David Lortscher

Clotrimazole is a non-prescription anti-fungal cream. It tends to be safe and effective at treating seborrheic dermatitis - which is the red rough skin in the creases of the nose.

I agree with Krissy. Other things that can help with clogged pores are salicylic acid and Retin-A (although this is only available with Rx).

I think the acne is just reappearing after the effects of the spironolactone wore off. Are you able to go back on it? The redness and very small white areas in the creases of the nose look like sebor...

The best non-prescription thing for hyperpigmentation is niacinamide in the PM (you can get the 4% version on amazon), and sunscreen in the AM. Rx treatments like tretinoin and azelaic acid can be ev...

OrthoTricyclen is a great one for acne. It can take 2-3 months to start seeing an effect, while the hormones become stabilized. Stick with it!

I think they're types of pimples called "closed comedones" - you can check out what they usually look like on Google Images. They can be pretty hard to treat - but thank God they're not too noticeabl...

The tiny types of bumps like in your picture are usually small clogged pores (comedones). They're basically a non-inflamed type of acne. The best treatments for it are Rx-only (Retin-A Micro, Tazorac...

Hi, yeah I think you should probably see a doctor and stop taking them for now. Doxycycline can cause extreme sensitivity to the sun in some people, and that often shows up on the face.

I think the tazorac gel is significantly stronger than the equivalent tazorac cream. If you weren't having too much irritation from the gel, maybe it's a good idea to switch back to that...

Most people who take accutane really love it. There can be an initial breakout, but that usually lasts less than 2 months. Usually even after 1 month, people look better already than they did before ...

That's frustrating! Stick with it though!! Sounds like you improved some with your first course, and a little bit already from your second course, so at least you're heading the right direction. May...

I think you could be right about seborrheic dermatitis. Many people have both seborrheic dermatitis and acne, since both conditions are so common. Maybe try clotrimazole or something similar for the f...

This is from the University of Maryland website. Hope it's helpful! "People who take a type of antibiotics called tetracyclines and also take high doses of vitamin A may be at risk for a condition ca...

6 months sounds like a super long time! Should be working by now if it's going to work at all. I think you may need to switch back to something else, even though that's tough if you already paid for ...

Hi Grace, I'm thinking that the flareup you're experiencing could be due to changing the birth control. The sprintec might be better in the long run, but whenever you switch something hormonal, you r...

The only downside would be making your skin more irritated. Are you experiencing any dryness / redness / irritation from the retinol? If not, it should be OK to try them both together...

Using oil over salicylic acid can be a really good idea. The salicylic acid can still do it's job of unclogging pores, but the oil can help counteract some of the general skin dryness and flaking.

Yeah, that's right. No need to skip a pill. Just keep the drinking in moderation and you should be fine...

I think there are two possibilities: 1. Might be a little bit of an initial breakout from the Accutane. Sometimes the initial breakout can give you different acne than you're used to having. 2. Migh...

Hi Kate, It sounds like you're doing everything right, and 11 weeks should have been enough time to know if the Retin A is helping. The problem with Retin A is that it doesn't kill bacteria so you ca...

Hi, Accutane has a long half-life and stays in your system relatively consistently. It's definitely OK to skip a dose every once in a while - some people with sensitive skin are instructed to take it...

Yeah you shouldn't use them together because benzoyl peroxide deactivates tretinoin. Despite the bleaching it's best to use the clinda/BP in the morning, and the tretinoin at night. In addition to tr...

I agree that it sounds like seborrheic dermatitis. If you don't have success with these treatments, a lot of people have seen improvement by mixing together clotrimazole and hydrocortisone. Then once ...

Looks like it could be sehorrheic dermatitis. I think the tea tree oil you tried might have helped to some extent. I'd probably do hydrocortisone + ketoconazole. Or if that's hard to find, hydrocort...

I haven't experienced this. Are you talking about the gel or the lotion?