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(@tech99)

Posted : 06/14/2013 5:46 pm

Hey guys, I have been struggling with acne for many years. I have taken 3 courses of accutane, but each time my acne has returned. I have tried everything and I have basically given up. I am starting to think that I dont even have acne and possibly have some sort of other skin condition. My acne does not respond to antibiotics, benzoyl peroxide, AHA, BHA, sulfur, tea tree oil etc. I have tried EVERYTHING. Manual exfoliation with a wash cloth, clarisonic as well. I have even tried some less conventional things like washing with head and shoulders classic clean shampoo and nizoral shampoo as well. The strangest part is my acne is isolated to one spot of my face, I only get spots below my mouth to the sides, the rest of my face and body are completely clear. They are always inflamed with a white head, pustules basically. Does anyone have any ideas here ? The only treatment that has ever worked has been accutane. All topicals only seem to irritate my skin more. My skin is at its best when I just leave it alone, either using a very sensitive face wash or water only. I follow all of the general guidelines, i do not touch my face, i am very gentle when i wash my face, change my pillow cases frequently etc. At the moment i wash with olay foaming sensitive wash once per day and use no topicals. Thankyou in advance.

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(@sunsetismellow)

Posted : 06/14/2013 6:03 pm

I have like the same thing pustules/ white heads. I was also wondering if this is just plain acne or what! Its quite fustrating anywho i was lookin up sum things n maybe u could look into if u havent yet. But if u alreadt tried accutane and it still comes back im thinkin its folliculitis ? since it seems to be coming back . But best bet is go to dermotologist and confirm it. Im thinkin of takin accutane cus this crap is annoying but im scared of sideeffects. Anywho i hope i helped sumhow! :)

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(@tom-busby)

Posted : 06/14/2013 6:56 pm

It looks like a candida-based rash. Nystatin or coconut oil will treat a candida-induced skin condition in 2 or 3 weeks.

However, if the Nystatin or coconut oil doesnt do anything at all after 2 weeks of 3x daily applications, you could test for bacterial-induced eczema by using topical Fucidin or Bactroban for 2 weeks with 3x daily applications.

These drugs can be mail ordered from India or Thailand without a prescription, and the FDA has a non-enforcement policy when you order small amounts for your own use only.

Self testing with specific topicals for specific kinds of dermatitis is a useful way to perform a differential diagnosis to see what the problem is, but dermatitis often involves more than one causative factor, so keep an open mind.

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(@tech99)

Posted : 06/14/2013 6:58 pm

I have like the same thing pustules/ white heads. I was also wondering if this is just plain acne or what! Its quite fustrating anywho i was lookin up sum things n maybe u could look into if u havent yet. But if u alreadt tried accutane and it still comes back im thinkin its folliculitis ? since it seems to be coming back . But best bet is go to dermotologist and confirm it. Im thinkin of takin accutane cus this crap is annoying but im scared of sideeffects. Anywho i hope i helped sumhow! smile.png

If it was folliculitis wouldnt the head and shoulders or tea tree oil have helped it as they are both antifungal ? I guess I can go back to my derm, however I dont really enjoy being on accutane because of the side effects and my spots always return after my course.

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(@tech99)

Posted : 06/14/2013 8:36 pm

It looks like a candida-based rash. Nystatin or coconut oil will treat a candida-induced skin condition in 2 or 3 weeks.

However, if the Nystatin or coconut oil doesnt do anything at all after 2 weeks of 3x daily applications, you could test for bacterial-induced eczema by using topical Fucidin or Bactroban for 2 weeks with 3x daily applications.

These drugs can be mail ordered from India or Thailand without a prescription, and the FDA has a non-enforcement policy when you order small amounts for your own use only.

Self testing with specific topicals for specific kinds of dermatitis is a useful way to perform a differential diagnosis to see what the problem is, but dermatitis often involves more than one causative factor, so keep an open mind.

Very interesting, i guess there are many different conditions i could have. I am waiting for my order of Hibiclens to arrive, that will be my next attempt at treating this. After that, i will use your recommendations to see if it is candida or eczema. If none of these work i guess i will have to go back on accutane. I will update this if i have any success, thankyou for your recommendations.

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(@wishclean)

Posted : 06/14/2013 9:58 pm

Have you tried calamine lotion? If you are in the US, get the walgreen's kind with zinc oxide and the one with the fewest ingredients (no mineral oil - check the label). If you have candida/ leaky gut issues, accutane and antibiotics will only make them worse.

Also, lay off exfoliants until your skin calms down, and try to avoid inflammatory foods if you do have digestive issues or food intolerances/ allergies.

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(@tom-busby)

Posted : 06/14/2013 10:11 pm

Ketoconazole (Nizoral) is effective on malassezia-induced skin conditions, but it is not effective against candida.

Tea tree oil is very effective against demodex mites and nothing else.

Head and Shoulders is merely anti-seborrheic, which means it removes body oil like any other or shampoo you could buy. Head and Shoulders has no effect as an anti-fungal or anti-bacterial. People still buy this stuff at an amazing clip, supposedly 110 bottles every minute worldwide, because it's been heavily marketed since 1965, but its so-called active ingredient, zinc pyriythione, is medically useless and there are zero independent head-to-head medical studies from the last three decades to back up any benefit from using it. You may notice people shilling for it about every 10 days on this forum, people with 1 or 2 posts telling some fairy tale, probably hired by Procter and Gamble, and claiming it's useful. It's not.

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(@aanabill)

Posted : 06/15/2013 1:12 am

topicals and other options have been discussed.

and i would say look into them.

also,keep use of a good bha mild(pH balanced ) wash regularly but also look after ur diet and lifestyle if u havent done it yet.

could u give us more details of those?

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(@tech99)

Posted : 06/15/2013 2:53 pm

Have you tried calamine lotion? If you are in the US, get the walgreen's kind with zinc oxide and the one with the fewest ingredients (no mineral oil - check the label). If you have candida/ leaky gut issues, accutane and antibiotics will only make them worse.

Also, lay off exfoliants until your skin calms down, and try to avoid inflammatory foods if you do have digestive issues or food intolerances/ allergies.

I have not tried calamine lotion, but doesn't it just help with skin irritation ? I'm not sure it would help my condition but its worth a try.

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(@tech99)

Posted : 06/15/2013 3:16 pm

topicals and other options have been discussed.

and i would say look into them.

also,keep use of a good bha mild(pH balanced ) wash regularly but also look after ur diet and lifestyle if u havent done it yet.

could u give us more details of those?

I was under the impression that BHA washes were not effective because it is not in contact with the skin long enough for it to exfoliate properly ? I have used 2% BHA lotion in the past with no success.

Ketoconazole (Nizoral) is effective on malassezia-induced skin conditions, but it is not effective against candida.

Tea tree oil is very effective against demodex mites and nothing else.

Head and Shoulders is merely anti-seborrheic, which means it removes body oil like any other or shampoo you could buy. Head and Shoulders has no effect as an anti-fungal or anti-bacterial. People still buy this stuff at an amazing clip, supposedly 110 bottles every minute worldwide, because it's been heavily marketed since 1965, but its so-called active ingredient, zinc pyriythione, is medically useless and there are zero independent head-to-head medical studies from the last three decades to back up any benefit from using it. You may notice people shilling for it about every 10 days on this forum, people with 1 or 2 posts telling some fairy tale, probably hired by Procter and Gamble, and claiming it's useful. It's not.

Very interesting, that would be why i havent had any success with those. What do you think about the use of chlorhexidine gluconate or povidone-iodine to treat my condition ?

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(@tom-busby)

Posted : 06/15/2013 3:32 pm

I've tried chlorhexidine gluconate (Hibiclens) and so I've read some research articles about it. First, it is formulated to be used as a pre-surgical hand scrub, so any other use is off-label. Second, there are some reported cases of it causing permanent deafness if it gets into your ear canal, so be very careful with it on your face, or around your nose or mouth, as those are connected via sinus cavities to the middle ear. Because of these problems, I would tend to stick with Fucidin or Bactroban if you have bacterial eczema, or Nystatin and coconut oil if you have a candida condition.

I haven't used or researched povidone-iodine because it stains skin a brown-red color. If you try it, and just stay home all day, it may work, and unlike Hibiclens it won't do any harm as far as I know.

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(@tech99)

Posted : 06/15/2013 3:45 pm

I've tried chlorhexidine gluconate (Hibiclens) and so I've read some research articles about it. First, it is formulated to be used as a pre-surgical hand scrub, so any other use is off-label. Second, there are some reported cases of it causing permanent deafness if it gets into your ear canal, so be very careful with it on your face, or around your nose or mouth, as those are connected via sinus cavities to the middle ear. Because of these problems, I would tend to stick with Fucidin or Bactroban if you have bacterial eczema, or Nystatin and coconut oil if you have a candida condition.

I haven't used or researched povidone-iodine because it stains skin a brown-red color. If you try it, and just stay home all day, it may work, and unlike Hibiclens it won't do any harm as far as I know.

Very interesting, i will try your recommendations instead. Those are cream treatments i assume, so what do you recommend using for a cleanser before i apply these ? Should i just keep using a gentle cleanser ? Currently use olay sensitive foaming wash.

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(@tom-busby)

Posted : 06/15/2013 5:08 pm

Yes, the medicines I described are creams. I think Nystatin comes in a maximum strength of 10% but it's always prescription only in the US, at all strengths, so you might order it from India or Thailand, which will arrive in the mail in 2-3 weeks and may be quicker than you can make an appointment to see a doctor. Fudicin and Bactroban are also prescription only in the US. Just google the name of the medicine with India or Thailand and you'll find an OTC name-brand source from overseas.

In the meantime, you could try coconut oil.

Use whatever cleanser feels best to you. I don't think it matters which brand but that's just my opinion.

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(@tech99)

Posted : 06/15/2013 5:43 pm

Yes, the medicines I described are creams. I think Nystatin comes in a maximum strength of 10% but it's always prescription only in the US, at all strengths, so you might order it from India or Thailand, which will arrive in the mail in 2-3 weeks and may be quicker than you can make an appointment to see a doctor. Fudicin and Bactroban are also prescription only in the US. Just google the name of the medicine with India or Thailand and you'll find an OTC name-brand source from overseas.

In the meantime, you could try coconut oil.

Use whatever cleanser feels best to you. I don't think it matters which brand but that's just my opinion.

Thank you sir, you are extremely helpful :D

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(@aanabill)

Posted : 06/16/2013 1:15 am

bha washes should ideally be massaged on wet skin(or sometimes otherwise) and then be kept that way for say 30 secs to 2 minutes depending on what product u r using.

u gotta let the ingredient get absorbed into the epidermis.

have u tried dietary changes and lifestyle modifications?

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(@wishclean)

Posted : 06/16/2013 11:09 am

Have you tried calamine lotion? If you are in the US, get the walgreen's kind with zinc oxide and the one with the fewest ingredients (no mineral oil - check the label). If you have candida/ leaky gut issues, accutane and antibiotics will only make them worse.

Also, lay off exfoliants until your skin calms down, and try to avoid inflammatory foods if you do have digestive issues or food intolerances/ allergies.

I have not tried calamine lotion, but doesn't it just help with skin irritation ? I'm not sure it would help my condition but its worth a try.

My acne never responds to topicals or even tea tree oil, but calamine lotion helps calm down inflammation. I get the one with zinc oxide in it, and the combination really helps my skin. If all else fails, give it a go and leave it on at night for a few nights in a row but only apply topically as it can dry out your skin.

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