I have acne prone skin. I have been using deriva cms for ages. It just controls it but doesn't cure it totally. Recently I observed many open pores and blackheads white heads on my face. I heard a lot about niacinamide serum. I ordered it from sugandha. I see no improvement but even more acne. Is it purging? Because I read it that niacinamide is the safest thing and it will not cause breakouts. I use deriva cms then niacinamide twice. Please suggest.

Dr. D K PatwaDermatologist10yrs exp

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Deriva cms gel good for maintence therapy if problem aggravated then go for proper treatment. Its hormonal come and go. Aggravate with anxiety etc.  

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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To prevent pimples, eat fresh fruits, green vegetables, drinking plenty of water should be an essential part of your routine and intake of oily fried foods, an excess of sugar-salt should be avoided. Don't peal pimples, as they tend to leave scars. Stop using soap on face. Instead take a spoon of milk, add a pinch of turmeric (haldi). Mix n apply on face with the help of cotton. Leave for a few minutes then wash off. Apply moisturizer like coconut oil. For swollen pimples, gently apply ice for a minute or so. Just don't keep the ice on so long that it irritates your skin. Tea tree oil can kill bacteria. Some people use it to treat minor skin irritations, including acne. There isn't much research on how effective it is, but tea tree oil is safe to put directly on your skin in a diluted form. Try it on a small area first to make sure you don't have an allergic reaction. Simple honey maskbefore applying this mask, rinse your face with warm water to open up pores. Then apply honey and leave it on the skin for 30 minutes. Rinse the honey off with warm water; then rinse again with cold water to close the pores. Yeast and yogurt mask for oily skin oily skin is prone to acne, and this home remedy can reduce excess oil and help clear acne. To make the mask, combine 1 teaspoon of brewer's yeast with a little plain yogurt to create a thin mixture. Apply it thoroughly to all the oily areas and leave on for 15 to 20 minutes. Rinse with warm water; then use cold water to close the pores. For permanent cure you need constitutional medicines, for that I need detailed case history.  

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Dr. Narasimhalu C.R.V.(Professor)Dermatologist23yrs exp

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Acne or pimples... Due to hormonal changes..Oily skin causes it...Common in adolescent age...May occur in adults also.. Food like Oily foods, ice cream, chocolate and sweets increase it.. Treatment depends on the grade of pimples or acne..So, please send photos by direct online consultation as it's a must to see which grade of pimples or acne for accurate diagnosis and treatment. 

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Dr. S.B. RolaniyaDermatologist7yrs exp

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Acne in this age group is very common and we can cotrol it but no permanent cure is available. If you take isotretinoin in proper doses, it can prevent acne for 6-24 months, very person to person. For isotretinoin, strict birth control methods are necessary if you are married or planning for marriage because this is quite harmful for baby in pregnancy. Niacinamide and deriva cms is good.  

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