Hey I was suffering from severe cystic acne. I was prescribed clindamycin with adapalene and doxycycline. My acne stopped but now I have severe hyperpigmentation. I was thinking of including hydroquinone + mometasone + tretinoin cream� in my skin care regime. I want to know can I use adapalene and clindamycin combination in the morning and hydroquinone with tretinoin at night or if this regime which I am planning is not correct do suggest one for clearing those pigmented scars (my whole face is covered with them) and to control acne too. I follow a proper skin care regime and always apply sunscreen. Would I purge on hydroquinone and tretinoin combination as I have suffered the adapalene purge already?

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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