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Seeking Affordable Treatment for Persistent Acne
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Skin & Hair Concerns
Question #27312
45 days ago
217

Seeking Affordable Treatment for Persistent Acne - #27312

Biswajit

Hello Doctor, I am 17 years old and have been struggling with persistent acne for about 1 year. My acne is mainly on my forehead and cheeks, and it seems to get worse over time. I have tried various products and home remedies, including face washes, turmeric and milk masks, neem paste, and over-the-counter acne gels, but unfortunately nothing has improved my condition. My skin is Dry, and some pimples become red, inflamed, and slightly painful. There are too many pimple not 20-30 I think it's will be Around 100 and many more then it. I do not have enough money to visit a doctor in person. Could you please suggest effective, safe, and affordable treatment options for my acne?

How severe is your acne on a scale from 1 to 10?:

- 7-9 (severe)

Have you noticed any specific triggers for your acne?:

- No specific triggers

How often do you change your skincare products?:

- I stick to the same products
300 INR (~3.53 USD)
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Doctors' responses

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
44 days ago
5

Hello Thanks for sharing your experience—persistent, widespread acne can be really frustrating, especially when home remedies and over-the-counter products haven’t helped. Let’s focus on practical, affordable steps you can try at home, and I’ll explain why they might help.


### Why Your Acne Might Be Persistent

- Hormonal changes (common at your age) can trigger oil production and clogged pores. - Dry skin can actually make acne worse, as your skin may produce more oil to compensate. - Inflamed, red pimples suggest moderate to severe acne, which often needs more than just face washes or home remedies.


### What You Can Try at Home

#### 1. Gentle Cleansing - Wash your face twice daily with a mild, fragrance-free cleanser (not soap). - Avoid scrubbing—be gentle to prevent irritation.

#### 2. Moisturize - Use a non-comedogenic (won’t clog pores), fragrance-free moisturizer. Even oily/acne-prone skin needs moisture, especially if your skin is dry.

#### 3. Affordable Topical Treatments - Benzoyl Peroxide (2.5% or 5%): Available at most pharmacies. Apply a thin layer to affected areas once daily. It kills acne-causing bacteria and reduces inflammation. - Adapalene Gel (0.1%): This is a topical retinoid, now available over-the-counter in India. It helps unclog pores and reduce inflammation. Start with a small amount at night, every other day, and increase as tolerated. - Note: Both can cause dryness or irritation at first—use a moisturizer and start slowly.

#### 4. Avoid These - Don’t pick or squeeze pimples (can worsen scarring). - Avoid heavy creams, oils, or greasy hair products on your face.

#### 5. Lifestyle Tips - Wash pillowcases and towels regularly. - Keep hair off your face and wash it often if it’s oily. - Try to manage stress, as it can worsen acne.


### When to See a Doctor

If your acne is severe (as you describe—hundreds of pimples, red and painful), and not improving after 2–3 months of these steps, you may eventually need prescription treatment. Many government hospitals and medical colleges offer low-cost or free dermatology clinics—consider visiting one if possible.


### Summary Table

Step What to Use/Do Why It Helps
Gentle cleansing Mild, fragrance-free cleanser Reduces irritation
Moisturizing Non-comedogenic moisturizer Prevents dryness
Topical treatment Benzoyl peroxide/adapalene Fights bacteria/unclogs pores
Avoid picking Hands off! Prevents scarring
Clean habits Wash pillowcases, hair, etc. Reduces bacteria/oil

Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
43 days ago
5

Based on your symptoms, you are likely experiencing moderate to severe Acne Vulgaris, which is common during teenage years due to hormonal changes, clogged pores, and skin inflammation. Since your skin is dry and you have many inflamed pimples, avoid harsh home remedies like turmeric, neem paste, or frequent product changes as these can irritate the skin further. A simple and affordable routine can help: wash your face twice daily with a gentle cleanser, apply a thin layer of Benzoyl Peroxide (2.5–5%) once daily to reduce bacteria and inflammation, and if available you may also use Adapalene at night to help unclog pores and prevent new pimples. Use a light non-oily moisturizer to prevent dryness, avoid touching or squeezing pimples, keep pillowcases clean, and maintain a balanced diet with less oily and sugary foods while drinking enough water and sleeping well. If your acne does not improve after about 6–8 weeks, or if painful nodules and scars start forming, it would be important to seek medical evaluation when possible, as stronger prescription treatments may be needed.

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Given the persistent and extensive nature of your acne, starting with a few over-the-counter solutions that can be economical and effective might be useful. Since you mentioned your skin is dry, you should look for non-comedogenic, fragrance-free moisturizers to keep your skin hydrated without clogging your pores. Products containing hyaluronic acid can be beneficial for hydration. To address acne directly, consider using a 2.5% benzoyl peroxide gel, a commonly used topical treatment known for reducing bacteria, inflammation, and dead skin cells that contribute to acne. Apply a small, even amount to your problem areas once daily—this can sometimes cause dryness or irritation initially, so monitor your skin’s reaction and adjust usage accordingly. If inflammation is a significant concern, you might try a product containing salicylic acid. This helps in exfoliating dead skin cells and unclogging pores; start with a 0.5% to 1% concentration. Take care not to overuse these treatments as they can irritate sensitive skin when applied too aggressively. Keep a steady routine, avoiding excessive washing as this may strip natural oils, worsening dryness and irritation. A gentle, mild cleanser twice a day using lukewarm water can help remove impurities without over-drying. Keep in mind dietary and lifestyle changes can also impact acne, so maintaining a balanced diecould potentially contribute to better skin health. If these over-the-counter options don’t lead to improvement, it might be worth finding a free or low-cost healthcare resource near you, such as community clinics or services that offer dermatology consultations for young adults. While home remedies are readily accessible, they are not always clinically supported especially in severe cases like yours, considering the number of lesions you describe. The combination of over-the-counter products with dermatology advice could potentially offer a more tailored approach without requiring substantial expenditure.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello

You likely have Acne Vulgaris, and since you have many pimples (around 100) it sounds moderate–severe, but you can still start cheap treatment at home.

Affordable routine:

1️⃣ Face wash (2 times daily) Use a gentle cleanser or one with salicylic acid to help unclog pores. 

2️⃣ Morning treatment Apply benzoyl peroxide 2.5–5% gel on acne areas (cheap and effective). It kills acne-causing bacteria and reduces inflammation. 

3️⃣ Night treatment Apply adapalene 0.1% gel (pea-sized for whole face). This vitamin-A retinoid helps open blocked pores and reduce new pimples. 

4️⃣ Moisturizer (important for dry skin) Use a simple oil-free moisturizer so your skin does not become irritated.

Important tips: • Wash face only 2 times daily (too much washing worsens acne).  • Do not squeeze pimples (can cause scars).

• Improvement usually takes 6–12 weeks. 

⚠️ If acne is very severe or causing scars, you may eventually need a doctor for medicines like antibiotics or stronger treatments. 

✅ Summary: Use a simple low-cost routine — salicylic acid face wash + benzoyl peroxide morning + adapalene night + moisturizer.

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear Please do not worry and follow instructions below. These may or may not be associated with periods. Iam suggesting some precautions and medication Medications: 1. Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days or Tab Minocycline ( take precautions to avoid in pregnancy) 5.Oral contraceptives - Diane-35 with addition of Spironolactone on recommendation only by gynacologist in person only

Supportive medications Niacinamide serum –antiinflammatory in nature twice daily for 1 week 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 clarity Hopefully you recover soon Regards

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
43 days ago
5

Hello, thank you for sharing your concern. Acne at your age is very common because of hormonal changes during adolescence, but it can be treated. You need a consistent routine. Here is my advise-

1. Face Washing- Wash your face twice daily with a mild face wash (not more than 2–3 times per day). Avoid harsh scrubbing or using too many home remedies, as they can irritate dry skin. Mild face wash suggestions- Cetaphil Gentle Skin Cleanser or Sebamed Clear Face Cleansing Foam.

2. Affordable medicines you can try- -Benzoyl Peroxide 2.5% gel – apply a thin layer once daily at night on acne areas. -Adapalene 0.1% gel – apply once at night (very small amount). Start with alternate nights for the first week to avoid irritation. Do not apply large amounts; a pea-sized amount for the whole face is enough.

3. Moisturizer- Since your skin is dry, use a simple non-oily moisturizer once or twice daily. Suggestions - Cetaphil Moisturizing Lotion or Acnemoist Moisturizing Cream.

4. Important habits- Do not squeeze or pick pimples (this can cause scars). Change pillow covers 2–3 times per week. Avoid oily creams and heavy cosmetics. Reduce very oily, fried foods and excess sugar. Drink enough water and maintain good sleep.

5. Seek medical help if- Acne keeps increasing. Painful large pimples appear. Scars start forming. You may need oral medicines, which require a doctor’s supervision.

Improvement usually takes 6–8 weeks, so be patient and continue the treatment regularly.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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