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Suggest Treatment For Red Pimples On Face

Posted on Mon, 27 Apr 2015

Question: My wife is suffering with skin problem looks like on face. As she is suffering with lot of red pimples on face..as per earlier consultation with doctor she had taken safi and also she is using now cetaphor and few home remedies like yogurt and tumeric paste.but still pimples are not going away,also she is feeding for our 11 months baby boy. Could you please advise us on this problem. I have enclosed the pics for your consultation. Also she started loosing bit hair.Please do let me know if you require any further details.
Thanks

Answered by Dr. Ilyas Patel (49 minutes later)

Brief Answer:
Acne vulgaris & telogen effluvium

Detailed Answer:
Hi,

Welcome to HCM..

Thanks for uploading photos of the lesions..

After reading history and seeing the photos,it seems that your wife suffers from acne vulgaris and telogen effluvium. I can understand your concern for treatment of acne lesions of your wife in lactation period.

I would like to give following suggestions...

- she may take azithromycine tab 500 mg thrice a week.... one tab ...mon,tue,wed...for few months or till good result in acne
- she may apply clindamycine gel on lesions at night
- to cleanse the face with cetaphil lotion
- due to hormonal imbalance, she would have relapses..so,tell her to relax and keep patience for the good result
- if there is dandruff,tell her to do shampoo with shampoo containing ketoconazole twice a week
- hair fall in post partum period is common,so not to worry.. Iron,zinc,folic acid, biotin,vitamin B complex and vitamin E might be helpful. Application of mild steroid lotion on scalp improve hair growth. Almond oil may be used twice a week.

Above treatment may be considered after consulting the dermatologist. Please remember that certain drugs are contraindicated in lactating mothers.

I hope this would help you in management of your wife's problem...ok

Thanks..

Have healthy life..

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ilyas Patel (1 hour later)

Thanks doctor for your kind response.

I would like to know whether my wife can start using the tab and gel as you suggested above or Do she need to consultant doctor to take the above tab and gel?

I am bit confused on your below statement, So Please advise us.

"Above treatment may be considered after consulting the dermatologist. Please remember that certain drugs are contraindicated in lactating mothers."

Thanks
XXXX

Answered by Dr. Ilyas Patel (14 minutes later)

Brief Answer:
Azithromycine is safe in lactating mothers

Detailed Answer:
Hi,

Welcome back to HCM..

And thanks for your satisfaction with my answer. She may start azithromycine as I suggested,but you take prescription from your doctor..ok

Azithromycine is safe in lactating mothers..so, please relax and do not be confused.
She may start clindamycine gel to apply.

I hope this would help you.. And still any query, you are welcome.

Thanks.

Dr. Ilyas Patel MD

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. Vaishalee Punj