So sorry you are having such a rough time but I used to have this kind of acne so I know what you are going through. You have cystic acne...a deeper kind of acne...and probably some rosacea as well. What this means is that topical BP may be too irritating for your skin and irritation makes cystic acne worse rather than better. In other words, the benefits of BP are lost due to the increase in irritation. If you really want to get clear you need to see a dermatologist or at least your family physician if they know how to treat cystic acne. Personally I think a dermatologist would be better in your situation because you want to avoid scarring. Here is the regimen that finally got me clear after DECADES of your kind of cystic acne. Getting rid of inflammed cystic acne and controlling rosacea is a life-long battle and takes patience and a multi-prong approach.
1. Stop eating all dairy, wheat, caffeine, sugary foods, oils (no dressings, or added oils in cooking, butter, margarine, or fried foods). Eat fresh natural foods, not fast foods. This is the best diet for inflammatory diseases (acne, rosacea, etc.) as it controls inflammation and helps the skin to heal.
2. Use a BP cleanser such as the one listed in my signature. It will kill the acne bacteria without irritating your skin like a topical BP. Use tepid water and GENTLY swirl the cleanser on to the count of 60 and then rinse. Dab dry - do not rub. Avoid irritating your sensitive skin!
3. Apply a topical antibiotic (this is where you need a derm or doc to prescribe something for you). I like Cleocin-T. It soothes the skin, kills acne bacteria, and helps prevent future breakouts. When I started using Cleocin-T all my cystic acne stopped but to have totally clear skin I had to do the rest of this regimen.
4. Apply lotion to help protect and heal the skin. DML lotion is the one my derm recommends as it was specifically developed for sensitive acne prone skin. I LOVE it...goes on lightly and dries quickly.
5. Use a little powder to help cover. I like Physician's Choice airbrush powder...so soothing and it has a bit of SPF. Personally my skin will not tolerate any lotion SPF...always breakout but the powder is okay.
6. Take about 30 mg of zinc a day.
7. Drink tons of water every day.
8. I take Spironolactone which blocks androgens --- they are what causes cystic acne. I only take 50 mg a day and there are no side effects other than I have to pee about an hour after taking it.
9. Do a monthly professional microderm. This helps open pores so that the rest of the regimen can work better.
The regimen I'm on is in my signature below. Print if off and take it to your doc or derm. It was developed by my derm who is specialist in adult acne, especially chronic cystic acne. And on it I am now 99% clear.
Hope this helps you!
cvdMember Since 15 May 2007
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