Brief Answer:
Acne and dandruff treatment

Detailed Answer:
Hello and welcome to healthcaremagic

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

You have been on the right kind of treatment. However, for Acne, there is no one time solution. Treatment if often long. Moreover once your acne is under control, you need to use a maintenance gel, commonly a topical retinoid (deriva gel/adapalene gel), 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 or clinmiskin gel which you have already using) 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.

-bio-oil has an oil base and is not recommended for oily and acne prone skin. I would suggest that you discontinue with it.

You could also opt for chemical peeling sessions from a dermatologist for both acne as well as postinflammatory hyperpigmentation/acne scars. While salicylic acid peel is mainly used for acne, glycolic acid peel is for post inflammatory hyperpigmentation/scars.

Dandruff and acne frequently co-exist. Treating dandruff effectively would aid in better control of acne.

I would suggest you to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo(Scalpe lotion), thrice weekly OR even daily, for 2-4 weeks.

However sometimes a shampoo alone seems insufficient. In such a case dermatologists choose to prescribe a topical steroid lotion (Mometasone lotion e.g Elocon lotion), to be applied once daily at night, at the scalp skin for 2 weeks.

The topical steroid lotion can be stopped once the dandruff is well controlled and thereafter the improvement can be sustained with just an anti-dandruff lotion/shampoo, twice weekly

Hope this information helps
Regards

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Brief Answer:
Healthy skin advice

Detailed Answer:
Hi.

Sorry for the delay in my reply

1) Post waxing the skin becomes dry. That could be one reason for itching. I would suggest you a soothing moisturiser post waxing e.g Ritch creamy lotion would be ideal for you arms (It is marketed by curatio pharmaceuticals in India)

2) Work stress, lack of adequate sleep can take a toll on your skin health. Rather than a multivitamin tablet, I would suggest you to take a healthy nutrient rich diet composed of cereals and pulses, green leafy vegetables, lots of fruits and salads as well. Avoid Tea/coffee, chocolates, coke, sweets, Pizzas, burgers etc.

3) 8-10 Glasses of water per day.

4) Half an hour of brisk walking/jogging.

5) 6-8 hours of regular sleep.

Regards

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