Dr. Charu Bansal
Dermatology
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Patient's Query
Hi doctor,
I am a 27-year-old female. I am getting acne since the age of 13. I have asthma. No product has worked on my face. I have sensitive oily skin. Kindly advise some solution.
Hello,
Welcome to icliniq.com.
I have read your query and I understand your concern.
Acne has several grades depending on the type of lesions. In grade 1, I prefer to advise topical Clindamycin in the morning and Benzoyl peroxide alternatively with topical retinoids in the night-time. Oral antibiotics are also given like Doxycycline or Minocycline or Azithromycin in grade 2 to 4 acne. Avoid hair oil application and oily food in the diet. In responding cases, consideration is given to start oral retinoids. Kindly upload the images, so that I can actually visualize the lesions and advice you to my best. Also, mention the details of treatment you have already taken.
Patient's Query
Hi doctor,
Thank you for the reply.
I met a dermatologist and he prescribed Acne Out cream and soap which made it worst. So, I started using Oriflame Bioclinic which contains Salicylic acid and Centella. I am recently using Clean and Clear cleanser with 0.5% Salicylic morning and night. I am using baby soap and Clearasil for my face which has neither Salicylic nor Benzoyl peroxide. How long does it take to see the effect of a drug?
Hi,
Welcome back to icliniq.com.
I could appreciate better if you could have attached close up photos (attachment removed to protect patient identity) of your face for perfect view. Still, I guess it as grade 2 acne. In such cases, as I mentioned I prefer to advice oral antibioticslike Doxycycline or Minocycline or Azithromycin. You may apply Clindamycin gel in the morning and Benzoyl peroxide alternatively with topical retinoids in the nighttime. You can continue to use face wash. It usually takes three to four weeks at least before any positive effects of medications are seen. I will advise you to visit your doctor and share my opinion with him.
Patient's Query
Hi doctor,
Thank you so much for the message. I have bought 1 % Clindamycin phosphate gel and Doxycycline 100 mg capsule but I only got 5 % Benzoyl peroxide cream. What dose should I take? Will the strength of Benzoyl peroxide be too harsh? It is the only concentration I could get. Thanks.
Hello,
Welcome back to icliniq.com.
Benzoyl peroxide 5% is strong. It may cause irritation of the skin. If you have bought it, then you may try it. But, preferably wash it off in 15-20 minutes before you sleep. Slowly day by day just increase the time of leaving the medication on the face. Clindamycin gel can apply in the morning. Capsule Doxycycline is prescribed depending on the body weight of the patient. The usual dose is 100-200 mg per day in an adult person. It is contraindicated in pregnancy, breastfeeding females, and those allergic to the Tetracycline group of medications. It is a prescription drug. You better consult your doctor before you take it. Avoid oily food and hair oil application.
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Dermatology
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