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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Back Acne. Using Salicylic Acid Cream Sebonac, No Relief. Alternative Cream?

hi, i am 24 years old, male. i have acne problems on my back.... i went to a doctor he gave me a cream called SALICYLIC ACID CREAM- SEBONAC . I Used it for a week n felt my acne were increasing so i stopped using it. now after a month .. the acne on my back is incerased much. should i continue the use of same cream or is ther other effective one??? thank u
Thu, 3 Jan 2013
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General & Family Physician 's  Response
Hello Guptapreetam,

Welcome to HCM

Depending on the type of acne whether inflammatory or non-inflammatory, the treatments will be slightly different. Use of salicylic acid cream is indicated for non-inflammatory type, but for the other type you could associate with doxycycline tablets for 1 month. Also, benzoyl peroxide 5% lotion twice daily + doxy is also a good treatment of choice for acne. Also use of topical steroids would also be good. You also need to know that, for your age group persistent acne is normal and would give way gradually as you get older.
The other possibility for your rashes on the back is that you might not necessarily be suffering from back acne. There are always other possible skin affections to rule out when dealing with rashes ( papula or pustula lesions) for example prurigo, eczema/dermatitis, fungal skin infection etc).
I will suggest at this point a visit to your doctor or a dermatologist as I know you are worried because of the esthetic concerns the pose on you.

Hope this helps
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Dermatologist Dr. Gunjan Shah's  Response
Hi Preetam,

Your acne on back may be associated with dandruff, common in this season. Please get your scalp examined and treated if required. If the acne on back are multiple, small, reddish eruptions, they will reduce with topical applications like Retino A (0.025%) to be applied at bedtime. This will also help in preventing marks left over after acne. If the acne are bigger, and painful, it might need a combination of topical and/or oral antibiotics. In that case, you can apply Clindac A lotion (Clindamycin with Adapalene), and might need to take oral doxycycline or minocycline.

Please ensure that you do not use any harsh scrubber/loofah on the affected area, as this might lead to further spread of acne.

Regards,
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Suffering From Back Acne. Using Salicylic Acid Cream Sebonac, No Relief. Alternative Cream?

Hello Guptapreetam, Welcome to HCM Depending on the type of acne whether inflammatory or non-inflammatory, the treatments will be slightly different. Use of salicylic acid cream is indicated for non-inflammatory type, but for the other type you could associate with doxycycline tablets for 1 month. Also, benzoyl peroxide 5% lotion twice daily + doxy is also a good treatment of choice for acne. Also use of topical steroids would also be good. You also need to know that, for your age group persistent acne is normal and would give way gradually as you get older. The other possibility for your rashes on the back is that you might not necessarily be suffering from back acne. There are always other possible skin affections to rule out when dealing with rashes ( papula or pustula lesions) for example prurigo, eczema/dermatitis, fungal skin infection etc). I will suggest at this point a visit to your doctor or a dermatologist as I know you are worried because of the esthetic concerns the pose on you. Hope this helps