Hi, actually I have a problem with my face. I used a medicine[isotroin-20, azithromycin tablets ip 500 mg& acnesol cream having adapalene and clindamycin phosphate gel which gives me a irritation on my face my cheeks are like burning. Now how can I get rid of this problem? Please help me!

Dr. Rejath RajDermatologist10yrs exp

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Good afternoon. Adapalene along with isotroin can irritate the skin if not used carefully. Right now you should stop the cream for a few days till your skin settles down. Use a non comedogenic moisturiser and sunscreen to help it settle down. You can restart the cream as mentioned below once it does. First off, kindly use a sunscreen regularly and properly as your skin will be more photosensitive while on this treatment. To help reduce this feeling of irritation, you may try one of the following measures if you are using an adapalene based cream/gel: 1- apply only at night 2- avoid applying on sensitive skin areas such as around the eyes and mouth 3- apply only a small amount 4- leave it on for only 1/2 hour for the 1st 4 days, the wash it off continue increasing the time duration to 1 hr, then 2 hrs every 4 days before washing it off so that your skin gets used to the medication slowly if your skin can handle the transition, only then should you leave it on over night. 5- if you still find a lot of irritation- add an acne based moisturiser to the above mentioned regimen.  

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