Acne Treatments: Managing Redness and Antibiotic Use - Dermatology

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When it comes to managing acne and the associated treatments, it's essential to understand both the benefits and potential side effects of the medications prescribed. In your case, you've been using adapalene (a topical retinoid) and a cream called "可必淨" (likely a topical antibiotic or anti-inflammatory), and you have concerns about redness and irritation on your cheeks.

1. Redness and Irritation from Adapalene: Adapalene is known for its effectiveness in treating acne by promoting cell turnover and preventing clogged pores. However, it can also cause skin irritation, especially when you first start using it. This irritation can manifest as redness, peeling, or a burning sensation. These symptoms are often referred to as "retinoid irritation" and are common when initiating treatment with retinoids. If the redness is significant and bothersome, it may be wise to reduce the frequency of application (for example, using it every other day instead of daily) or to temporarily discontinue use until the irritation subsides. Additionally, ensuring that you are using a good moisturizer can help mitigate these side effects.
If the redness persists or worsens, it would be advisable to consult your dermatologist. They may suggest alternative treatments or adjustments to your current regimen. It's crucial to listen to your skin; if it feels overly irritated, it’s a sign that you may need to adjust your treatment plan.

2. Use of Diclofenac and Ofloxacin: Diclofenac is a non-steroidal anti-inflammatory drug (NSAID) that is often used for pain relief and inflammation. Ofloxacin is a fluoroquinolone antibiotic that is effective against a variety of bacterial infections. While both medications can be beneficial in treating certain conditions, long-term use of antibiotics, including Ofloxacin, is generally discouraged unless absolutely necessary. This is because prolonged antibiotic use can lead to antibiotic resistance, which can make future infections harder to treat.
In the context of acne treatment, antibiotics are typically prescribed for a limited duration to help control bacterial growth and inflammation. If your acne has improved, it may be appropriate to discuss with your doctor the possibility of tapering off the antibiotic. Your dermatologist may also suggest alternative treatments that do not involve long-term antibiotic use, such as hormonal therapies or other topical agents.

In summary, while adapalene is effective for acne treatment, it can cause initial irritation, and managing this with proper skincare and possibly adjusting your usage is key. Regarding the antibiotics, it's important to use them judiciously and to have a conversation with your healthcare provider about the best long-term strategy for managing your acne without relying heavily on antibiotics. Always prioritize open communication with your healthcare provider to ensure that your treatment plan aligns with your skin's needs and overall health.