Hello doctor, I am having facial hairs, acne and pores problem for the past five years. I have tried almost everything but have not had good results. I am currently using E-dox DT, Isotretinoin 10 mg. I have done a blood test.
Hi. I have gone through your query and reviewed the attached photographs. (attachment removed to protect patient identity).  I can understand your concern but your problem seems to be hormone related. I would recommend you to get these tests done: 1. Thyroid function tests.  2. Serum testosterone levels.  3. Serum dehydroepiandrosterone.  4.Serum prolactin levels.  5. Fasting insulin levels and 6. Ultrasound pelvis to rule out PCOD (polycystic ovary syndrome). Meanwhile, I would recommend you to start with tablet Minoz OD (Minocycline Hydrochloride) 100 mg once daily at night, Tracnil sachet (Myoinositol, folic acid and vitamin D) twice daily. Use Facecare facewash twice daily and Epiduo gel on the pimples at bedtime for 30 minutes and then wash it off with plain water. Continue this for four weeks and revert.