Hello doctor,I have been suffering from acne issues all of a sudden for five months. I and have consulted several dermatologists. I was put on several topical creams, and very recently on Isotretinoin 10 mg which did not work then I have put on Isotretinoin 20 mg this too has shown no results. I still have nodules, cystic, and resistant acne coming up. This is now affecting my mental health, as I have always had good skin. My reports for PCOD are normal. I am a 29-year-old female going to turn 30 next month. I am very depressed as I am losing hope if it will ever get cured as Isotretinoin being the last hope has also failed.
Hello. I have gone through your case. First, you need to understand pimples are common, and you may experience frequent exacerbation due to stress or harmonies. The previous history shows you have oily and acne-prone skin, and this time you have a severe breakout. In my opinion, Isotretinoin 20 mg is the required dose, and it will take six weeks to show its response. Moreover during this six weeks sometimes flared up response is seen. In some cases, acne does get exacerbated. Initial ten mg was a little bit under dosage, so do not count that period. Please continue to take it as such as you will have maximum improvement within three months. Try to avoid stress as acne always get aggravated. Regarding cream, application, apply Duac gel only on pimples at night. It is a combination of Benzoyl peroxide and clindamycin. Please stop other creams.