A member asked:

Im using tretinoin cream for my acne for 3 months and they are getting worse, and becoming black and bown spots! what should i do !?

7 doctors weighed in across 3 answers

See a specialist: You need to discuss your concerns with a board certified plastic surgeon or dermatologist. Not all tretinoin creams are the same and you may get a more effective cream or medication at the doctor's office than you can get at target.

Answered 7/5/2013

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Stronger Rx: Especially if you have scarring already, you're being undertreated for your acne. It's a chronic, non-lifestyle-related, non-hygiene-related disease. Ask your physician whether you're a candidate for the oral contraceptive piil, whether there's any reason to think you have a hormone imbalance, and whether you could start on a systemic antibiotic as the next step.

Answered 1/11/2015

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Spironolactone: Normal menst.? For adult women the best way to control acne is SPIRONOLACTONE, an anti-androgen.Often combined with certain BC pills, some much better than others. Often also combined with tretinoin. After a few months, isotretinoin may be used if not clear. None of these if pregnant. Spironolactone will also slow or stop hair loss. Very safe and costs only $5 a month.

Answered 8/25/2020

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