner for two months to improve skin hydration.

5. I suggest you consume one capsule of Omega 3 Gold (Fish oil 40 percent EPA, 30 percent DHA, gelatin capsule, fish, glycerin, purified water, and Alpha-tocopherol) after dinner for two months to enhance hydration.

6. Ensure you drink at least 5 pints (2.5 liters) of water daily.

7. Use UV Doux sunscreen gold SPF 55+ (C12-15 Alkyl Benzoate, Silicone Elastomer Blend, Octyl methoxycinnamate, Caprylyl methicone, Diethylhexyl butamido triazone, Diethylamino hydroxy benzoyl hexyl benzoate, Titanium dioxide, Zinc oxide, L-Ascorbic acid, Ethyl hydroxy stearate) every two hours between 9 am and 5 pm.

8. Do not start using Melaglow-rich cream (Liquorice extract, pTero White, Arbutin, Niacinamide, and Kojic acid) now. Wait for three weeks until the dryness subsides, then apply it only on pigmented areas in a thin layer at night. Rinse it off in the morning.

9. You can break a capsule Evion 400 and mix the oil with aloe vera gel for a face massage twice weekly. Leave it on for one hour and then wash it off to improve hydration and reduce pigmentation.

10. Use coconut oil for face massage once every two weeks before washing with your current face wash.

I hope this helps. Consult your doctor and take the medicines.

Please revert in case of further queries.

Thank you.

Hello,

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Taking capsule Evion 400 (Vitamin E) and capsule Omega 3 Gold Fish oil (40 percent EPA, 30 percent DHA, gelatin capsule, fish, glycerin, purified water, alpha-tocopherol) is not obligatory. They can assist in reducing dryness and pigmentation intensity, but it is entirely your choice whether to use them. You are free to proceed with the recommended creams. I suggest you use Ethiglo face wash (Kojic Acid 1 percent, Vitamin C 0.5 percent, Liquorice 1 percent, Nicotinamide 0.5 percent, Blend of AHA and BHA 1.5 percent, Triclosan, Vitamin E, D-Penthenol 0.5ercent) for cleansing your face, but please start using it only after a three week waiting period. Consult your doctor and take the medicines accordingly.

I hope this helps.

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Thank you.

Hello,

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These medications will assist in alleviating the symptoms. It is essential to maintain consistency in applying the creams. Since the root cause is linked to OCP (oral contraceptive pills), ongoing use of them may lead to the reappearance of dryness and pigmentation. The medications I have prescribed will help in effectively managing and controlling these symptoms.

I hope this helps.

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Thank you.

Hello,

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Alright, in that case, there should not be any more recurrences of these symptoms. However, please continue using these creams to alleviate your current symptoms.

I hope this helps.

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Hello,

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Yes, indeed. It is quite common.

I hope this helps.

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Hello,

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Kindly follow the same.

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Hello,

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Ahaglow repair gel (botanical extracts) should be used for two weeks to soothe the skin. Angelskin cream (15 percent Glycerin) can be continued on dry areas as a moisturizer because it provides excellent moisture. Melaglow-rich cream (Liquorice extract, pTero White, Arbutin, Niacinamide, and Kojic acid) should only be started after three weeks and applied in a thin layer on pigmented areas. Both Angelskin and Melaglow-rich creams can be used for an extended period, even up to 8 to 12 months.

I hope this helps.

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Thank you.

Hello,

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You can discontinue Angelskin cream (botanical extracts) and Melaglow-rich cream (Liquorice extract, pTero White, Arbutin, Niacinamide, and Kojic acid) once your symptoms have subsided.

I hope this helps.

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Hello,

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You can use Angelskin cream (Liquorice extract, pTero White, Arbutin, Niacinamide, and Kojic acid) as a moisturizer for several months. You may begin using the prescribed face wash after three weeks. It can be used daily, once or twice a day.

I hope this helps.

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Hello,

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You are most welcome

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Hello,

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I suggest you use Cuvia aquagel sunscreen (Octyl methoxycinnamate, Avobenzone, Zinc oxide and Oxybenzone) instead.

I hope this helps.

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Hello,

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Sure.

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Hello,

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I read your query and can understand your concern.

I would appreciate knowing your son's age to suggest a shampoo suitable for his age. Additionally, could you please inform me if he has an oily or dry scalp, and if there are dry flakes present? Your description will help me recommend the most appropriate product.

I hope this helps.

Kindly revert.

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Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Typically, Ketoconazole-containing shampoos are recommended for dandruff treatment. However, as you have requested an alternative without Ketoconazole, I suggest using a moderate-strength cleanser. This cleanser effectively cleanses the scalp without causing dryness. Please remember to apply the cleanser only to the scalp, avoiding the hair. I also suggest you use Triclenz cleanser. Use 3 to 4 drops on a wet scalp, apply, massage for one minute, leave it on for two minutes, and then rinse off. For your hair strands, you can use any hair conditioner like triflow conditioner. Apply it after shampooing, focusing on the hair strands, massage for 1 minute, leave it on for 3 minutes, and then rinse.

I hope this helps.

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Thank you.