Q. I am struggling with acne. Please suggest a treatment.

Answered by
Dr. Sandeep Golla
and medically reviewed by iCliniq medical review team.
Published on Jul 17, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I have been struggling with acne for a while now and have been postponing going to my general physician. I have been very hesitant on what to use and do not ever apply anything apart from a light cleanser on my face. I am not even sure what the term would be for it except the loose term rosacea. I am looking for advice on what prescription or non-prescription medication would be safe and effective for my acne with concerns of my nose getting worse. I also have very pale skin.

Dr. Sandeep Golla

Dermatology Venereology


Welcome to icliniq.com.

Your concern is acne rosacea and sensitive, acne-prone skin.

  • You should avoid the following:
  1. Direct exposure to sunlight between 10 AM and 3 PM.
  2. Foods like chocolate and alcohol.
  3. Oily and spicy food.
  4. Cold items.
  5. Getting too emotional.
  • Use Cetaphil DAM moisturizer and Ansolar 75 SPF sunscreen.
  • For acne, you can apply Epiduo gel (a combination of Adapalene and Benzoyl peroxide) on moisturized skin at bedtime.
  • Take vitamin A rich foods like carrots and papaya.

For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist

Hello doctor,

Thanks for the reply. I went to see my GP and she said that a Metronidazole cream prescription could help reduce my rosacea. Would that be a correct statement? And what would be the best option if that is not? I think my rosacea is triggered by stress. I have ADHD and major depressive disorder.

Dr. Sandeep Golla

Dermatology Venereology


Welcome back to icliniq.com.

  • Rosacea can be handled through systemic and topical medications.
  • Systemic medications:
  1. Oral tetracycline.
  2. Oral metranidazole.
  3. Oral retinoids.
  4. Dapsone.
  • Topical medications:
  1. Metronidazole gel.
  2. Benzoyl peroxide gel.
  3. Tretinoin cream.
  4. Clindamycin gel.
  5. Tacrolimus.
  6. Topical Ivermectin.

You just require perseverance to observe the precautions I mentioned earlier. Do not worry. You will be alright.

For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist

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