Persistent cystic adult acne

Can anyone recommend an acne treatment for those cystic acne bumps that take forever to go away? I'm 46 and did Accutane in my 20s with pretty good results until the last several years. I've had the most success with Pro Active, but my skin got really itchy when I wore mineral powder makeup and I kept ruining towels, pillowcases and shirts. I've also tried Acne Free, Murad and Dermatologic plus prescription cream with no luck.

[jagesh50]

I am aware that dapsone gel is effective,though my experience in this is a trifle limited.Do consult and verify.

[Bhupinder Kaur, MD]

Hello,
Acne is due to an overactivity and plugging of the oil glands. Just keep you face clean by washing with a mild soap atleast twice a day.Pat it dry and do not rub it.Avoid picking or pressing the acne.You can also use Benzoyl peroxide 5% lotion or gel once at bedtime. An amount of lotion the size of a pea should be enough to cover most of your face. If your skin becomes red or peels, you are using too much of the medicine or applying it too often.

If the symptoms persisit,then topical antimicrobial such as clindamycin or erythromycin,oral antibiotics and oral isotretinoin may be needed.

Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional doubts.Kind regards.

[angelc158]

any1 out there have hidradenitis suppurativa? my sons almost 16 an just got  diagnosted with it,its a pretty horrible thing he ended up in the hospital on iv antibiotics for almost a week,just wonderin if any1 else out there has it? an how they maintained it!