Recently Answered Questions
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Do I need to take Salicylic acid for my nodular cystic acne?
Query: Hello doctor, I am an 18-year-old boy with severe acne, nodular cystic acne, and acne vulgaris. I tried everything, but nothing really worked. So, two months back, I finally decided to visit a dermatologist. The dermatologist prescribed me Isotretinoin capsules or Sotret of 20 mg. So, it was working... Read Full »
Answer: Hi, Welcome to icliniq.com. Isotretinoin is a wonderful medicine for acne. The typical course of Isotretinoin ranges from three to four months, depending on the acne response to the medicine. The dose of Isotretinoin depends on your weight. Isotretinoin shrinks the oil-producing glands and normali... Read Full »
I am taking Isotretinoin, but I still have acne. Why?
Query: Hello doctor, I am in my seventh month of taking Roaccutane. My weight is 125.66 Ibs and I am taking 40 mg daily. I am still getting acne and blemishes. I have one large blemish that is getting small in some days. I find it getting bigger once I wake up in the morning. I always tell my doctor about ... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw your clinical picture (attachment removed to protect the patient's identity). It is looking like acne cyst for me. The probable diagnosis is acne grade 4 with scars. Is the blemish raised and painful? Can you feel that with your finger or is it just flat red bl... Read Full »
How to stop taking Isotretinoin after four months?
Query: Hello doctor, I had a severe skin infection and almost cured under my doctor's medication. I have been prescribed Sotret 20 mg (Isotretinoin) for four months. I am married. So, should I continue this? Already four months are done, and progress is 80%. Whenever I am under Isotretinoin medication, pim... Read Full »
Answer: Hello, Welcome to icliniq.com. Isotretinoinis a wonderful drug. The usual course of 20 mg a day lasts for around six months for an average-weighed female. Different doctors do it differently. I prefer not to stop it abruptly but taper it gradually over a period of a month or two to decrease the ch... Read Full »
My doctor suggested using Azifast and Isotroin. Should I use it?
Query: Hello doctor, I am 19 year old male. I consulted a dermatologist, and they suggested using Azifast and Isotroin, should I use it? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest you to follow the following things: Do not use hair oil or any sticky cream on your face. Avoid oily food, chocolate, and milk products. Avoid dust, and use sunscreen (above 30 SPF). Use any steroid creams. Continue treatment for at least 1 month.... Read Full »
I have severe acne scars. How to cure them?
Query: Hi doctor, I am a 24-year-old female. My height is 5.18" and my weight is 110.23 Ibs. I have severe acne scars on my face, back, lower back, and below the neck. I have pimples on my face. I am using Benzoyl peroxide for the same. I have attached my photos here. My problems also include hair fall, th... Read Full »
Answer: Hi, Welcome to icliniq.com. Benzoyl peroxide will not work on your acne as you are having grade 4 acne (attachment removed to protect patient identity). You need to start Isotretinoin immediately. Let me know your marital status, because you should not get pregnant while on Isotretinoin and at leas... Read Full »
My wife's breath smell like alcohol after taking meds. Why?
Query: Hello doctor, My wife has taken Ambien 5 mg, once or twice a week to get to sleep after a difficult day at work. She used to take the 5 mg without any problems, for almost a year. A couple of months ago, she started a course of Accutane. At first, she took 20 mg per day, now it is down to 10 mg per... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The symptoms are most likely due to an interaction between Accutane (Isotretinoin) and Ambien (Zolpidem). This could increase the levels of Ambien in the blood immediately after taking it. The symptoms are highly suggestive of an allergic reaction. She could either be ... Read Full »
I have severe acne issues. Please suggest treatment.
Query: Hi doctor, I am a 30-year-old male. I am facing severe acne problem. I am currently using Doxy-1 L-DR Forte Capsule two times a day since 20 days and Persol-plus gel at night and Ahaglow-S face wash. Also, Aziderm cream 20 % and Cetaphil as a moisturizer. But it is painful and with pus. Sometimes, t... Read Full »
Answer: Hello, Welcome to icliniq.com. All the medications you are on are right. I agree with your treating doctor. Peeling is a procedure where fruit-concentrated extracts are used, such as Glycolic acid and many other (Salicylic acid) which help reduce the activity of the sebaceous glands and in turn re... Read Full »
How to treat bloody nose caused by Accutane?
Query: Hi doctor, I have been using Accutane for seven months. I am currently in the last two weeks of my last round of treatment. In the past one and a half weeks, I have been experiencing relatively bad headaches that have not gotten any worse. Yesterday, I experienced a severe nosebleed that lasted for ... Read Full »
Answer: Hello, Welcome to icliniq.com. Nosebleeds are a known side effect of Isotretinoin, but fortunately, they often resolve quickly after discontinuing the medication. Considering your upcoming marathon in two days, I recommend temporarily stopping the tablet. It's also essential to have your blood pres... Read Full »
Will Isotretinoin affect my HIV and syphilis tests?
Query: Hi doctor, I was taking Isotretinoin tablet from four months, and I stopped taking it. I had dry mouth, sores, thick line inside cheeks, some rough patches inside cheeks and lips also. But even after stopping Isotretinoin, I still have these problems. I have a lot of hair loss, nearly 300 to 400 per... Read Full »
Answer: Hi, Welcome to icliniq.com. Whatever you have described in your complaints are basically the side effects of Isotretinoin. You have no chance of HIV (human immunodeficiency virus) and syphilis. You can go ahead with your pregnancy plans. All the best. Best wishes. For more information consult... Read Full »
Could my acne be caused by hormone changes?
Query: Hello doctor, I had this acne situation for the past three months. I am not sure of the cause. It started from the side jawline till the cheeks, and it got worse. I tried Benzoyl peroxide and it only helps to control but does not get well, and the skin got dried. Is it a hormonal change? What can I... Read Full »
Answer: Hello, Welcome to icliniq.com. Acne along the jawline and lower face can indeed be an indicator of hormonal imbalance. Do you have any menstrual irregularities, or facial hair growth or recent weight gain? I would appreciate if you send me the photograph to assess the severity and nature of your a... Read Full »