Question: Hi, I am XXXX, Aged 31 Years Male from Bangalore. From the past 6 months I had severe acne breakouts and boils/bubbles on my face. From the past 3 months I have been visiting Dermatologist however results have not been satisfactory. I started off with Minocycline (Minoz 50)/Cynomycin along with cleargel for 4 weeks, & seeing the acne not responding to this medication (Presumably for Acne Vulgaris Gr III), my dermatologist refered me to Isotretinoin 10mg for 1 Month, I was hesistant to take Accutane/Isotretinoin considering the possible side effects and phsychological issues. So i have thought to take a break as my skin was totally irrirated with red scars and pimple marks, so I have asked something to calm & soothe my skin, so have been using Aloevera Gel, however the acne issue is still continuing. Now from the past 6 week i have been taking Azithtral 500mg thrice a week to control the bacteria and acne burst, but still new pimples keep forming below the skin surface and emerge out, at any given point of time 5-8 pimple are active on the face and can feel the new ones in pipeline. As soon as the old pimples die down after leaving marks and scars, the new one emerge, this cycle is continuing ever since. Also has been using Tretin cream .025 thrice a week on the black pimple marks, this flakes away the top skin but not of much help. Please note all this 3 months i have been on using Microdermabrasion (some 8 sitting with break of 1 or 2 weeks) & 2 sessions of chemical peels without much results, at the end of all this, my face skin has become very irritated and with some pimples and acne and old marks and minor scarring, I am back to squareone with all this effort and money, still no sign of relief. I shall me travelling to Germany in a month and I'm sure with the change in climate and stress, situation might get worse with severe breakdowns, please asisst. Regards, XXXX

Hi, Any substitute for isotretinoin considering I had history of schizophrenia/phsychiatric condition in my childhood for 2-3 weeks and have been on pshycotic medication during that time. Or do you still suggest use of isotretinoin? Also, please refer to my health report uploaded earlier, I have raised one issue earlier some 6 months backs regarding small body/fatty lumps on my arms and thighs and abdomen, around 10-15 of them (My doctor said it is lipomas and nothing to worry about, these can be surgically removed if required, although the sizes of these bumps are small and not noticebaly large unless with touch or feel, I am worried more bumps can form or existing bumps might enlarge). I think i have internal infection causing all these issues.Any antiboitics you recommend? Regards, XXXX