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How to treat acne and dark spots in oily skin?

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

Patient's Query

Hi doctor,

I have acne and oily skin with very bad acne scars and dark spots all over the face. Please help.

Hi,

Welcome to icliniq.com.

If possible provide me photographs of the affected areas which will help me for better understanding of your skin problem and proper treatment plan. Photographs are required for diagnosis purpose because the treatment given without proper diagnosis can be less helpful or can also harmful for you.

Patient's Query

Thank you doctor,

I have attached the files.

Hi,

Welcome back to icliniq.com.

I have seen the pictures (attachment removed to protect patient identity). It is inflammatory acne with pigmentation. The reason behind pimples is mostly hormonal changes and oily skin. So these can subside with treatment but requires maintenance treatment even after the subsidence of pimples. Take a less glycemic diet and more protein diet. You can start Azelaic acid 20 % cream at morning for 20 days and Clindamycin 1 % gel at night for 20 days and daytime non-oily/greasy sunscreen (Suncros aquagel) and face-wash (Ahaglow). Take tablet Prednisolone 5 mg one tablet at night after food and 2.5 mg one tablet at morning after food for 20 days, tablet Azithromycin 500 mg one tablet at morning after food on Wednesday, Thursday and Friday (three days in week) for four weeks. I hope this helps.

Patient's Query

Thank you doctor,

Will there be any side effects for this? I am not allergic to anything so far I know but any other skin irritations or anything because my skin is quiet sensitive.

Hi,

Welcome back to icliniq.com.

These creams are not irritant and both tablets are common medicines given in acne and also other skin problems. Generally, no such side effects noted or can be negligible and it depends on person to person and his genetics and immunity also. So, you can start treatment and follow- up after 20 days.

Patient's Query

Hi doctor,

Thank you for the reply.

I would like to know if these medicines are locally açai or in any medical shops. Kindly suggest.

Hi,

I am glad to have you back on icliniq.com.

I would like you to kindly elaborate on your question to guide you better.

Thank you.

Patient's Query

Hi doctor,

I was advised to use medication for 29 days for severe dark spots and acne on my skin. Despite using the medication for 29 days, it was not very effective and I could barely see any changes. Kindly suggest.

Thank you.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

I advise you to follow the below-mentioned instructions.

  1. Apply Momate F cream (Mometasone and Fusidic Acid) at night for 10 days.
  2. Apply Azelaic acid 20 % cream ( azelaic acid) in the morning for 30 days.
  3. Use non-oily or greasy suncros aqua gel sunscreen (Octinoxate) in the daytime.
  4. Wash your face using Ahaglow face-wash (Salicylic acid and Glycolic acid).
  5. Take a capsule of Aquasol 25000IU (Vitamin A) in the morning after food for 15 days.
  6. Take a tablet of Ascazin (Zinc) in the morning after food at night.
  7. Get checked for your hormonal levels of serum testosterone, LH/FSH (luteinizing hormone/ follicle stimulating hormone)
  8. Get sonography of the abdomen and pelvis.
  9. Kindly consult a specialist, talk to them, and take the medication with their consent.

I hope this information will help you.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At May 21, 2020
Reviewed AtFebruary 5, 2025

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