Doctor insights on:
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 moreSee 1 more doctor answer
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
Scientific Rx: You need to manage your acne like a 21st century adult. If topical benzoyl peroxide as tolerated isn't sufficient, get with your personal physician. Red marks after acne are healing and can't be changed. Too much or too little pigment is best left to resolve on your own -- hydroquinone bleaches can disfigure you. The scars must be managed by a specialist with laser, filler, or microsurgery. ...Read more
No: Since both generally begin at puberty, people have wondered about causation, but there's no reasonable mechanism, essentially all teens are enjoying their bodies, and only some get acne and its severity varies tremendously. If anyone tells you this as a fact, or tells you that the practice is otherwise bad for your health, they are misinformed or trying to manipulate you. ...Read more
Salicylic acid wash: Salicylic acid helps shed dead skin cells which help to unclog pores that are normally blocked by acne. It is a good exfoliant but works well applied (such as on a pad or cosmetic grade) rather than as a wash because it is not quite potent in a wash. Neutrogena makes a salicylic acid wash and is labeled as "oil-free acne wash". ...Read moreSee 1 more doctor answer
Is it possible to get rid of acne indentations and scars? My face has lot of indentation thanks to teenage acne. Is it too late to treat now?
I am wondering how severe acne and pimples have to be in order to obtain accutane. My acne is very mild although very persistent.
Hi doctor. May i know is vitamin a cleanser effective at uncloggin pores? Same effect as tretinoin? Can it treat cystic acne? Thanks.
May help: However, it is not strong enough for cystic acne. This almost always requires isotretinoin. I hope that if you're offered this, you'll consider using it. It's not for the faint-hearted, but you owe it to yourself to be rid of your cystic acne for the several months or years that a course of rx will give you. ...Read more
How much cumulative isotretinoin would u prescribe a patient with mild to moderate acne? Is it 120mg/kg like for severe acne or less?
Accutane dose: The recommended dosage range for Accutane is 0.5 to 1.0 mg/kg/day given in two divided doses with food for 15 to 20 weeks. In studies comparing 0.1, 0.5, and 1.0 mg/kg/day,8 it was found that all dosages provided initial clearing of disease, but there was a greater need for retreatment with the lower dosages. During treatment, the dose may be adjusted according to response of the disease and/or the appearance of clinical side effects ...Read more
Experience counts: Some cysts can be injected with kenalog (triamcinolone) (steroid) while others may need incision or drainage, and some may need surgical excision. If it's not treated correctly it can leave a bad scar or even make the cyst worse or infected. Make sure the practitioner you see has a lot of experience treating cysts. ...Read moreSee 1 more doctor answer
Doc prescribed Accutane for acne and acne scars .is it advisable my profession needs clear face . Does this help even for large pores.
Benzoyl peroxide is known to be mutagenic and can cause cancer. Is 10% BP that is usually used as acne treatment actually safe to use on daily scale?
What is the criteria needed to be put on Accutane ? I have severe back acne, and mild facial acne with some red acne marks.
Failure: You ought to have been placed on failed topical and/or oral antibitics for a sufficient period of time. Topical approaches such as benzoyl peroxide foams combined with topical antibiotics can often be very effective. If you fail these, then Accutane is certainly a reasonable option. ...Read more
Will there be any problems if use doxycycline tablets for mild acne but inflammed face and what is the recommended dosage ?
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
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