best medicine for acne and pimples - #17791
I am really struggling with this stubborn acne situation. Like, honestly, it's just so frustrating! I’m a 22-year-old who used to have pretty clear skin until last summer. I started getting these really annoying pimples that just won't go away, and they seem to be multiplying lately. I've tried a bunch of over-the-counter stuff, but they just don't work for me. My friends keep saying Neutrogena is the best medicine for acne and pimples, while others swear by Cetaphil, but honestly, I've had no luck. I've also gone to a dermatologist, who prescribed some topical cream that just dried my skin out without clearing things up. I know hormones might be a part of this since I’ve noticed breakouts peak around my cycle. Does anyone know what the best medicine for acne and pimples really is? Like, are there more effective treatments out there? I feel like I’ve spent so much money on products, and nothing seems to help! Are there specific things I should look for in a product or possibly even a prescription that really works? Just trying to get a handle on this, because I can’t keep walking around feeling self-conscious about my skin. Thanks for any advice!
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Doctors' responses
When dealing with persistent acne, especially when over-the-counter treatments aren’t cutting it, it’s time to consider a more tailored approach, possibly involving prescription medications. Since you’ve already tried some topical creams from a dermatologist, let’s explore what else might help. First off, you’re right about the hormones potentially playing a big role, especially if you’ve pinpointed a pattern related to your cycle. This is a clue that hormonal therapies might be effective. An oral contraceptive or a medication like spironolactone can help regulate hormones and subsequently reduce acne outbreaks. These treatments typically require a prescription and a conversation about potential side effects and benefits with your healthcare provider. Another avenue to explore is oral antibiotics, particularly in cases of inflammatory acne that’s unresponsive to topical treatments. Antibiotics like doxycycline or minocycline can help reduce bacteria and inflammation. Be mindful, though, that long-term use of antibiotics isn’t ideal, so they are often combined with other treatments for sustained results. In terms of topical options, if the previous creams dried out your skin, you might want to try different formulations or combinations. Products containing benzoyl peroxide, clindamycin, or topical retinoids like adapalene can be effective, either alone or together. Use of a gentle, non-comedogenic moisturizer can minimize dryness side effects. As a first step, with your dermatologist or another healthcare professional, review what you’ve used before - they might suggest a different concentration or combination of treatments. Keep an eye out for any recommended changes in your skincare routine that target hydration without compromising efficacy. Ultimately, the best approach is often a combination model that’s mindful of your skin type and other lifestyle factors, like diet and stress, as these can also influence acne. If there are persistent cystic types of acne, treatments like isotretinoin might be considered, which typically clears acne after a course of several months but requires close supervision due to potential side effects. Your frustration is understandable, but a methodical approach with guidance should lead you to find a solution that works for your skin.
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