Patient's Query
Hello doctor,
I am a 23-year-old male. My problem is acne. I have been having cystic acne for five years.
I am getting a red whitehead with pus. I have been taking Isotretinoin 20 mg for two years. When I was on Isotretinoin, I did not get even a single pimple.
After two weeks of stopping Isotretinoin, I had a sudden breakout. My skin is very oily, and I do not apply any moisturizer or any makeup.
I use Neutrogena face wash and eat a healthy diet. I do not eat junk food, either. I also apply Zinderm BPO gel for acne.
I have also taken Sotret 20 mg and Zathrin 500 mg for this problem. I want a permanent solution for my acne without medicine or gel.
Please help me.
Hello,
Welcome to icliniq.com.
I understand your concern.
First of all, if you have acne-prone skin, it is impossible to have clear skin without any topical and oral intervention. Since you have taken more than a year of Isotretinoin 20 mg daily, I would not suggest repeating that at the moment. I suggest you use Doxycycline 100 mg tablets twice a day and tablets containing Zinc 200 mg once a day for 15 days, and if you do not have any gastric issues with that, then 200 mg twice a day after that.
Apart from that, to prevent further pimples, Tretinoin gel should be applied 0.04 percent at night in a very thin film and Dapsone gel under sunscreen in the morning. You can also consult a dermatologist for salicylic peels, which will reduce the intensity of acne. Avoid milk-based products for a while and decrease sugar intake. Let us know in one month about the improvement you can see.
Hope this helps.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
I had a CO2 fractional laser before. I had ten sessions for my open pores on the cheeks and nose, but there was no improvement.
Does salicylic acid peel work for acne? How many sessions can I take? What should be the interval of each sitting?
My tongue is white and patchy, and the lateral border is black. I do not know the exact reason for this. Is it due to the medicine?
Which medicine will be more effective for acne?
Hello,
Welcome back to icliniq.com.
I understand your concern.
Salicylic peels help with exfoliation and decrease the onset of new acne. One peel every three weeks for at least five to six sessions is a must. Can you please attach a picture of your tongue so that we can determine its cause?
How long have you been taking Azithromycin? Any Zinc 100 mg tablets available can help with acne with minimal side effects.
Hope this answers your query.
Regards.
Patient's Query
Hello doctor,
Thanks for your valuable reply.
I would definitely go for salicylic peels. I took lots of medicines when I was suffering from cyst acne and took Zathrin 500 mg for more than a year. I take six tablets in a month.
I tried different medications, such as Minocycline, Zathrin, doxy, and Clindamycin, and I also took lots of multivitamins and vitamin C 500 mg separately. Finally, Isotretinoin worked for me. All my acne went away, and my face was so clear like never before.
It was so brightening, and finally, I stopped taking medications. I am also attaching pictures of when I was on Isotretinoin and my tongue pictures. There is a white and black coated tongue on the side, and some white patches in my mouth.
I hope you will solve my problem.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Please try to scrape a small portion of the white membrane and tell me if it comes out. Do you smoke or consume alcohol on a regular basis?
It could be candidal, but we need to examine that and try to scrape it for a better approach. You can see a dentist or dermatologist in person for better diagnosis as they can observe clinically.
Hope this helps.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
Yes, it comes out when I scrape it, and it will be back in an hour. No, I do not smoke or consume alcohol.
Which medication should I take, or what mouthwash can I use? I want to get rid of this now.
Please advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
According to the pictures (attachments are hidden to protect the patient's identity), it looks like candidiasis, but I suggest you meet a dentist or dermatologist in person to confirm the diagnosis, since it again requires you to take oral antifungals, and you have already taken medications for way too long.
Hope this helps.
Revert in case of queries.
Thanks and regards.
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Answered byDr. Rashmi Singh
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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