Doctor insights on:
Cystic Acne Prevention
I hv nodular cystic acne. I am taking isotroin 20 mg in morning n 10mg at nite. 6 weeks of course is already over bt i don't see vry good results. Help!
NODULOCYSTIC ACNE: The typical course of this drug is 20 weeks. You have not been on it nearly long enough. Go back to your dermatologist asking why that might be. ...Read more
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
I hv nodular cystic acne. Cannot drink milk coz it worsens it. N i love milk though. Pls suggest a substitute for mill. Thank u?
Wish it were easy...: Even in dermatology, we struggle with cystic acne. Genetics, hormones and bacteria all seem to play a role. Eating a healthy diet, low in sugary, processed foods and eliminating dairy can help some, but may not cure it. Topical and oral antibiotics are often necessary, and Isotretinoin may be needed as well. Sometimes hormonal therapies like spironolactone work wonders. ...Read more
Yes: This can indeed make your cervical lymph nodes swell. You also need to know that all acne is manageable nowadays, and if you have cystic acne that you're not having treated, others will see this as a sign of poor self-care. It's a serious personal and professional liability. Get with a physician who can treat you. ...Read more
Scientific Rx: True cystic acne almost always requires isotretinoin. This is not pleasant, not cheap, and not risk-free, but it is well worth it. If you are responsible for the health of a young person with the chronic, disfiguring disease, you must get them to a competent physician. Neglecting this now will lead to a lifetime of regret / resentment. ...Read more
This is serious: True cystic acne always requires systemic prescription Rx and usually requires isotretinoin. Get with your physician and ignore anything folks tell you about diet, hygiene, lifestyle, or "pop" / "natural" cures. You'll probably be offered isotretinoin. It is not pleasant and not for sissies. You're read the scare stories, but the medication is a life-saver. It's your choice. ...Read more
Requires specialist: Deep cystic acne -- if that is what it is -- requires, and responds well to treatments only available to -- a specialist dermatologist. There will be no easy fix. Please forgive my frankness, and i hope that in a health care system that is often dysfunctional, you find the treatment that should be available to everyone. ...Read more
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