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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Used Isotretonoin, Azifast For Acne Problem, Cystic And Painful. Can I Take Diane?

Hi Dr, I Have severe acne problem from the past 7-8 years and I showed it to many dermatologist but none of the medicine prescribed by them worked out for me( Including Isotretonoin, Azifast Etc). Later, I showed it to the Gynaecologist after going though the reports she told me that I have PCOD and she prescribed me Diane35. I have taken it for 3 cycles it now and my acne have worsen, I am getting more painful and cystic acne . Then again I showed it to her, she changed the medicine from Diane35 to Crisanta- LS along with Isotretonoin and Azifast. Should I take these medicine now?...Will it really treat my acne?...I am really fed up with acne and feel really embarrased because of this
posted on Sun, 13 Jan 2013
Twitter Wed, 16 Jan 2013 Answered on
Twitter Thu, 17 Jan 2013 Last reviewed on
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Dermatologist,  's  Response
hi..Thanks for your query.
I can understand your fatigue with repeated treatments for acne..As we all know ,acne is a very persistent condition and requires real patience with several treatments!
I would say that the treatment was correct for you and you can continue the same.however,there is a need for a detailed endocrinology evaluation in your case.Please do the tests for sex hormone,thyroid levels as well as 6 monthly Ultrasound of abdomen to follow up the PCOD.watch out for signs of hirsuitism like extra hair on face/breasts/abdomen etc and hair loss from scalp.
You can start taking Chemical peels from a qualified Dermatologist.Salicylic Acid( 20-30 % )peels do help in treating acne and giving a longer remission and also reduces the burden of taking too many oral and potentially side-effect containing therapies.BUT, you should not take take these while on Isotretinoin.
Take care!
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Used Isotretonoin, Azifast For Acne Problem, Cystic And Painful. Can I Take Diane?

hi..Thanks for your query. I can understand your fatigue with repeated treatments for acne..As we all know ,acne is a very persistent condition and requires real patience with several treatments! I would say that the treatment was correct for you and you can continue the same.however,there is a need for a detailed endocrinology evaluation in your case.Please do the tests for sex hormone,thyroid levels as well as 6 monthly Ultrasound of abdomen to follow up the PCOD.watch out for signs of hirsuitism like extra hair on face/breasts/abdomen etc and hair loss from scalp. You can start taking Chemical peels from a qualified Dermatologist.Salicylic Acid( 20-30 % )peels do help in treating acne and giving a longer remission and also reduces the burden of taking too many oral and potentially side-effect containing therapies.BUT, you should not take take these while on Isotretinoin. Take care!