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After oil massage, my lower back is full of acne. Any suggestions?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

So I never had acne on the back, maybe one or two single, but after visiting this massage center, which I know was a big mistake, my lower back is full of acne. I tried a couple of ointments, did not work. Cortisone helped a little, but not really. I think I need oral back up, any suggestions?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

Apply Adapalene and Benzoyl peroxide 2.5 % combination gel at bedtime over the back. Do not apply Cortisone cream (steroid). It can lead to worsening of the condition. Clinical photographs would have helped.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

Regarding the picture, that is how it was a week ago. Now, it is a little better but about the same. And it has been like that for a good few week now. You are right I should not use Cortisone on whiteheads, I forgot. Okay, I get your response but let me ask you a few questions.

First, you do not think I need any oral antibiotics. I want to bring your attention one more time to the fact that I got these acnes after that massage with oils. That is 100 % the reason for them to pop up. I am an extremely clean guy. And the second thing, I am reading instructions about Adapalene, and they say do not mix and apply at the same time with any other ointment at the same spot. Should I still do it, or can you explain this a little bit more? Sorry for such a big text. Just tired of these guys on my back.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have reviewed the clinical photographs attached (attachment removed to protect patient identity). Without looking at the clinical condition, oral medications cannot be suggested. You will need oral medications. If you are not allergic to oral antibiotics or do not have any medical condition then I suggest:

  1. Capsule Doxycycline 100 mg twice a day after meal for two weeks.
  2. Epiduo gel (combination gel of Adapalene and Benzoyl peroxide 2.5 %). So, you do not have to mix it with any other creams. Apply at bedtime for half hour then wash. If you do not get a combination gel then either Adapalene plain or Benzoyl peroxide 2.5 % can be used.
  3. Clindac A solution (Clindamycin 1 %) to be applied once daily. There is no need to wash after application.
  4. Avoid oil or steroid application.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I am not allergic to anything I ever have taken. I just thought oral antibiotics will help the best like they always do. So, where can I find these? Would I need a prescription?

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I suggest you medication capsule Doxycycline. Consult your specialist doctor discuss with him or her and start taking the medicines with their consent. If brand names are different that is alright. The composition should be as mentioned prior.

Looking forward to your response in order to help you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At February 14, 2018
Reviewed AtNovember 5, 2024

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