I'm an Afican American female, 26 years old. I went to the dermatologist in January for my acne and he prescribed me the following medications: Retin-A micro (grey cap), Duac, and an oral antibiotic. I was also told to wash my face twice a day with MD Forte. I've been following his directions exactly, but I haven't seen any progress. I'm still having the typical breakout that I've been having before taking the medication, now with dry skin as well. My follow up appointment is next week; can someone please give me some suggestions for my appointment, or other acne treatments I can try?
Acne Treatment Advice for African American Female, 26 YO
Doctor Answers (2)
Acne treatment advice
Here are some suggestions:
1- Patience. Acne does not clear instantly. We usually give a treatment course 3 months. If you are going to your first follow up then you are likely to still have lesions.
2- Moisturize. Research has shown that applying moisturizer twice daily helps clear acne. In fact, dry skin causes acne flares.
3- The MD forte wash may be too harsh if it contains glycolic acid and you are using retinoids. Check with your docotr.
4- Communicate with your docotr.
Would Leave Much Up To Dermatologist
My recommendation would be to tell your dermatologist exactly what you have mentioned here. We always like to know whether a patient is compliant. It seems that you have been compliant so it might be time to step up or change therapy.
Your dermatologist will probably step up the Retin A to a higher strength, the 0.1. This mkght cause increased drying so he might tell you to wash your face once a day. He may want to switch you to something milder but increase the strength like Differin 0.3.
He might try a different antibiotic or add a birth control pill such as YAZ.
Three tips that sometimes we dermatologists miss: check for hormonal problems in patients recalcitrant to treatment ( ??polycystic overy disease...not always in the overweight and hairy); diet (definitely has a role in my opinion..South Beach Diet excellent); Vitamins ( Vit A, C and Zinc.
Blue light and PDT treatment help too but they ( and laser) are expensive ( Isolaz, Smoothbeam for example). Peels also may help.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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