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Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.
Initially my derm prescribe tetracycline with prednisolone, acne flare up,now she prescibe minocycline and xepasone.i cannot take accutane.What next?
Yes: There is one important potential interaction. It can increase the risk of pseudo tumor cerebri which is an abnormal amount of pressure in the cerebrospinal fluid that surrounds the brain and spinal cord. Altho this is a relatively rare condition, it can be dangerous and lead to permanent visual loss and brain damage. ...Read moreSee 1 more doctor answer
Is it ok to use neutrogena hydroxy acid exfoliating cleanser while on Accutane ? It is non comedogenic, soap free and dermatologist tested
Yes: Yes you can, provided you don't apply it with an abrasive sponge or anything that can excoriate your skin or exacerbate the exfoliation. ...Read more
Does neostrata hq free lightening gel( kojiic acid, vit C, liquorice, bearberry, 10 aha/pha) fade red facial scars( not acne scars) . thanks very much?
Isotretinoin: Isotretinoin. For deep cysts, antibiotics may not be enough. Isotretinoin (amnesteem, claravis, sotret) is a powerful medication available for scarring cystic acne or acne that doesn't respond to other treatments. This medicine is reserved for the most severe forms of acne. It's very effective, but people who take it need close monitoring by a dermatologist because of the side effects 80% effectiv. ...Read more
Yes: There should be no interactionGet a more detailed answer ›
First try: "bactrim" isn't as good as some of the other antibiotics, especially the tetracyclines. Don't ever use an antibiotic as sole treatment for acne. Isotretinoin / Accutane is your last resort unless you have cystic acne, for which nothing else will probably work. It's not for the faint-hearted but is a remarkably effective medication. ...Read more
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
My dermatologist prescribed 4%hydroquinone , tretinoin, mometasone furoate to treat erythema ab igni dt hot packs..Can this pigmentation fade completely?
Doxy alt’ve (bact. resist) re long term acne? 50s, perimenopausal, new diagnosis face rosacea (not chin) Isotretinoin good 25 & 6 yrs ago til quit OC
Is there a question: here????? Ask again ..clarify Dr ZGet a more detailed answer ›
Not the best choice: An antibiotic must never be used as sole therapy for acne. Cystic acne may be helped by antibiotic treatment plus a topical agent such as benzoyl peroxide, but usually requires isotretinoin. You've heard the internet scare stories but most people who try this Rx -- which isn't for the faint-hearted -- are very glad. Acne's a grave personal / professional liability; ask if this is right for you. ...Read more