Doctor insights on:
Acne Primary Care Services
Can a primary care doctor physically treat acne? (like by extracting the nodule instead of prescribing meds)
Depends: Each PCP may have different areas of focus or experience. You should inquire if that is something they routinely do in their specific practice. Acne usually requires a multi-faceted approach - medication is an important component but chemical peels and other treatments can be very helpful. Sometimes an underlying disorder may be the cause of acne so it is always good to have an exam. ...Read moreSee 1 more doctor answer
Not likely: Walk in clinics are generally set up to handle acute, "one time" episodes like strep throat, sinus infections, and utis as an example. Ideally, you want to find a good pcp or psychiatrist to spend the time with you to talk through your symptoms, possibly prescribe meds and be available for follow up. Check this app (healthtap) or healthgrades for a list of docs in your area. Take care. ...Read moreSee 2 more doctor answers
My daughter has worsening acne on recent weeks. We have exhausted otc medications. Can a prescription be provided through this service?
No: This public site does not provide diagnosis or treatment. If you locate a willing doc on the sister service,Healthtap Prime, they may be able to provide you with a paid consultation. ...Read more
I just started Diane 35 primarily for acne and I am on day 10. My breasts are in a lot of pain. Will this go away and why is it happening? Thank you !
Variable breast pain: Diane 35 contains the sex hormones estrogen and progestins which override and stop your natural hormonal cycle. Both can cause some breast glandular engorgement which is mostly noticeable when first starting the pills and then levels off with subsequent use, especially during your pill free week. Hang in there! ...Read more
Have sores on neck . they are red with puss coming out, been to specialist, dermatoglist,, primary dr, they keep coming back on face, neck not acne,?
I take 50mg bid of lamotrigine for primary generalized seizure disorder. I am to start 25mg/day of spironolactone for acne. Will these meds interact?
No drug/drug: No drug-drug interactions are reported for this drug combination. ...Read more
Hello! I have too much acnes on my back. What can I do for them? What am i suposed to use for treating them? Please help me. Thank you!
Acne: Your doctor may be able to help you with prescribing a antibiotic/acne medicated body wash as well as retin-a. This will help address the 3 ways that lead to acne - oil production, clogged pores, and bacteria. You may also try to wear lose fitting clothing particularly during activities with high perspiration. ...Read more
Scientific Rx: Start with topical benzoyl peroxide.If this fails, a physician's office visit. A topical antibiotic such as Clindamycin and/or a topical retinoic acid derivative is a good next step. The oral contraceptive pill will often end acne for a lady who can take it. A systemic antibiotic appropriate for the person is often necessary especially for disease on the trunk. Accutane for hard cases. ...Read more
Sunlight and acne: Actually, sunlight helps acne! several laser treatments for acne are based on this principle. Visible light (not uv or infrared) acts on by products of the bacteria to generate a singlet oxygen molecule. This molecule is the toxic to the bacteria and will kill it. The only problem is with sunlight you get damaging uv light at the same time. The amount of exposure needed can cause skin damage. ...Read more
You can't: But today's scientific remedies start in about a week. I recommend topical benzoyl peroxide, plus topical Clindamycin perhaps with retinoic acid derivative if there are blackheads. The latter two must be prescribed, and your phyisician has stronger stuff if needed. Good luck. ...Read more
None that work: Acne is a serious, chronic, non-lifestyle-related illness that eventually but unpredictably self-cures as the person ages. If topical benzoyl peroxide has not cleared you in two weeks, get with your personal physician. "pop" cures like lemon or sleeping with your face smeared with honey are cruel internet pranks. Tea tree oil is an estrogen -- it may help but can give guys breasts. ...Read more
They don't work: This is the 21st century and you owe it to yourself to use remedies that actually work. Your physician can manage acne using compounds that are gifts from mother nature -- benzoyl peroxide, the retinoic acid derivatives, isotretinoin, and the wonderful antibiotics made by natural micro-organisms. Acne is a chronic, serious disease and requires real rx. ...Read more
Scientific Rx: Home / folk remedies are only adjuncts. See your physician now if speed's important (prom coming up, etc.) if benzoyl peroxide fails, start a topical antibiotic such as Clindamycin and/or a retinoic acid derivative and/or a systemic antibiotic. Severe acne needs to be evaluated for isotretinoin. It's a non-lifestyle-related serious chronic disease that needs to be managed long-term. ...Read more
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