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David Lortscher

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About David Lortscher

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    Junior Member

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  • Location
    California, USA
  • Interests
    Dermatology. Music. Surfing. Skiing. Snowboarding.

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  1. 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.
  2. 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).
  3. JoshD, great question. Thanks for asking. (Disclosure: I am one of the dermatologists from the company you mentioned.) Harry - in many cases your instinct is exactly right. Teledermatology (seeing a doc remotely) will never be better than seeing a dermatologist in person. But in a lot of cases (particularly for a condition like acne which can be diagnosed visually), it is just as good - and often more convenient. I say this as a doctor who sees most of his patients in person out of my practi
  4. This is a surprise favorite

    Smells great Relatively gentle Never thought I'd like a cleanser with "scrubbing" beads in it, but this is actually great. It leaves you with a really clean feeling, but doesn't dry your skin at all.
  5. 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 seborrheic dermatitis. I would try clotrimazole mixed with hydrocortisone every night (only on the creases of the nose).
  6. 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 even more effective. Am-Lactin won't help the pigmentation, and only has a small chance of helping the scars. You could always try it though, and stop if it causes any irritation.
  7. 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!
  8. 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 noticeable. Usually the best treatment is a salicylic acid wash (like you have) and/or topical retin-A (prescription).
  9. 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, Differin, etc). In the meantime a face wash with salicylic acid in it could help, like St. Ives Blemish Control Apricot Scrub. Let me know if that helps!
  10. 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.
  11. 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...
  12. Yeah they're the exact same active ingredient. Probably, as you were mentioning, nothing to do with the Actavis lymecycline tablets. Remember not to take them with milk, because that can decrease absorption.
  13. 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 starting. Are you in a dry climate? If so, you're more likely to have redness and flaking, but that can be counteracted by starting at a small dose and by moisturizing a lot.
  14. 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. Maybe your derm can give injections for the two big cysts?
  15. 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 flakiness... Do you get actual pimples on your face, like blackheads and inflamed lesions?