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Asking For Self, Female, 24 Years old, lahore
Aoa I need to ask some questions regarding acne on my face I get treated from mayo hospital lhr. My doctor advised isotretinoin recute 20 mg cap daily dose after one month she replaced recute to acnetrac 20 mg daily dose. Issue is this from when I am using acnetrac I have backache and also having mildpain in my heels and also having delayed in manstural cycle. Secondly she advised me not to use any moisturiser during this case nd advised purell face at night and shiro vit c syrum for dark circles but right now I have dry patches around my eyes my acne is fine these are the Side effects I m facing .dr recomend full course of above mention med which duration is 4 month now only 20 days are left for the completion of course.Due to the pandemic situation all over the world I am unable to visit my doctor so therefore You r requesting to pls advised something for dry patches and mild pain in my back and heels.
I don't want to comment more on that except the Vitamin A analogs like isotretinoin are strictly contraindicated in women during their child-bearing age. Some very serious adverse effect.
Regards
Hey !try to book an appointment!!!regards
Dear Pt, I hope you are well. Your Dr gave you right stuff! FDA approved and being a consultant in Uk I've given it under NHS! SO NOTHING WRONG WITH IT!!! side effects are managed, correct dosage is imp, regular tests & followups are imp! but YES a detailed consult & ruling out imp things along with bloods is imp. so DONT worry but do book appointment and deal it seriously... these are safe & best option to ERRADICATE ur acne BUT under supervision & monitoring! you can book an online appointment with Me Via Marham and will sort out your issue. hope this helps, Regards
MBBS, D-Derm, DRCP (Derm), MSc (Derm), Diplomat in Aesthetic Medicine (UK), Diplomat American Board of Aesthetic Medicine, MD (USA), Board Certified in Anti-Ageing Medicine (USA) | Karachi | Book Appointment
I can't suggest a moisturiser, its imp to see your condition and then guide you. You don't need a moisturiser or some thing that makes skin oily...I need HYDRATION and unless I see I can't suggest which level of hydration we need to add to make ur condition better without making it oily... regards
1 month ago
For all complicated and chronic health problems contact us.
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https://www.marham.pk/doctors/khanewal/homeopath/dr-muhammad-mohsin-shah
My dear isotretinoin very oftenly causes dry patches and we routinely advise moisturizing lotions.
Try to start a good moisturiser like neutrogina hydrobooster etc
For rest of problems you need to get your skin examined
Thank you for asking question. Please come to the clinic or get online consultation through marham so that your skin can be examined and proper treatment can be prescribed.
I think U should stop isotretinoin and also the creams and face wash will aggravate the dryness. So stop everything . U can use white dove soap and lubrex lotion for dryness and take an appointment for through Marham for proper treatment
Member
Is it ok to discontinue isotrerinoin as my 4 month course is not completed yet
1 month ago
Yes y not if u r having severe bone pains u should stop it
1 month ago
Member
Thank you docter for your response but i am facing mild pain in my heals it’s not severe . Still I have to stop acnetrac?
1 month ago
If ur acne is gone and pain is bearable then y r u so worried?
1 month ago
Member
Actually I am very confeused . I am taking acnetrac without visiting my docter this months . That’s why I am bit worried about these side effects .
1 month ago
Member
And also I am getting different opinions here from the respected docters . That’s why I am confeused .
1 month ago
Dear u can continue for the rest of 20 days also it’s not gonna make it worse . Use moisture. And that’s it. For further advise u can take appointment through Marham or u can visit to my clinic Shadman or in Faisal town as well
1 month ago
don't stop isotretinoin and complete your course.
isotretinoin causes dryness and it can be deal with topical moisturizers, olive oil, vitamin c serum and etc.
Stop all your topical stuff such as cream and serum.
Appy Advantan Oint mornings and evening on affected areas of the face for 5 days.
and after 5 days continue your shiro serum and cream.
I suggest u to use moisturizer with SPF 30.
For Pain just take Paracetamol.
kindly consult me for proper check up.
Member
Thanks docter . I am not using any cream through out my course just shiro vitamin c serum for dark circles but this serum is not giving me any benefit till yet dark circles are still there . Should I use it ?
1 month ago
MBBS, Masters of Dermatology and Venereology | Haripur | Book Appointment
apply advantan oint on your affected areas of the face for 5 days and then start shiro serum again.
shiro Serum is cheap and very effective and if it suits on your skin then keep using it forever.
1 month ago
Member
Sir that was suggested by dr as a common person I have no idea as I mentioned above I have completed this course.pls suggest what should I do next
1 month ago
MBBS, MD (USA), D.DERM (LONDON), MRSM | Karachi | Book Appointment
I wish I could treat you. Unfortunately you live in Lahore and I in Karachi.
I would like you to consult a well qualified Dermatologist in Lahore with post graduation in Dermatology from UK or USA.
It's a shame doctors prescribing such medicine to young women.
I don't know anyone in Lahore or Islamabad to help you with your acne. I cannot start your treatment without first examining you. Unless you come to Karachi for this purpose when lockdown has eased a bit.
Regards
1 month ago