Dr. Suvash Sahu
Dermatology
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Patient's Query
Hello doctor,
I have a skin problem that started six months ago. At first, I thought it was just a regular acne, which I had since I was a teenager about 27 years ago. But this skin issue is different. Instead of regular pimples, I get big ones that become painful sores when they pop. They started on my chest and back and have now spread to my buttocks. It is uncomfortable and hurts a lot. I went to a skin doctor, and they tested me for HIV, hepatitis, and other things. Fortunately, all the tests were negative. The doctor told me I had a mix of pimples and acne and gave me a medication called Isotretinoin 20 mg, which I must take daily. They said it might take three months or more to see results. I worry that after three weeks of taking the medication, my pimples have become even more painful and swollen sores. However, the doctor told me not to worry and said this is part of the healing process. Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I have read your query and understand your concern.
Please provide a picture for a better evaluation. It is quite common for acne medications to cause a flare-up that lasts for a few weeks initially. However, it is important to note that these initial flare-up often indicates that the medication is working, and you can expect to see significant improvement in the future. The reason behind this flare-up is that acne medications contain keratolytic ingredients like Isotretinoin, which work by breaking down excess keratinocytes. This process brings bacteria and inflammation to the surface, leading to a temporary flare-up. There is no need to worry. Just continue using the same medication. In a few months, you should notice a remarkable improvement.
I hope this helps.
Please revert in case of other queries.
Thank you.
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Dermatology
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