Please suggest some medicine for pimples on my back?

Question

Hi doctor,

I am 21 years old. I have pimples with some sort of rash and redness on my back. I am having these for more than two months now. When I use anti-fungal powder, they will dry but comes again. They are present only on the back, not anywhere else. I have attached my photos with this. Please suggest some medicine.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I have seen the attached photographs (attachmentremoved to protect patient identity). You are having truncal acne. You should start with tablet Azithromycin 500 mg once daily for three consecutive days in a week for three weeks. Along with this take capsule Isotretinoin 20 mg once daily and apply Benzoyl peroxide 10 % gel on the pimples twice daily for six weeks. You should use Ketoconazole soap for bathing. Besides this keep your back dry. Follow some skin care tips such as avoiding applying cream and moisturizer, avoiding wearing tight clothes, and reducing the intake of sugary foods. Before starting the oral medication get the following tests done. Liver function tests and lipid profile. If these come normal you can start with capsule Isotretinoin and revert after six weeks as acne is a chronic disease and will take time to resolve.

I hope this information will help you.

Thanks.