I had moderate white pustules on my scalp, chin and chest. I was prescribed different antibiotics in different consultation each time but the acne (pustules) seems to come back after stopping the antibiotics. At last, I was prescribed 20 mg isotretinoin for 2 months. It worked well for the chest acne but the ones on scalp and chin have started coming back (although not that much as previously). Was the dosage of my isotretinoin less? (my weight is 70 kgs)
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Hello hope you are keeping safe 1) from your history, I understand that you are having bacterial folliculitis with truncal acne. Once prone to folliculitis, there will be a recurrence of it. With medications, these subside and on stopping it may tend to come. 2) retinoids do work nicely for the truncal acne and 20 mg is the safe dose that works. Ideally it is continued for 3 months and then blood levels are repeated, however you can follow what your dermatologist have said. 3) you can use - for scalp you can use some antibacterial washes with an anti-fungal coverage - a non soap cleanser for face - antibacterial ointments like clindamycin for the acne/ pustules on face - antiacne gels like benzyl peroxide for the the ones on the face - use an oil free moisurizer -have antoxidant tablet daily for a month kindly note the frequent shaving can increase the occurence of these folliculitis, so decrease the frequency and always shave in the direction of hair growth. 4) for a specific treatment and dosage, kindly send me a photo of the lesions so that I may be able to guide you better. 5) please be aware that acne break outs could be due to various reasons like - hormonal imbalance - stress - excess humidity - environmental pollution - excessive sebum/oil production - dandruff / pityriasis capitis - excessive moisturizers on face - oil based cosmetic products - frequent touching of face with unclean hands - an improper sleep wake cycle - junk diet and foods like egg, dairy products, meat and poultry food, nuts and oily food - an underlying disease like pcod and thyroid - hereditary - dehydration - excessive sun exposure 6) also take care an be aware about few of the reasons that causes these acne / pustules - high consumption of dairy products - cola, caffienated drinks, aerated drinks, high sugary foods - high humidity - over application of moisturizers and creams clogging the pores - excessive sebum secretion inherently. - picking/ squeezing acne, abrasive washing or frequent scrubbing revert back with a photo for specific treatment and dose hope your query is cleared thank you and take care.
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Yes dosage is not appropriate and also do not take isotretinoin without supervision of a qualified dermatologist and get blood tests done cbc, lft, lipid profile.
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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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