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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Did I Have No Relief From Acne, Scars Even After Applying Halem, Acnon Gel For 10 Days?

good morning sir i m 21 year old girl .i had acne and scar problem i consulted with nearby doctor .she had prescribed halen (clindamycin and nicotinamide gel) and acnon gel 0.025%(tretinoin gel usp). and asked me to apply halen twice a daily at morning and at bedtime .acnon for 15 min. but after using it for 10 days i have found no changes in my condition .plz sir help me to get out of this situation
Mon, 16 Dec 2013
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General & Family Physician 's  Response
Hello
Thanks for the query to H.C.M. Forum.
As you mentioned that you are 21 years old girl with acne .
Treatment taking from 10 days .
Two option are there,
1 Continue this treatment for next one month so that desired result cna be taken.
2 Add oral clindamycin or erythromycin 500 mg twice in day orally for one month.
As clindamycine 7 nicotinamide gel is a very good drug alond tretinoin .
3 Wash your face with permethrine soap dry it with a towel and there after apply these gel & lotion.
Still no relief then get in ultrasound of both ovaries for any cyst as Poly Cystic Ovarian Disease is most common cause of ACNE in young child bearing female .
2nd reason of acne may be hormonal imbalance so get in blood examiantion for androgen , estrogen , estradiol , FSH /LH ratio.
Hope this information will be helpful for you.
Good luck.
Dr. HET
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Why Did I Have No Relief From Acne, Scars Even After Applying Halem, Acnon Gel For 10 Days?

Hello Thanks for the query to H.C.M. Forum. As you mentioned that you are 21 years old girl with acne . Treatment taking from 10 days . Two option are there, 1 Continue this treatment for next one month so that desired result cna be taken. 2 Add oral clindamycin or erythromycin 500 mg twice in day orally for one month. As clindamycine 7 nicotinamide gel is a very good drug alond tretinoin . 3 Wash your face with permethrine soap dry it with a towel and there after apply these gel & lotion. Still no relief then get in ultrasound of both ovaries for any cyst as Poly Cystic Ovarian Disease is most common cause of ACNE in young child bearing female . 2nd reason of acne may be hormonal imbalance so get in blood examiantion for androgen , estrogen , estradiol , FSH /LH ratio. Hope this information will be helpful for you. Good luck. Dr. HET