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Suggest Medication For Severe Acne

Posted on Mon, 3 Apr 2017

Question: Can you please forward my question to Dr Kakkar S as he has answered my queries previously

Hello Sir
I am looking for a medicated suncscreen that is mattle (Skin coloured completely)

I used Rivela Tint but it doesnt go well with skin color.

Can you please advise if Lotus Herbals Sun Safe SPF 40 is good enough and can be considered medicated . Also can you please tell if it is Non comedogenic ? Would it be fine if i use it ? I have bit acne problem and my skin tends to remain a bit red so wanted to go for some Mattle (Skin colored) sun screen

Thanks

Answered by Dr. Dr. Kakkar (39 minutes later)

Brief Answer:
Sunscreen

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist).
I have gone through your query and I understand your concern.

If you are looking for a tinted sunscreen I would suggest you to use Suncros Tint Sunscreen. It is non comedogenic and has an SPF of 50. It is marketed by SunPharma.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Kakkar (2 hours later)

Sir i have used Suncross and Lashield as well.

Would you mind telling me what does tinted mean ?

I am not looking for tinted necessarily , i just specified the name as it read 'Rivela Tint'

Rivela, Suncross, La Shield all are like mustard colored and i am specifically looking for Mattle color , so in that case would Lotus Herbal Sun Safe be fine and is it Non comedogenic?

Thanks

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Regarding your sunscreen- you may try it

Detailed Answer:
Hi.

Yes. You can try this product. Lotus sun safe sunscreen is non oily, has a matte finish and is supposed to be suitable for oily skin although as far as comedogenicity of this sunscreen is concerned, I am not sure if it has been lab tested for that. Not many over the counter sunscreens undergo that kind of stringent testing. Anyways you can certainly go for it.
In general gel based products are more suitable for oily skin e.g Suncote gel is one such sunscreen product.
More often than not finding a perfect sunscreen is more of a result of trying it on oneself and then deciding on whether it suits or not. Of course attributes like being non oily, non comedogenic are to be considered before choosing a sunscreen for oily skin. So you can try this product.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (27 minutes later)

Thanks for your Prompt response.

My skin tends to remain a bit on red side and i take all the precautions necessary like not moving out in the sun, putting sunscreen thrice a day.

Can you please advise me how it can be contained as i get redness even while sitting in a room temperature?

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From my diet's perspective, i Intake all of these on daily basis
Almonds, Green tea, Spinach, Apple, XXXXXXX Juice, Carrorts, Tomato, good amount of water to improve minor acne scars & redness and at times i got one odd acne at times

Can you please advise if the above mentioned is enough or i can go for something like ACV for application / consumption ?

Thanks

Answered by Dr. Dr. Kakkar (18 hours later)

Brief Answer:
Use metrogyl gel

Detailed Answer:
Hi.

You may use metrogyl gel, twice daily. It would help reduce redness.
I wont suggest any diet changes for you.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (2 hours later)

Sir may i know if ACV would work better then what i am intaking through natural diet or i should say if it is much more effective ?

Answered by Dr. Dr. Kakkar (19 hours later)

Brief Answer:
Regarding Apple Cidar Vinegar

Detailed Answer:
Hi.

You may take Apple Cidar Vinegar internally but do not use it topically as it may cause irritation.

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Kakkar (1 hour later)

Helo Sir,

One final set of question if you could please help with these

1) The diet described earlier (Almonds, Green tea, Spinach, Apple, XXXXXXX Juice, Carrorts, Tomato, good amount of water) - would acv be more effective compared to these?

2)If acv is a better option Can you please advise what sort of improvement it can give to skin?

3) If acv is a better option Can you please advise the company name for acv as i see many brands and whether filtered /non filtered ?

3) Can you please advise how to take the dosage and for how long ?

Thanks

Answered by Dr. Dr. Kakkar (25 hours later)

Brief Answer:
Regarding Apple cidar vinegar

Detailed Answer:
Hello.

It would be difficult to say whether ACV would be a better option or not because both diet and ACV are not proven treatments for acne although there is lot of undocumented online information available supporting the role of each.

ACV is believed to be antibacterial, antiinflammatory and is said to benefit acne and redness of acne rosacea but again authentic scientific literature is against using ACV in rosacea and it says that ACV may infact exacerbate redness and rosacea. So its exact role is controversial. Hence i wont advice you to use ACV for topical application. I have never advised to any of my patients. None of my colleagues do it either. I think that metrogyl gel is a better option to reduce redness as there is lot of scientific data in support of metrogyl.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (48 hours later)

Hello Sir,

My questions above were for the CONSUMPTION and NOT application of ACV as compare to the diet again. i put them here again for you

1) The diet described earlier (Almonds, Green tea, Spinach, Apple, XXXXXXX Juice, Carrorts, Tomato, good amount of water) - would acv be more effective compared to these for CONSUMPTION and NOT application?

2)If acv is a better option Can you please advise what sort of improvement it can give to skin?

3) If acv is a better option Can you please advise the company name for acv as i see many brands and whether filtered /non filtered ?

3) Can you please advise how to take the dosage and for how long ?

Thanks

Answered by Dr. Dr. Kakkar (22 hours later)

Brief Answer:
Regarding Apple cider vinegar

Detailed Answer:
Hello.

Apple cider vinegar is said to work by detoxifying liver and thus reducing stress on skin and thereby improving acne. Results are gradual. Consuming a healthy diet also has similar mechanism of improvement. It would be hard to comment which of the two works better as there are no comparison studies. My suggestion would be to follow both if you can.
ACV would help reduce acne, redness and skin tone gradually.
Vitacost Apple cider vinegar or Fleishmann's apple cider vinegar are raw, unfiltered and are considered better than the filtered ones.
One tablespoon twice daily of ACV would be fine.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Kakkar (2 hours later)

Thank you Sir for your prompt response.

Sir is Braggs same as Vitacost? Would Braggs ACV be fine?

Since i learnt from my friend that ACV is quite bitter , is it fine to mix in certain proportion of water or any other liquid? Can you advice on the proportion ? Or it should be consumed as it is ?

And if having in morning & night, it should be before or after the meals?

Thanks

Answered by Dr. Dr. Kakkar (22 hours later)

Brief Answer:
Regarding Apple cider vinegar

Detailed Answer:
Hi.

Braggs is different from vitacost. The latter one is unfiltered and the Braggs one is filtered one. However, both would be ok to take.
You can take a tablespoon of ACV i.e around 10ml twice daily, mixed in a glass of water. No need to take it neat. Take it before meals.
Safi is not my choice. I usually ask my patients not to take it. It has no role in acne and moreover it can cause a drug rash. Even ACV is not my choice but still it is fine to take ACV because it has multiple other proposed health benefits if it is taken regularly.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Kampana