Doctor insights on:
Nodular Acne On Chin
Cruel disease: You are living in the 21st century, you have already worked hard, and there's no reason you should still have this or be told to let it go away by itself. If topical prescription medications and systemic antibiotics have failed, it's time for a dermatologist visit to consider adding Accutane and/or laser treatment. Good luck. ...Read more
Acne can occur anywhere there are sebaceous glands (oil glands) in the skin.
Web md is a great resource to learn more about acne. Skin hygiene with soap and water followed by benzol peroxide or 2% salicylic acid products are over the counter options. An evaluation by a dermatologist can help develop a long term plan. Resistant acne can also be treated with antibiotics and some laser therapy. ...Read more
Genetics: You inherit acne and can trigger break outs with stress, lack of sleep, sun damage, hormones, and more. You need a doctor to treat this. It can be life long and it will be best to get it under control to avoid scarring. Avoid Picking. To get help with scarring or active breakouts a medspa doctor can prescribe medication and laser skin care therapy as well as products between visits. ...Read more
Dermatologist needed: Here’s the deal: if a problem is recurrent, or persistent, you need to see a dermatologist. You may need additional workup, including labs, but do see one ASAP, to see what medicines you may need. ...Read more
Isotretinoin: This needs to be prescribed by a dermatologist as it presents hazards, will probably make you uncomfortable, and it is essential you not become pregnant. However, in a few weeks it is effective, and people generally stay clear for a good while after the course of treatment is over. Laser treatment has also been used for deep nodular / cystic acne. ...Read more
Traditional texts speak of the failure and risk of topical methods for deeper cysts and nodules. However, new amplified approaches of topicals can predictably, and reproducibly inactivate nodular acne without accutane.
A strategic approach requires a great patient/practitioner relationship. Cortisone injections during the treatment can minimize scarring from large individual lesions. ...Read more
Stop neglecting it: I'm sorry that you've ended up with acne scars, but you're old enough now to take your treatment into your own hands. You need to get with your physician now. Start using a topical agent such as benzoyl peroxide and your physician will probably add a systemic antibiotic. If this fails to clear you, Isotretinoin is a serious consideration. Specialists can make scars less visible. Take charge. ...Read more
One idea: There's no cure for acne. A course of Accutane will usually keep it at bay for perhaps a year, and you can repeat as you need to. One remedy that many physicians do not know is a trial of spironolactone. Wishing you luck. It's important to continue treating your acne and be a proactive partner in your care. ...Read more
I had pcos nodular acne...Went through 2 months of laser....The bumps of the acne dissapeared but the redness remains as it is have been taking sortet?
30 yr-old with chronic pain and narcolepsy who chooses to self medicate with marijuana. Feels strongly that cannabis is alleviating the symptoms.....?
Undetermined: At federal level - marijuana is still illegal. At state level - legalized in some, not so in others. Therefore, physicians at this time are legally bound to not recommend marijuana for routine use. More importantly, marijuana has not been studied for treatment of chronic pain and we do not know if it truly helps. Jury is still Out there.. ...Read more
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
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?
I have nodular cystic acne. I was on medication like retinoid for 20 days, but still it recurred. Please give me basic tips for this.
Medicines to b taken n applied for nodular cystic acne. Pls suggest d time n course of d treatment. My acne is painful n worse. Help needed.
Isotretinoin: Nothing else will touch it. It's not for sissies, and you've read the internet scare stuff, but it's by far your best option. ...Read more
Suffering from nodular cystic acne. On 6th week of isotrion medi. Acne started to dry bt can still feel pus filled under surface. How will it cure?
Isotretinoin: Just be patient; it is normal to have some slight flaring in first 2 months. Do not pick at the lesions, it will just make them worse. Most patients look pretty great after 3 months. ...Read more
Only taking isotroin 30 mg a day and azithral 500 mg thrice a week continuosly will help in curing nodular cystic acne? N how to cure d pain frm cysts
Cystic acne: Serious acne, that is the cystic type, should be treated with Isotretinoin at a measured dose depending on your bodyweight. If you have painful cyst, your doctor can inject a mild form of cortizone (hydrocortisone) which will calm them down fairly rapidly. Definitely keep taking medicine that she or he tells you, and attend the follow-up sessions faithfully and stay on the medicine for at least 5 to 6 months. ...Read more
Suffering from nodular cystic acne. During periods acne bcom worse. M on isotroin 30 mg medication. How to control severe acne during periods. Pls hlp?
Hormonal Acne: If you are having acne breakouts during menses while on isotretinoin, your problem is likely more related to hormones. I would see your doctor about a hormonal workup (check testosterone, fsh/lh, dhea-s), and look at more hormone specific treatments for acne, like spironolactone, cyproterone, or flutamide. ...Read more
Hard to get rid of: Acne scars are difficult to clear and rarely do you clear them all. A good outcome is a 50% reduction the lasers used are fractional co2, profractional, erbium resurfacing lasers and less invasive dermal rollers. Deep peels canhelp but must be done by a well trained physician ...Read more
I hv nodular cystic acne. Done wid 6 weeks of isotroin 30 mg n azithral 500 mg. Y has doc prescribd azithral? N cheeks feel hard. Wat to do? Pls help.
I hv nodular cystic acne. N its very painful and hard. Can I go for laser therapy now. D breakouts are very much active. N please suggest name of therapy?
Serious Rx: If you have not been offered a trial of isotretinoin, please get with your physician now and ask about this. It is not for the faint-hearted and there are risks, but most people who have needed it are glad. You also want an endocrine evaluation, and you may consider the oral contraceptive pill if it is right for you. Laser isn't a magic answer. ...Read more
Suffering from nodular cystic acne. On 7th week of isotroin 30 mg medi. Suddenly painful pimple kind bumps hv brokeout in my jaw line n lil below. Hlp?
I hv nodular cystic acne on face n currently on 6th week of isotroin medication 30 mg. Lately hv started breaking out on forehead. Its itchy. Help pls.
Under dosed?: See your dermatologist and ask him if the 30 mg dose is sufficient. It is usually based on weight. The standard is 1mg/kg/d so a 130 pound person should be on 60 mg per day. Also, it is not unusual for people to get a little worse on Isotretinoin before they get better- so don't panic! ...Read more
Can nodular cystic acne be treated by laser or light therapy. I hv acne filled with pus n blood and wish to get rid over it through laser. Possible?
This is serious: I'm glad you're on isotretinoin and this is appropriate for a woman in your situation. Hopefully you'll get a good result. Other meds that may help if you relapse include spironolactone and the oral contraceptive pill. Lasers may be an adjunct for you. I'm really glad you're managing this and wish you the best for as long as you need to be treated. ...Read more
OTC and prescription: For treatment of acne, if over-the-counter benzoyl peroxide is not helping, a doctor can add an antibiotic gel/cream such as Cleocin (clindamycin phosphate) gel. If more help is needed, prescription retinoids such as Retin-A or Differin gel can be used instead of OTC benzoyl peroxide. Oral antibiotics such as tetracycline can be used also. If severe, a dermatologist may use Accutane. (Birth control pills can help women.) ...Read more
Acne: Wash face w gentle cleanser 2x/day ; use oil free products. No oily hair or heavy foundations. Exfoliate occasionally. Try not to pop pimples. Avoid touching face (cradling chin in hands). Remove makeup before bed. Shower after strenuous exercise. Consider otc products (salicylic acid or benzoyl peroxide). If > mild acne see dermatology (discuss meds, comedone extractor, pore strips, etc.). ...Read more