How to treat pimples and marks after stopping Betnovate N?

Hi,

Welcome to icliniq.com.

Thank you for sending in your question.

I am very sorry you are going through this.

You should realize that what you are going through is not your fault, and you are not alone. Sadly, this happens a lot after putting strong steroid creams like Betnovate N on your face.

You did the correct and brave thing by stopping it. This is the most crucial step you can take toward becoming better. Betnovate N is a strong steroid, and putting it on your face to make it whiter or fairer can hurt the skin barrier and throw off the skin's natural equilibrium. Many people get what is known as steroid withdrawal or steroid-induced acne when they stop using it. This might show up as abrupt pimples, black spots, pigmentation, redness, dullness, and sensitivity. This reaction may seem scary, but do not worry; it will go away with the right care and time.

Your skin is quite sensitive and reactive right now. The idea is to repair and quiet it down, not to make it lighter rapidly. Stay away from all fairness, whitening, steroid, or "instant glow" creams, as well as scrubs, facials, chemical peels, home treatments like lemon or toothpaste, or any harsh products, as these might make pigmentation and acne worse.

To treat steroid-induced acne (peri-oral dermatitis), doctors commonly give patients both oral and topical retinoids. Before commencing treatment, it is crucial to know what contraindications and precautions are:

Isotretinoin (Accufine/Isotroin 20 mg daily) is used by mouth:

• Works really well for acne that has been around for a long time and acne caused by steroids.

Warnings and precautions:

• Pregnancy and breastfeeding: You should not use it when pregnant because it can cause serious birth abnormalities. Women who can have children must take dependable birth control while they are getting therapy and for at least a month after they stop. Not a good idea while breastfeeding.

• Allergy: Do not take this if you know you are allergic to isotretinoin.

• Not safe for anyone with active liver disease.

• Uncontrolled high cholesterol and triglycerides can raise lipid levels. If you already have severe hyperlipidemia, you should stay away from them.

• Before you start taking isotretinoin, you need to have the following tests done: a pregnancy test (if you are pregnant), LFTs (liver function tests), and a fasting lipid profile.

Treatment on the skin:

• Put a pea-sized dollop of Persol plus gel on before bed, keep it on for four hours, and then rinse it off. This mix of benzoyl peroxide and adapalene helps lower inflammation, stop the growth of bacteria, control comedones, and stop new acne from forming.

• Moisturizer: Use Sensitive Moisturizer to keep your skin barrier working and calm down inflammation.

• Sunscreen: Use sunscreen every day to keep black marks from getting worse.

More advice for taking care of yourself:

• Do not use strong scrubs or wash your face too often, as this might make acne and dark spots worse.

• Stick to a regular skin care program.

• Do not pop or pick at your pimples.

• To keep flares from happening, do not touch your hair or hands.

• If you use this combination therapy and protective skincare regularly, you should see your acne, irritation, and dark spots improve over time.

If you have any questions, please call back after a month of starting isotretinoin or sooner. Your opinion helps us give better care to our patients.

Thank you.