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AOEE

1st Derm App't of my Life

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Hello all. I have had acne for the past 3 years, and been on Dan's regimen for 2. It has helped slightly, but I'm looking for a stronger solution.

I get about 3-4 pustules on my face at a time, but they just don't seem to stop coming.

What should I expect? Do I even need to see a specialist? Would a normal family practitioner know enough to prescribe me the right meds or something?

I went to a doc for a bug bite on my lip before, and she noticed I had a few pimples so she gave me some Benzaclin. That worked well, but I never got it refilled because I really did not need it.

Also, the range of meds that can be used to treat acne is HUGE (at least from what I can tell reading the Rx forum here). Should I go in with recommendations in mind, or let the derm do his/her job?

Any general Rx med suggestions for Asian skin and mild acne?

Thx.

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I think itd be better to go to a regular derm and let the derm do his or her job. The worst that could happen is it wont work and you go back and get something else. At least your acne is mild. I wish I had mild acne again :(

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What should I expect? Do I even need to see a specialist? Would a normal family practitioner know enough to prescribe me the right meds or something?

I work for a dermatologist and I'm a medical esthetician so I see acne all the time. Yes, you should see a specialist. Your family practitioner does not specialize in skin.

I went to a doc for a bug bite on my lip before, and she noticed I had a few pimples so she gave me some Benzaclin. That worked well, but I never got it refilled because I really did not need it.

Benzaclin is a combo of Clindamyacin an Benzoyl Peroxide...very effective for treating acne, especially when combined with a retinoid (BC in the am, retinoid in the eves).

Also, the range of meds that can be used to treat acne is HUGE (at least from what I can tell reading the Rx forum here). Should I go in with recommendations in mind, or let the derm do his/her job?

Definately let your Dr. decide the best course of treatment for you. Tell him or her you've used BC before and any other products or treatments you've tried. He or she will determine what's best for your skin and grade of acne.

Wow, that whole thing turned our really lame! LOL I was trying to have your quote in there with my reply being in a different font and color...I obviously was NOT successful...

Hope you understand the reply. If you need any more info, let me know.

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Well, if you ignore the holistic approaches like vitamins, and limit your options to the more widely-known medication, there isn't that many. Antibiotics, retinoids, benzoyl peroxide, azelaic acid are probably the mainstay for mild acne.

It will be best if you could see a derm instead of a regular doctor, but seeing a derm is usually quite expensive, and more importantly, you have to schedule an appointment which may be some time away.

You should let the doctor do his thing; they usually play mix and match with the few different medication anyway. But you should also mention that you responded to benzaclin, because chances are that you will respond to it again.

I'm Asian too, but I don't know asian skin is any different to caucasian skin in terms of acne treatment. I'm using differin and azelaic acid right now. They've worked wonders on my skin.

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^Thanks for all the info.

peteboy I take a multivitamin and fish oil every day, I don't know if that' what you mean by 'holistic'.

I have decent insurance so I hope it won't be too bad.

I'm just kind of wary of antibiotics because I do not want my system to become "immune" to them.

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You mentioned that there are a lot of of stuff on the forums, and I'm just trying to narrow them down because your derm is unlikely to prescribe you vegetable juice or flax seed oil, if u know what I mean :) They are most likely going to prescribe you a combination of what I mentioned earlier.

Anyway, if you have the insurance coverage then go to a dermatologist. They spend a number of years more than normal doctors studying about the skin in order to specialize in it. Sometimes people go to normal doctors because they already know what they want to get and it's cheaper to see a regular doctor.

If you are uncomfortable with taking antibiotics, tell that to your derm and there is no way he can force you to take it. He can only make recommendations to tell you what he thinks is best.

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Oh I see.

I don't actually have a family doctor so I might as well find a good dermatologist here (lots of doctors left Las Vegas a while ago because of malpractice insurance).

I'm not uncomfortable with antibiotics, but I guess it's best to leave it to the doctor to determine how 'safe' or 'practical' they are in the long run. :)

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Keep in mind derms are human and will also have various preferred regimens. I bounced between two derms in the same practice for a couple of years and they had me on antibiotics. Then I moved to another state and at my first appointment the new derm was like you can try accutane. Even though my acne was not severe his reasoning was that if nothing else has worked then accutane probably will. It would be extremely unlikely that a derm would consider accutane as a first choice.

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