Doctor insights on:
Nothing Works On My Acne
Scientific Rx: Acne is a chronic disease that eventually remits as a person ages. I was able to stop taking rx when I was 50. In the meantime, topical benzoyl peroxide is your first treatment. If this fails, your personal physician can add topical clindamycin, topical tretinoin, a systemic antibiotic, or one of the big guns. Manage the disease until it remits -- you owe it to yourself. ...Read more
None of them: None of the over-the-counter acne treatments does much good. I start with topical Clindamycin with or without a retinoic acid-based compound. If I do not get a good result in two weeks, I add a systemic antibiotic appropriate to the person. Dermatologists are allowed to use the big guns. Nobody nowadays needs to have bad acne -- life's hard enough without it. Good luck. ...Read more
Severe acne: Acne on the trunk that you describe as "terrible" is probably deep cystic acne. You have a right to treatment with isotretinoin. Nothing else will work. If you are a female, be sure to get worked up for an underlying hormonal problem. The medication is powerful and not altogether pleasant, but if the diagnosis is correct you will get a good result. ...Read more
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What's been tried?: Acne is a chronic, serious disease that cannot be cured but that remits, often after many years. I was able to stop taking systemic tetracyline around age 50. The strongest rx is Isotretinoin and this is expected to get a remission for at least a year. Please don't give up. ...Read more
Acne treatment: Acne can be prevented or minimized by using a gentle cleanser twice daily, over the counter benzoyl peroxide or salicylic acid products or prescription medications including topical cream with or without oral medications. Don't pick! A dermatologist should be able to help you. ...Read more
What could really help for my acne? Besides all the commercials on tv. Something to actually be proven it works.
Scientific Rx: If topical benzoyl peroxide (as you can tolerate it) has not cleared you in two weeks, get with your personal physician. Benzoyl peroxide is inexpensive and available over the counter at any pharmacy. Your physician may add a topical retoic acid derivative, a topical antibiotic, try you on the oral contraceptive pill if appropriate, or a systemic medication. It's manageable. ...Read moreSee 1 more doctor answer
Scientific Rx: Two weeks trial of topical benzoyl peroxide alone. This clears most mild acne. If not clear, physician's office visit. Options may include topical retinoic acid derivative, topical clindamycin, the oral contraceptive pill for a woman who can take it, and/or an appropriate systemic antibiotic right for the patient. Tough cases referred for isotretinoin. Scars require a derm consult. Good luck. ...Read more
Gentle slow approach: Depending on your skin type (light, medium or darker skin) there are different ways to approach trying to lighten the dark spots that often result after acne lesions have healed. The best approach is to use gentle products and go slowly. This avoids excessive inflammation which would make it worse. See a dermatologist to get help. They may use retinoic acids, bleaching creams, or chemical peels. ...Read more
Healthtap Doctors: Are asked not to endorse specific brands or product lines. ...Read more
Chronic disease: We live in an era of quick fixes and have come to expect instant results. That's not going to happen if you have acne. Continue treatment as long as you need to. I was able to stop taking systemic tetracycline for my acne when I was about 50. Don't get discouraged -- remember all the other folks in your situation with this and other chronic illnesses. Be strong. ...Read more
Prescription: If acne is confined to the face, there's a 50% chance that topical benzoyl peroxide will clear you. Otherwise, you will need to supplement with prescription-strength treatment from your personal physicain. Acne is a non-lifestyle-related chronic disease that must be managed until it self-cures. Best wishes. ...Read more
Nothing is fast: Whenever a dermatologist initiates treatment for acne, he or she always mentions that it takes time — meaning 2-3 months to notice a significant change. The efficacy varies as each acne patient's treatment is individualized based on several factors. For the best treatment, seek the assistance of a board certified dermatologist. Cheers! ...Read more
I am currently taking Tetralysal for my acne, it works and I've been on it for 3 months, but I know It's temporary. Can I keep using the medicine?
Can use long term: Tetralysal is an antibiotic that is in the tetracycline family of antibiotics. It is a common medicine used in acne as the bacteria causing plugging of glands and pores in acne is quite responsive to this antibiotic. Long term rare effect liver and kidney, so may need labs done. Should never be used in pregnancy or if thinking of becoming pregnant. May also cause colon irritation-eat probiotic ...Read more
I have been struggling with acne for so long and I've had several creams and medications but nothing works! :'(are there any other options for me?
When your options: Aren't working — dermatological consultation is a good way to go. ...Read more
What is the best product for treating moderate acne in teenage girls? I have sufferred from acne from the age of 11 and I am now 18. Nothing works.
Real Rx: This is the 21st century and acne can be treated. If benzoyl peroxide and the less-effective over-the-counter remedies have failed, your physician may offer you the oral contraceptive pill if it's appropriate, or I start with topical Clindamycin with either benzoyl peroxide, or a retinoic acid derivative. Next step is an appropriate systemic antibiotic; this usually works for a female. Good luck. ...Read more
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