Hello,
This is most consistent with inflammatory acne worsened by squeezing and steroid use (Zudicort contains a steroid).
Steroids on the face can make acne spread and become persistent.
What to do now:
Stop all steroid creams immediately (Zudicort) Use a simple acne regimen for 6–8 weeks: Morning: Benzoyl peroxide 2.5–5% (thin layer) Night: Adapalene 0.1% (retinoid) Non-comedogenic moisturizer + sunscreen 🛑Do not squeeze pimples
If no improvement or if painful nodules persist → you may need oral doxycycline for a short course
Do NOT: Use steroid injections Keep changing creams frequently Use antibiotics alone without acne control meds
I trust this helps Thank you
Hello dear See as per clinical history it seems irritation from both zudicort or fusidic acid. Iam suggesting some medication for improvement Clindamycin 1% Clindac 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days In addition use aloevera - tulsi solution to apply topically for 1 month
In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification Regards
Based on the description of your acne, it appears that squeezing the initial pimple may have exacerbated the condition, likely spreading bacteria and inflaming the surrounding skin. The continued presence of whiteheads and fluid-filled pimples, along with underlying hardness, suggests inflammation and possibly a bacterial component. The treatments you’ve been using—Zudicort, Fusidic acid, and Benzoyl Peroxide—address inflammation, bacterial infection, and pore-clearing respectively but may not be suited fully to your skin or the severity of your acne. Topical corticosteroids like Zudicort are generally not recommended for acne due to the potential for skin thinning and worsening of the condition. Fusidic acid works against bacterial infection, which is helpful if there’s secondary infection but may not be broad enough. Benzoyl Peroxide can be very effective in treating acne, reducing inflammation and bacterial growth on the skin, however, if there’s no improvement it might warrant adjusting treatment.
For ongoing persistent acne that hasn’t responded well to initial treatments, it would be prudent to consider consulting with a dermatologist. They may recommend a more comprehensive treatment plan, possibly including oral antibiotics or topical retinoids, which can help manage severe acne by reducing both inflammation and bacterial load. Intralesional steroid injections are typically reserved for very large, deep, cystic acne nodules to rapidly lessen inflammation and are usually part of a more extensive treatment plan rather than stand-alone use.
In the meantime, maintain a gentle skincare routine: wash your face twice daily with a mild, non-comedogenic cleanser and avoid scrubbing or using harsh products. Consider trying an over-the-counter topical retinoid, like adapalene, which can help with cell turnover and reducing inflammation. For moisturizing, choose an oil-free, non-comedogenic moisturizer if your skin feels dry. If you notice worsening of symptoms or signs of systemic infection (such as fever), seek medical evaluation immediately. Avoid picking or squeezing pimples to prevent further spread—as it can make matters worse or lead to scarring.
