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What could cause acne flare-ups despite using Tretinoin?

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

Patient's Query

Hello doctor,

I have been using Tretinoin for about two months now to address my moderate acne and numerous closed comedones across my face. While I have noticed a reduction in comedones, I am still experiencing inflamed pimples, some of which develop into papules and cysts. Is it typical to continue experiencing purging after nine weeks of using Tretinoin? Additionally, I consistently struggle with acne before my period. Also, all tests for sex hormones, thyroid hormones, and vitamins yielded normal results. Despite trying various treatments over the past five years, I have not found anything effective. Please help.

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Education:

MBBS

Professional Bio:

Dr. Dhepe Snehal Madhav is a Dermatologist and Venereologist specializing in the diagnosis and treatment of various skin conditions. She is experienced in evaluating patients, conducting thorough screenings, and formulating personalized treatment plans to ensure optimal skin health. She delivers compassionate and comprehensive dermatological care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Sensitive skin may experience purging while using retinoids.

To help manage your acne, I suggest the following:

  1. Reduce stress, as it can contribute to breakouts.

  2. Stay active with regular exercise.

  3. Avoid oily and greasy cosmetic products, and be cautious with makeup.

  4. Stay away from junk, oily, spicy, and dairy foods.

  5. Maintain a healthy diet rich in green leafy vegetables and fruits.

  6. Refrain from scratching or rubbing the lesions to prevent secondary bacterial infections and permanent scars.

Please attach a clinical image to assess the grade of your acne. Treatment depends on the type of lesions.

I hope this helps.

Please revert to assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At June 20, 2024
Reviewed At June 20, 2024

Education:

MBBS

Professional Bio:

Dr. Dhepe Snehal Madhav is a Dermatologist and Venereologist specializing in the diagnosis and treatment of various skin conditions. She is experienced in evaluating patients, conducting thorough screenings, and formulating personalized treatment plans to ensure optimal skin health. She delivers compassionate and comprehensive dermatological care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Dhepe Snehal Madhav is a Dermatologist and Venereologist specializing in the diagnosis and treatment of various skin conditions. She is experienced in evaluating patients, conducting thorough screenings, and formulating personalized treatment plans to ensure optimal skin health. She delivers compassionate and comprehensive dermatological care.

This doctor is not available for online consultations on the platform anymore.

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