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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatments To Be Taken For Pimple Like Boils In Back?

Hello Sir,
I have pimples/acne on my back. Recently I consulted a dermatologist and he prescribed a months course of ISOKON 20mg (Isotretinoin). On the Internet I have read about many harmful side effects (which could change my life forever) of that drug, because of which I now feel its not worth it. What should I do? Should I start taking the course, Will it effect my fertility? What could be its long term effects on me.
Can you please suggest what to do ?

Regards,
Krishna
Tue, 29 Apr 2014
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Dermatologist 's  Response
Hello
Thank you for posting on HCM.
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.
Since you have not mentioned your age and sex, its difficult to layout proper treatment for you. Isotretinoin is a wonderful drug for acne but should be used with extreme precautions in women of child-bearing age as it can lead to severe birth defects.
Treatment of acne also depends on its severity.
Usually, I advise a proper course of oral antibiotics with or without oral isotretinoin for few months.
Also recommend a solution containing clindamycin twice day all over affected areas and similarly a gel containing benzoyl peroxide and adapalene (EPIDUO gel) at bedtime.
Use good quality bar like Acne-aid bar for bathing and a moisturizer like Cetaphil DAM on regular basis.
Avoid junk food as far as possible and include plenty of fresh fruits and vegetables in your diet.
Hope this will take care of your condition.
Wish you best of health.
Dr Hardik Pitroda
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What Treatments To Be Taken For Pimple Like Boils In Back?

Hello Thank you for posting on HCM. 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. Since you have not mentioned your age and sex, its difficult to layout proper treatment for you. Isotretinoin is a wonderful drug for acne but should be used with extreme precautions in women of child-bearing age as it can lead to severe birth defects. Treatment of acne also depends on its severity. Usually, I advise a proper course of oral antibiotics with or without oral isotretinoin for few months. Also recommend a solution containing clindamycin twice day all over affected areas and similarly a gel containing benzoyl peroxide and adapalene (EPIDUO gel) at bedtime. Use good quality bar like Acne-aid bar for bathing and a moisturizer like Cetaphil DAM on regular basis. Avoid junk food as far as possible and include plenty of fresh fruits and vegetables in your diet. Hope this will take care of your condition. Wish you best of health. Dr Hardik Pitroda