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Options For Acne Control of Non Responsive Condition
asked 9 months ago by Riz in Singapore
Latest answer by Anthony Perri, MD
Question viewed 149 times
Tags: not working, oily skin, options
Suffering acne for 6 years;oily face with 2-4 moderate pustular lesions daily.Was prescribed BP and adapalene (6 months) but to no avail. Next tried antibiotics such as doxycycline and cotrimoxazole together with tretinoin (6 months each)and yet failed. Completed isotretinoin 30MG for six months, but broke out 1 month after stopping. Now on 2nd course of isotret 30mg OM and halfway of my cumulative dosage but still consistent oily face and daily breakouts of small pustular lesions.What can i do?
2 answers to Options For Acne Control of Non Responsive Condition
+1
Difficult to control acne
It sounds like you have done everything right and that you have gotten appropriate treatment. Your history illustrates how difficult it can be to bring this condition under control. Certainly, you might consider treatment with IPL or photodynamic therapy in the future.
+1
Durable Remission with Accutane
Accutane provides a durable remission in most patients but it is very dose sensitive. Typically, a patient is prescribed a dose at 1mg per kg of their body weight per day with a total cumulative dose goal of 120mg -150mg per kg over the entire 5-8 month treatment course. A low dose of 20mg per day can resolve a patient's acne during the treatment course but usually does not "cure" the acne. Additionally, I counsel my patients that once they complete...
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