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Sotret gel seems to be better than Nexret

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HI there,
iam 33years old and get acne every now and then,due to super oily skin and fluctuating hormones coz of pcos.
I find that sotret gel does a better job at controlling new acne
than the more popular tretinoin-A gel.Sotret gel is nothing but the topical form of isotretinoin.
I jus apply it at night everyday al over the acne prone areas,whether i have acne or not. I also apply pernox gel 2.5 during the day for two hours.Is there anything i can add to this regimen ,to prevent acne from forming?i jus wish i had dry skin
Thank you.

21 Answers

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U CAN take baidyanath rakta shodak tab .1 tab a day i also used it and it is very helpful but u have to take care if u see dryness on ur face then u can stop it or u will see very much dryness .pernox is benzoyl and benzoyl peroxide ois very good for acne but there is a problem with it it leave marks behind many member see this problem including me i had used benzac ac 2.5 but when i saw marks leaving behind i stopped it .sotret gel is not good for long run .use it for 2 weeks not more than that because of isotretinoin.isotretinoin is not good for us use it for short time only .well i say u can use keracnyl or starter regimn.kerancyl cream made skin oily for some days but in time it work very good ..in starter regimn all products are very good i have used it and using it now…avene triacneal is goood cream which help with oiliness ,acne and marks also..so my advice pick starter regimn which will help u .take baidyanath rakta shodak also…

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http://www.ncbi.nlm.nih.gov/pubmed/9115052….it is also dangerous for pregnent and feeding mothers

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Thanx jassie,
am using only the topical isotretinoin gel.Not the oral capsules.So i guess its safe?
I shall try taking baidyanath rakth shodak

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topical is safe but not much safe than others treatment creams so dont take risk ..write sotret in search box u willl find other comment from am on it/

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I want to make my skin dry.Any ideas you could give on that?coz i hate having an oily skin all the time!

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Hiya Kriya! Yeah, at one point or another many of us have wished for dry skin. Life would have been so much simpler. Sigh. 🙂 Anyway, your observation about Sotret being more effective than Tretinoin was accurate since research has shown the same. When you click the link I mentioned, you will see that adapalene is more or less equally effective with fewer side effects than both tretinoin and isotretinoin gels. So that is another thing you could try.

Although, for simply drying out the skin, there are tons of options. Use Sebamed Cleansing Foam twice a day and you’ll be back asking for moisturizer options. 😀 Or use a sulphur soap called Sastid once a day. A milder option is Glomed face wash. Baidyanath Rakta Shodhak is another majorly drying treatment. Just type in these product names in the search box on the right and you’ll see lots of discussions.

AM
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Thanx AM,
Yup i shall try sebamed cleansing foam!
any more tips for hormonal and pcos-related breakouts?i dont wanna take any oral contraceptives or metformin tablets.Anything the natural way?

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You could try Glomed face wash ( 6% glycolic acid ) or Keracnyl face wash once a day. Glomed is sure to dry out your skin. But be careful when you are using it with Tretinoin as both of them are drying & you may end up with dry irritated skin.

But Glomed does reduce oiliness on the skin. I have observed that when I was using it. So if your skin is very oily, it may help you.  Also helps in lightening the marks on your skin if you have any.

And thanks for the review on sotret  as it is quite helpful. I am on tretinoin cream & this gives me a good insight on whether to continue with tretinoin or not.

@Am – the dermatologist I met at Kaya suggested that I use Epiduo or Periduo as against Tretinoin in the nights & Aziderm in the mornings as he felt it would help with my acne better. What’s your take on that? My dermatologist has given epiduo to my sis-in-law but insisted I use Retino (0.05) for my skin with benzac in the mornings on active acne! Whose advice do I follow?

Kaya doc also suggested that I do a clean up to remove the micro comedones sitting under my skin. He said clean up would remove it at one shot whereas tretinoin may take one month to get rid of them! I did not know how to react! But he did say I had normal skin otherwise with some open pores on my nose.

Also suggested use of OCP’s (Oral contraceptives) or Isotretinoin tablets to get rid of acne completely.  He said it was safe for me as I was not planning to get pregnant! again- what’s your take, I am not going to do anything without your inputs, but you already know that by now , right 🙂

Rgds

 

LD
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Hi LD,
every person reacts different to medicines.Retino-A never worked for me but sotret did.i use it as a maintanence to avoid getting acne.I also noticed that incase you get a cystic pimple at times,T-bact works better on it than benzoyl peroxide or sotret.But T-bact should be used only as a spot treatment not over all your face,as your skin may get resistant to it after a while.
I have taken OCP in the past.It helped me.I got a rare pimple only during the time i was on OCP.but how long can you take it-That s the issue.its not safe to take after the age of 30.and the acne does get back after you stop it:-( so its only a temporary thing.

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And,do keep me posted about your progress,in case you take isotretinoin orally.I have never been asked to take it by any derm but kinda curious about it as it promises good results. But again,temporary,i guess!

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Thanks Kriya for all your inputs. yes will surely revert on this but I don’t see myself taking isotretinoin for a long time unless I am really desperate. Thankfully that stage is not near.

OCP’s was a good thought but like you say, how long can you take it? and why do you think it’s not safe to take it after 30yrs? Any reason?

LD
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Well,there is an opinion that OCP may lead to breast cancer,thrombosis and cardiovascular diseases in some women.The risk is greater after the age of 30
Go for a v.low dose Ocp like triquilar.it helped me in acne.Dont take ovral.it wil aggravate acne.

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@AM – waiting for your valuable inputs as well:) I know you must be busy but let me know when you get time.

LD
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Hi @lalitha, Epiduo and I think Periduo are both adapalene + benzoyl peroxide mix. Adapalene + BP is a very common prescription. I’ve shared my thoughts about BP before – BP is definitely effective, but it also leaves dark red marks that are a struggle to eliminate. So it is a very harsh treatment. It also seems to affect the quality of skin, making it leathery and giving it an aged look.

I personally do not have any grudge against BP or anything, but my suspicion of BP causing these problems has been confirmed time and again by what people have posted here and elsewhere. This effect seems to be way more pronounced on brown skin as opposed to Caucasian skin. That’s why BP is a hit on acne.org but not in India.

I myself used BP for a good many years including Proactiv, but as I look back, I think that those were the worst years in terms of red, blotchy acne spots. Also, it did not eliminate my acne entirely. If anti-aging is one of the goals, then tretinoin takes the cake any day. And sunscreen. 🙂

You’re already consulting one of the best doctors in Bangalore. I’d just stick to what she says and go with it. She kind of understands your skin. (what’s her name I forgot but). The thing about micro comedones treatment may either have been good advice or just an upsell, we’ll never know. 😆 Maybe we need a volunteer for that now.

Now Azidern is a good thing. Someone here is using Aziderm gel. Maybe hit up search.

AM
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Thanks AM for the quick response! Yes Periduo & Epiduo are adapalene/BP combinations. My doctor ( Her name is Sujaya Hegde) has asked me use Benzac in the morning & retino 0.05% in the evenings alternate days for 3 weeks & then retino nightly once skin is used to it. How ever when I asked her for Tretinoin Gel, she refused saying it would be too drying & as per her Retino A would be the best as all the research has been done on that only. So I am just going with her suggestion. Even I felt that Benzyl Peroxide/Adapalene combination might be too irritating for me.

As far as her treatment is concerned, She is good in the sense she doesn’t put you on strong meds & advices clearly on how to use the creams & the precautions that go with it but I am not too sure If I agree with her diagnosis as she repeatedly kept telling me that my acne is more due to contact irritant dermatitis ( due to scrubbing, clean ups, facials – none of which I do). You do know how my skin care is, but she somehow did not want to look further to research the cause for my acne.  She has not prescribed supplements and she very casually told me I could take Doxycycline 1 tablet for 10 days starting a week before my monthly cycle to take care of the hormonal acne.  I took it last month but somehow felt the approach to internal meds were too casual & stopped it there after. So my search for the perfect dermatologist is still on !!! Any pointers to some one who is willing to go the extra mile & understand your skin & hormones completely, I can’t tell you how grateful I would be if you could share the details to me!! Hoping for some responses!!

LD
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@AM agree with you on your views on Benzoyl Peroxide as well, it does darken the skin but it does seem to reduce a pimple/acne effectively in 48 hours. Do you have any alternatives for an antibiotic gel or cream that can be used in the morning as Clindamycin is not effective any more. I am not getting Acnezone any where as rajeev suggested. How effective is Aziderm for acne?

LD
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@ AM – sorry for railroading you with questions, but just a quick update, Retino A is excellent for skin regeneration though, the skin feels lovely to touch, you feel a tightness & plumpness of the skin & yes overall lightening of the scars as well. So it does what it says! I am just waiting for the random breakouts to subside so that I can see an overall evening of the skin.

My issue is I don’t get lots of acne, just one or two every week and at different places each time, so unable to pin point the reason for the same, whether cosmetic allergy or just a purging of retino or just plain irritation or hormonal or high glycemic index ( I am a sucker for sweets 🙁 ).  So by the time the previous acne spot has healed & retino is doing it’s work to lighten it, the new one starts looking like a shining star on the face!! Hoping with continued usage of tretinoin , this should go away!

LD
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Hi lalita,
My acne situation is the same as yours.I dont have acne all the time ,there are days when my skin is spotless and there are days when i have on my face, one or two huge red ones..i lov fried stuff,sweets,choclates,biscuits and all the stuf that are supposed to cause acne.Although some derms say that acne is not all about what you eat,i have defenitely experienced mild outbreaks a couple of days after i indulge.so am trying to cut short the junk.Also,when am under some kinda stress or emotional restlessness,i can sense my skin getting more oily and also acne-prone.
So,stress and sweets do aggravate acne.And acc to me,hormonal imbalance is the main culprit.Thats the reason why acne comes,at the first place.(atleast for me).did you check if u have Pcos?coz that also leads to acne in women

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The very underestimated T-bact ointment works good!T-bact has mupirocin.It does not leave your pimple reddish or irritated and does bring down the size faster than retino-A or benzac.But it shouldnt be used as a maintanence everyday.Reserve it for cystic bumps.

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Yes, thanks, Kriya, all very valid inputs & suggestions! Thanks.

I have always indulged in the foods of my choice & have never faced any issues with sweets, sugar, fried foods etc. My acne started about 2 yrs back suddenly like a trigger & I believe this could have been due to some stressful situation I had that time coupled with damaging my skin in the sun for several hours while I was practising for my running. I don’t see any other reason for my acne bout as I never suffered from it during my prime years till I was 38yrs. I always had pretty much clear skin but oily in T Zone kind with the occasional flare ups that come & go with your monthly cycles. The worst part for me now are the dark spots left behind by the acne that are so ugly!! Like I mentioned elsewhere too, I got adult acne during the healthiest eating phase of my life ( when I was working out & eating well for a marathon)

But now it is repetitive & I am wondering why, I’ve done all my hormone tests, I used to have PCOD but all ovarian tests, FSH, TSH etc are all normal. I am hypothyroid & take medication for the same & under control. But I am hoping Tretinoin can bring some relief to this. And Yes, I have decided to cut down on my sugar starting this month to observe if it can bring about some changes. Other wise, my diet is pretty much very healthy combined with exercise.

Will update you after couple of weeks after my progress both with tretinoin & low sugar 🙂 Thanks once again.

LD
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