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20 years
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I regularly suffer from acne on my forehead, so I tried Eryfluid and ended up with these things on my skin: http://imgur.com/VG6bL5k. What are they and is there a cream to treat my skin?
Aug 13, 2014
2nd opinion

Dr. Zakia Dimassi Pediatrics
Most cases of mild acne can be managed with topical treatment (gels, ointments, lotions) .
Here are ways to enhance and speed up response to treatment:
 Wash affected areas twice daily with a mild cleanser and water or an antiseptic wash.
 Acne products should be applied only to dry clean skin before bedtime in a thin layer to all areas affected by acne, not just to individual spots.
 An oil-free moisturizer is advised only if the affected skin is obviously peeling.
 Use oil-free sunscreen.
 Improvement is slow to become apparent – as is the case with most skin disorders
In your case, you may use a combination of the following:
 Mild salicylic acid exfoliating prodcuts and unplug the follicles (Neutrogena® Oil-free Acne Wash)
 Benzoyl peroxide cream/lotion/gel
 Antibiotics: if you have not been using EryFluid (based on the antibiotic erythtromycin) for long, keep using it. I f however you have tried it for a minimum of 4-5 weeks with poor response, shift to clindamycin.
 Retinoids i.e. tretinoin (Vitamin A derivative, available in the market as Locacid) can be added, but I would not advise it in the summer season (sun exposure with retinoids will cause the skin to “stain”). So save it till after the summer, and apply it only at night.
If topical treatment fails to produce improvement, we resort to oral antibiotics: these are a more aggressive treatment option since they go into the bloodstream
 Antibiotics such as tetracycline or doxycycline are usually effective
 For resistant or persistent acne, oral isotretinoin (RoAccutane, Curacnee) may be more suitable.
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