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Doctor insights on: Best Acne Treatment For Cystic Acne

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What's the fastest/best treatment for acne vulgaris and cystic acne?

What's the fastest/best treatment for acne vulgaris and cystic acne?

Derm consult: If you have cystic acne, you deserve 21st century treatment beyond what even your family doc can provide. A dermatologist will probably place you on one of the vitamin a derivatives; they are unpleasant and somewhat dangerous, you'll need to listen to the instructions carefully, and they work. Life is rough enough without cystic acne. I wish you the best. ...Read more

Dr. Ed Friedlander
2,095 doctors shared insights

Acne (Definition)

Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics ...Read more


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I'm ending my treatment of Accutane and I have light pink wide bumps from previous cystic acne on my face. Will this go away? Not filled with pus.

I'm ending my treatment of Accutane and I have light pink wide bumps from previous cystic acne on my face. Will this go away? Not filled with pus.

Scars: These are old acne scars. You can address them with a plastic surgeon or dermatologist now that your acne is under control and can be expected to remain so for at least several months -- and if you're lucky, forever. ...Read more

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When Accutane fails for severe cystic acne what's next?

Accutane: Accutane rarely fails for cystic acne. Normally 50% of people are cured taking 1mg/kg for 20 weeks. 50% of people need a second course at double the dose. A very few people need higher doses and more prolonged therapy. Weekly blood tests are need to monitor for adverse effects at these higher doses. See a dermatologist experienced in administering higher doses of accutane. ...Read more

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Is it possible to treat mild cystic acne without accutane?

Is it possible to treat mild cystic acne without accutane?

Yes: Other options include oral antibiotics such as Doxycycline and minocycline. You coule also use Retin-A (tretinoin) which is the topical version of Accutane (isotretinoin). Also the cysts can be injected with a dilute corticosteroid medication called kenalog (triamcinolone). Laser treatment for cystic acne is still somewhat investigational and probably would not be covered by insurance. ...Read more

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Accutane still gold standard for cystic acne?

Accutane still gold standard for cystic acne?

Yes: Isotretinoin in various forms is by far your best remedy. Adjuncts for disease this severe may include spironolactone and sometimes other supportive medicines during the flareup when treatment is initiated. It's not for the faint-hearted but it's remarkably effective in keeping the disease at bay for a year or two. Cystic acne is a terrible personal & professional liability. ...Read more

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Help! Is 20 mg of Accutane a day for a few months long enough to help hormonal cystic acne?

Maybe: Let the prescribing physician determine the appropriate dose. If you are self-medicating, be aware that what you're going is very dangerous -- someone on isotretinoin has to have labs run occasionally and if female must be very careful not to become pregnant. ...Read more

Dr. Neal Schwartz
160 doctors shared insights

Cystic Acne (Definition)

Acne cysts are large nodules developing deep within the dermis, or second layer of skin. They are painful, disfiguring, and may cause deep scars. There is often a genetic predisposition to cystic acne. Treatment usually requires systemic medication including oral isotretinoin, and should be started early, before ...Read more


Dr. J. Lawrence Dohan
2,402 doctors shared insights

Pimples (Definition)

Pimples are a kind of acne, and are a condition where oil gets trapped in a pore of the skin resulting in small area of ...Read more