Brief Answer:
Clinical pictures and history requested

Detailed Answer:
Hello,
Thank you for writing to us on HCM.
I have reviewed your case history and medications.
Acne, as you must be aware is pretty common condition caused chiefly due to hormonal influence and clogging of pores and followed by infection and inflammation.
It has tendency for recurrence and complications like pigmentation and scarring, thus mandates proper treatment at the earliest.

Treatment usually depends on severity of of acne.

Therefore, I insist you to post good clinical pictures to me so that I can gauge the severity of your acne and thus guide you along the management accordingly.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Also I would require to provide some points in history like:
1. History of intake of any medications (Auyrvedic/homeopathic/allopathic) before development of these acne.
2. Intake of any protein supplement/powder on regular basis?
3.Application of any body lotion or oil over back on regular basis?

Thanks
Dr Hardik Pitroda

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Brief Answer:
Topical adapalene and benzoyl peroxide

Detailed Answer:
Hello,
Thank you for the pictures.
I can see there is lot of acne and pigmentation over back.
The treatment you are currently taking seems okay but not complete.
Continue the oral medications as you are taking right now.
Mix and apply Zyclin nano gel and another gel containing Azelaic acid 20% ( Aziderm gel) twice a day.
Apply a gel containing adapalene and benzoyl peroxide at night time ( Epiduo gel)
Use medicated bar like Medsoap acne bar or Acne aid bar over affected areas while bathing.
Follow the above regimen for 1 month and follow up with clinical pictures.
I am sure you will be fine soon enough.
Thank you and take care
Dr Hardik Pitroda

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Brief Answer:
Try Acutret 30mg

Detailed Answer:
Acutret contains Isotretinoin, which works very well for acne.
Considering your weight we can definitely increase dose to 40 mg daily but such high dose can lead to excessive dryness of skin, mouth, eyes and also can dead to increase in bad cholesterol levels.
I think you can try using 30mg Acutret once daily at night.
For dryness associated with it, use good moisturizer like Cetaphil moisturizing lotion and use a lip balm frequently.
Salicylic acid based body scrub can be used. Actually the main ingredient of medicated soap I suggested you is Salicylic acid only.
Make sure you add Epiduo gel in your regimen for better results.
Follow up after 1 month of treatment.
Thanks
Dr Hardik Pitroda

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