I am 21 years old. I have allot of hyperpigmentation marks from cystic acne. I want to know the best medicine I can use for these scars and would that medicine cause a purge? I am already using a combination of adapalene and clindamycin and wants to continue with it, so do prescribe a medicine which can be incorporated with it.

Dr. Sonal JainDermatologistyrs exp

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There are a lot of meds you can start for post-acne hyperpigmentation like kojic acid, glycolic acid creams (kojivit ultra, glyco-a) once daily at night and above ol you need to maintain strict sun protection and use a good sunscreen. Hope that helps.  

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Dr. Madhavi PudiDermatologist11yrs exp

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Hi lybrate-user! if you would have posted your pics, I would have suggested you better. Anyways do not worry ,there are multiple options right know to tackle spots, scars and uneven skin tone. Usually, cystic acne leaves bad scarring on face. Usually, fraxel c02 lasers, mnrf, peels, subscission will reduce acne scars better rather than plain creams. Scars are the result of damaged collagen ,so creams hardly give you good response as you expects. Coming to the actual answer to your query, triple combination creams (usually containing steroid cream) should not be used as it can cause side effects. If used ,should be used under the supervision of dermatologist. Please use kojic acid or azelaic acid creams to control pigmentation rather than steroid containg creams. Sunscreens are important while using these creams.  

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

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Undergo glutathione therapy.. otherwise few creams also available...for detailed prescription do direct online consultation by sending photos. 

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