Brief Answer:
Antiacne treatment

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your concern and I have understood it.

Acne is common problem among young people. Acne can vary in severity from mild grade to severe grade. While mild acne can be controlled with just topical medication, severe grade of acne require oral as well as topical antiacne treatment.

General measures:
-Use a mild cleanser like cetaphil twice daily
-Avoid all the regular use creams, moisturizers, sunscreens that you may be using for the time being till you are on anti-acne treatment.
-Avoid taking facials.
-Avoid picking your acne.
-Use an Anti-dandruff shampoo since acne is worsened by dandruff.

Specific antiacne treatment:

Oral Antibiotics: For inflammatory acne(papules and pustules) I usually advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. While Azithromycin is given in a dose of 500mg once daily for 3 consequtive days/week for 4-6 weeks, Doxycycline is given in a dose of 100mg once or twice daily and Minoxidil in a dose of 100mg once daily.

Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically

1)Topical Antibacterials: Either clindamycin 1%/ benzoyl peroxide 2.5% OR Nadifloxacin during the day time.

2)Topical Retinoids: Either Adapalene 0.1%/ Tretinoin 0.025% OR Azaleic acid (10%/20%) at bed time. Topical treatment regimen especially the one which includes one of the retinoids that i mentioned above also helps to gradually fade away the black spots (post acne hyperpigmentation)(PAH).

Topical treatment has antibacterial, anti-inflammatory effect and normally show noticeable improvement by 2-4 weeks. Hope this will help you.

I advice you to consult a nearby dermatologist and get a prescription out of these drugs. If you need any more help regarding your concern, I am here to guide you further..

take care
regards.

regards

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Brief Answer:
Acne treatment

Detailed Answer:
Hi.

For mild acne, you can ask her to use clindamycin 1% gel for day time application (available as clindac -A gel, marketed by galderma pharma)

For night time use, I would suggest a combination of Adapalene+clindamycin gel (available as Deriva-CMS gel, marketed by gracewell pharma)

Cetaphil cleansing lotion would be ideal for face cleansing, twice daily

regards

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