Retin A, Aczone, and Doxycycline Review - Cary, NC

I've had moderate acne since I hit puberty and...

I've had moderate acne since I hit puberty and parts of my face are very red due to picking and some light scarring. The only thing I've ever done routinely is wash my face, usually once daily with Neutrogena deep cleanse. I went to the dermatologist on March 20th and was placed on this routine:

Wash face (I choose to use Neutrogena Deep Clean Facial Cleanser)
Apply Azone gel 5%
Apply moisturizer (I choose to use Cetaphil Moisturizing Lotion)
Take Doxycycline (oral antibiotic) with full glass of water

Wash face
Apply moisturizer
Wait 1-2 hours
Apply Retin A Micro 0.1%
Take Doxycycline (oral antibiotic) with full glass of water

I am currently on day 4 and I have a few patches of acne especially on chin and around nose. Skin is also dry and slightly painful.

Before you do these drastic things, try 1g / day of vitamin B6. That's 1000mg. That won't cure the acne; that's just to see how well you tolerate LARGE doses of B6. If you're okay with it, up the dosage to 3g/day to get rid of acne. Worked great for me.
Hi Cary! My name is Carol, and I am from NJ. I am also on Doxycycline and Retin-A. I am on Doxycycline 200 mg, although it upsets my stomach and causes some acid reflux. You definitely must not lie down after taking it. I am on Retin-A 0.25mg as well. I have cystic acne, many years now (I am 27 now!). It seems like an endless problem. I have even taken isotretinoin oral (accutane), but its side effects were so severe for me that I could not tolerate it. Its a long and lonely road it seems, with everyone around you seemingly having perfect skin. I hope this combination works for us, and I have read that since doxycycline can cause hyperpigmentation on the face, Retin-A can reduce hyperpigmentation. I have a problem with squeezing my pimpling and pores, and that just makes it more irritated, swollen, and painful. I actually caused a bacterial infection to spread from doing it. I think I will take the 30 day challenge-set a timer that limits how long I am in the bathroom, and doing something like an ice pack or heating pad at night-I have TMJ as well. Best of luck to you, and I would be interested in hearing more about your experience! My email is Carol
Hi Carol, I happened to see your post and was wondering if you have ever been prescribed spironolactone for the cystic acne? It was originally used to treat blood pressure (diuretic), but my dermatologist said it isn't great for that but works well for hormonal acne by blocking the androgens My cystic acne is clearing up quite well on it...wish I had heard of this years ago! Good luck!
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