Doctor insights on:
Taking Care Of Pimples
Accutane flare ?: Rarely, starting Accutane can cause a slight flare of your acne. I find that when we start with a low dose of 10 mg per day we rarely ever see a flare of acne.In addition, at this low dose and gradually increasing the Accutane the patient does very well with the medication and does not get uncomfortable on the medication.The patient stays very comfortable and does not have side effects. ...Read more
Manage it: Severe acne requires systemic medication, and this is the mainstay of treatment. Anyone telling you otherwise, or minimizing the seriousness of an acne problem, is doing you a disservice. All acne can be managed effectively today though only dermatologists have the really big guns like accutane. Good luck. ...Read more
Scientific Rx: If two weeks on over-the-counter benzoyl peroxide doesn't clear you, get with your physician. You may be a rx for a topical retinoic acid derivative, the oral contraceptive pill (if you're female), topical clindamycin, a systemic antibiotic such as tetracycline, or a dermatology referral for possible isotretinoin. All acne is manageable today; it's not a hygiene or lifestyle problem. We can help. ...Read more
Advice on clearing acne and blackheads? Specific brand of medication or recommended lotions and stuff? Is Proactive effective?
Which of these antibiotics are better for treating dark acne spots on the face and why? (amoxicillin 500 mg capsule or sulfamethoxazole-tmp ds tablet)
Acne: Neither of those medications are useful for acne dark spots. Neither of them are very useful in treating acne at all. The sulfa drug can help acne but can have very serious side effects so it is not routinely used. Whenever the skin is inflamed it will get lighter or darker in color. See your dermatologist to get the acne under control so you don't get scars and dark spots. ...Read more
Rx's are best: The over-the-counter and "holistic" stuff works poorly. I start folks on topical Clindamycin with or without a retinoic acid derivative. If this doesn't work well enough, i add an antibiotic appropriate to the individual. The big guns (accutane, lasers) can only be used by dermatologists. You have a right to be treated effectively. Good luck. ...Read moreSee 1 more doctor answer
Consider cause: Prevention of recurrent canker sores is better than treatment of them! sometimes these aphthous ulcers are the result of acid reflux or a reaction to you toothpaste (consider trying one that lacks sodium lauryl sulfate). Once you have one, try to avoid touching the area. I have found some success prescribing kenalog (triamcinolone) in orabase dental paste for them. ...Read moreSee 3 more doctor answers
Using creams like acnederm resolveplus and doxydar and nephron tabs (doxycycline hyclate). Any advice about using these acne meds to cure pimples?
Back pain: Just back pain does poorly with surgery, unless there is instability or deformity. Typically, core strengthening and daily flexibility exercises with weight loss where needed and better posture go a long way. Take some anti inflammatories when you start to make the startup pain better and have a spine specialist md take a look at things if not some better in 6 weeks. ...Read moreSee 1 more doctor answer
Talk with your doc: Symptoms and concerns like these mandate a thorough evaluation by your doctor. Only after such an evaluation, which may include labs and radiographic examinations, can he/she let you know what's going on and how best to help you. ...Read more
Real Rx: This is the 21st century and you owe it to yourself to use remedies that actually work. Your physician can manage acne using compounds that are gifts from mother nature -- benzoyl peroxide, the retinoic acid derivatives, isotretinoin, and the wonderful antibiotics made by natural micro-organisms. Acne is a chronic, serious disease and requires real rx. ...Read more
Cold sores: Melissa officinalis or lemon balm (cream) expedites healing of cold sores. It can reduce healing time by half. Studies also show that regular use can help v recurrences. Brief supplementation with lysine 1, 000mg orally three times a day at the onset, can also hasten healing. Your physician can prescribe oral valtrex (valacyclovir). ...Read more
How can i get clearer skin & get into the habit of taking care of it? Are moisturizers and exfoliates necessary?
It depends: Treatment for acne depends on the type of acne as well as the severity. For moderate acne, a typical regimen includes a gentle face wash and benzoyl peroxide and clindamycin in the AM and a topical retinoid (e.g. Retin-A) in the PM. Oral antibiotics may be added for more severe acne. Accutane is usually reserved for very severe acne. Consult your doctor if you have moderate to severe acne. ...Read more
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