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Doctor insights on: Accutane Diary

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How to control mild oily skin, mile acne & redness of acne?

How to control mild oily skin, mile acne & redness of acne?

A few options: For over the counter methods try using products that have benzoyl peroxide, salicylic acid, alcohol, and acetone. For prescription treatments you may be prescribed antibiotics, retinoids or vitamin a derivatives, azelaic acid, oral contraceptives, or spironolactone. Always ask a dermatologist about the possible affects and the risks vs benefits of each treatment. Make sure it's best for you. ...Read more

Taking Accutane (Definition)

Accutane (Isotretinoin) is a powerful medicine that treats acne. It is known to cause severe birth defects if a woman becomes ...Read more


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What helps best for cystic acne? Probiotics or evening primerose? Currently taking Spironolactone, Aczone, & genetic tazorac (tazarotene).

What helps best for cystic acne? Probiotics or evening primerose? Currently taking Spironolactone, Aczone, & genetic tazorac (tazarotene).

Adjuncts only: Sandy, forgive my frankness. I'm not a dermatologist, but if a retinoid (tazorac), dapsone, and spironolactone have failed, you need to consider isotetinoin therapy despite all the scare stuff you've read on the doctor-bashing websites. Acne is a grave personal and professional liability. You're an adult now, you have job interviews coming up, and it's probably the right choice. ...Read more

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Clindamycin, tretinoin (retin-a), minocycline pills for acne, do these work?

Clindamycin, tretinoin (retin-a), minocycline pills for acne, do these work?

Yes: Comply with directions. Never use an antibiotic as sole treatment for acne. If you do not get a good result, consider Isotretinoin if it is offered to you. ...Read more

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Can i take Accutane for mild acne on oily skin?

Can i take Accutane for mild acne on oily skin?

Too strong: The stuff is pricey, unpleasant and not entirely risk-free. If your acne is confined to your face, ask your physician about a mix of topical benzoyl peroxide and topical clindamycin. Only the worst acne requires Isotretinoin / accutane. ...Read more

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Are propranolol, synthroid, zyrtec, & amitiza (lubiprostone) gluten free? I am on gluten free diet

Are propranolol, synthroid, zyrtec, & amitiza (lubiprostone) gluten free? I am on gluten free diet

Most likely: Gluten is not usually used in formulating any medication. However given that your medications are likely generic, there is no 100% sure way to tell. In general , i would say no, but if you are unsure, read the ingredient label and ask your pharmacist to check if you have doubts. ...Read more

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Can a dairy-free diet reduce acne breakouts/acne severity?

Can a dairy-free diet reduce acne breakouts/acne severity?

Not the key: Acne is only marginally related to diet and not at all to hygiene or lifestyle. You're wasting your time if you try to clear yourself with 'pop' experiments. Get some topical benzoyl peroxide, in a strength and frequency that you can tolerate. If you're not clear in two weeks, phone your physician for something to add. ...Read more

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Experienced hairloss/thinning & cystic acne. Taking ocella (drospirenone and ethinyl estradiol) & spironolactone 25mg. Acne under control not thinning. Can i switch vitex for ocella (drospirenone and ethinyl estradiol)?

Experienced hairloss/thinning & cystic acne. Taking ocella (drospirenone and ethinyl estradiol) & spironolactone 25mg. Acne under control not thinning. Can i switch vitex for ocella (drospirenone and ethinyl estradiol)?

NO: Ocella (drospirenone and ethinyl estradiol) is a birth control pill which helps acne. Vitex is of no value ; is sold with false claims to take advantage of people: it will do nothing for acne ; it will not prevent pregnancy. The usual dose of spironolactone for acne is 50- 100 mg, sometimes 200mg. You will see improvement after 3 menst periods. Hair loss might improve with larger dose of spironolactone. See a dermatologist for help w. ...Read more

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Will Accutane 10mg daily work for mild acne?

Will Accutane 10mg daily work for mild acne?

Better options: It's unwise to self-medicate with isotretinoin / accutane. There are precautions, even if pregnancy is not a possibility, and it's unpleasant. I see you're a male. Topical benzoyl peroxide as tolerated will probably be less unpleasant overall and if this does not clear you, adding a short course of a systemic antibiotic such as tetracycline probably will. Manage it till it self-cures with age. ...Read more

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Doxycycline twice daily, aqua glycolic facial cleanser, sodium sulfacetamide 10% and sulfur 5%.My face dries from time to time;i would like to know why.

Doxycycline twice daily, aqua glycolic facial cleanser, sodium sulfacetamide 10% and sulfur 5%.My face dries from time to time;i would like to know why.

Modify regimen: Sulfacetamide/sulfur often causes dryness, particularly during the winter. I would first ask your dermatologist to substitute something milder. You can also use a light moisturizer as needed if you wish, but choose one that says "non-comedogenic" on the label, meaning that it won't plug up your oil glands and make your acne worse. ...Read more

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What's the acne wash, toner, and moisturizer for acne prone super oily skin?

What's the acne wash, toner, and moisturizer for acne prone super oily skin?

Skin Clear Wash: I recommend the skin clear wash from cosmo grade professional skincare. Specifically formulated for acne-prone skin, this foaming cleanser utilizes salicylic acid and tea tree to thoroughly wash away oils and dirt, unclog pores, treat existing blemishes and prevent future breakouts - improving the appearance of problematic skin. ...Read more

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Could the clarisonic acne daily clarifying cleanser work?

Could the clarisonic acne daily clarifying cleanser work?

Get tough with it: This is weak, pricey, gimmicky stuff. Grab some 5% benzoyl peroxide and apply it 2x/day. If you're not clear in two weeks, or it's on your trunk, get with your personal physician for prescription-strength treatment. ...Read more

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Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.

Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.

Either work: If you took accutane and still have problems then maybe try something different. Also spironolactone will not require the multiple visits and tests that accutane does. And best of all it is effective. ...Read more

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I have celiac disease & I'm on a strict 100% gluten free diet. I take Propranolol 20mg tabs & Levothyroxine 137mcg tabs daily. Do these contain Gluten?

I have celiac disease & I'm on a strict 100% gluten free diet. I take Propranolol 20mg tabs & Levothyroxine 137mcg tabs daily. Do these contain Gluten?

Highly unlikely: Although corn starch may be used in medications, I am not aware of gluten products in pills. The best defense is reading labels. ...Read more

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How long should you keep clearasil (benzoyl peroxide) vanishing acne cream on for?

How long should you keep clearasil (benzoyl peroxide) vanishing acne cream on for?

Indefinitely: It is advisable that you use the topical benzoyl peroxide creams available over the counter on an as needed basis for treatment of mild to moderate acne without cystic component. If it has been for a prolonged period of time such as over three months, i would recommend following up with your physician. ...Read more

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How to eliminate acne & acne scars on face? (affordable)

How to eliminate acne & acne scars on face? (affordable)

Acne treatments: Acne treatment depends on the severity. Mild acne can be treated with good skin care products such as Retin-A and topical benzoyl peroxide. Moderate acne can add topical antibiotic as well as peels and lasers. Severe acne may need short term antibiotics, retin-a, topical antibiotics, ala and laser followed by resurfacing for scars and or accutane. ...Read more

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