Brief Answer:
Acne with Post-Inflammatory hyperpigmentation

Detailed Answer:
Hello and welcome to healthcaremagic

I have gone through your concern and I have understood it.

Acne, there is no one time solution. Treatment if often long.

Once your acne is under control, you need to use a maintenance gel, commonly a topical retinoid, to prevent the new lesions/comedones from developing.

-I usually start my patients of acne on topical benzoyl peroxide gel (e.g Microbenz 3.5 % gel, marketed by Sunpharma in India) OR Clindamycin gel (e.g clin 3 gel or clindac -A gel) for day time use.

-At night I as my patients to apply a topical retinoid e.g either Adapalene OR Adapalene+clindamycin combination. e.g Deriva-cms gel contains topical clindamycin along with adapalene in a gel formulation. While it is mainly used for acne, the retinoid component i.e adapalene increases the skin turnover and consequently decreases the contact time of keratinocytes with melanocytes, therefore it does has a lightening effect on post-inflammatory hyperpigmentation.

-I also decide to start my patients on oral antibiotics if they have inflammatory acne e.g doxycycline 100mg once or twice daily.

-Use a gentle cleanser for face wash e.g cetaphil cleansing lotion rather than using a soap or face wash.

However, once the acne activity is under control by the above mentioned treatment, I usually ask my patients of Post-Inflammatory acne to use an Azaleic acid gel 10% or 20% gel twice daily. Its main action is skin lightening.

You could also opt for chemical peeling sessions from a dermatologist for both acne as well as postinflammatory hyperpigmentation.

Hope this helps


regards

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Brief Answer:
Acne treatment

Detailed Answer:


Doxycycline 100mg, can be taken twice daily (e.g Microdox-LBX Capsules 100mg twice daily) after meals, for a month. Does'nt cause side effects.

Just for mild to moderate acne, females need not be treated with hormonal treatment.

In those females, who have moderate to severe acne, coarse facial hairs, irregular menses, we need to start hormonal treatment apart from the traditional topical treatment.

So, we need to rule out underlying hormonal abnormality in you e.g irregular menses/scanty menses? OR presence of coarse facial hair? before giving hormonal treatment a consideration


regards

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Brief Answer:
Welcome

Detailed Answer:
Thanks for posting your concern at Healthcaremagic

Regards

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