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Good morning, I am Dr Ruff. thank you for your question. How long have you been having these break outs? Are you able to provide a photo of the rash?
Sorry - phone call offer is automated. Chatting will be fine for this
Are you able to take one and upload from your phone? Do not worry if not, but would make a diagnosis much easier.
Thanks. So generally outbreaks are a form of acne, either vulgaris or rosacea, but it is difficult to tell without a photo. I can let you know the management options if you like
If you can great, if not, post one this evening, we could continue this from then
Hello, sorry you question had disappeared, but has popped back up. I am still here sorry. I will just have a look at your photos sorry
Excellent, thank you for those photos. These do indeed appear like acne vulgaris. How long have you had them?
How old are you please?
Thanks, ***** ***** certainly suggest this needs to be hit quite hard as you do have quite a few inflamed areas, and the medication options are quite successful.
Are you on an oral contraceptive? The reason I ask is some combined pills work very well for acne
Okay thanks, ***** ***** is a stepwise approach. I would jump up the steps initially, but it is what you feel comfortable with, the sooner you reduce the spots, the more likely you are to avoid acne scarring
Starting with Benzoyl Peroxide (from a pharmacy), this dries the skin and reduces inflammation, then you can add a retinoid which is also over the counter, and you can get it in combination with Benzoyl peroxide.
The next step is adding in a topical antibiotic, this again is best used with a topical retinoid, again in a combination cream, but you would need a prescription.
Moving up is essentially the same, but switching the topical antibiotic to an oral antibiotic which you can take up to 12 weeks at a time - this is the option I would suggest for yourself. It would likely settle your skin down, hopefully so that you can return to your skin routine.
On that note, Roche to some great products in the Effaclor range
This link is to a patient information leaflet in regards ***** ***** of the treatment options (probably much better written as I have explained)
There is a good one called Differin which seems to work well
I just searched for it, it would require a prescription, but can get this via an online pharmacy
But your GP would be able to prescribe it for you for free
No worries, but plenty of options here - good luck with this, but be persistant!
Your routine - yes, but have a look at La Roche Effaclor range
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