Should I take oral antibiotics for acne breakouts due to skin purging?

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Should I switch my acne treatment after 2 weeks if I’m still having bad acne breakouts and scarring?

2 weeks would be a tad early to stop the treatment, as mentioned. A course of antibiotics usually takes at least 3 – 4 months. Sometimes, Differin can cause an initial outbreak during the first month or so and if it causes excessive dryness, irritation and flaking of the skin, I would advise using it once every 3 days first and then slowly increasing the frequency to daily. If you have cystic acne, I would advise draining the cystic acne and consider injectable steroids so as to arrest the inflammation and swelling. This will decrease the risk of subsequent scarring.

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Dr Rui Ming Ho

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Does Nimegen have the same effects as Accutane? Does it cause worse breakouts or bigger pores?

It’d definitely help to highlight all these worries you have during the consult with your doctor, so that he can take your concerns into consideration, and advise as necessary. He’ll always be the best person to advise you, as compared to any online source. Eg if I googled online about any medication, I’m sure I’ll find a million and one horrible things that could happen. In answer to your questions: Yes Nimegen = Accutane = isotretinoin (it’s the active ingredient in both), hence side effects will be the same.

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