Can Acid-Based Skincare Products Be Used with Dermatological Treatments? - Dermatology

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Can acid-based skincare products be used in combination with Dermalux water-soluble cream?


Hello Doctor: I have acne on my face and seborrheic folliculitis on my body.
Are acid-based products (such as retinol, salicylic acid, and tranexamic acid) suitable for me? Or should they be used in conjunction with topical medications? Additionally, I have asthma and allergic rhinitis.

Daniel, 20~29 year old female. Ask Date: 2020/10/27

Dr. Li Yufen reply Dermatology


Hello: Acne-prone skin can use acid-based products, but it is important to monitor for symptoms such as redness, peeling, or stinging.
The medication "Lunacort" contains steroid components and is typically used for conditions like eczema and skin allergies; however, long-term use is not recommended.
If skin symptoms do not improve or worsen, it is advisable to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2020/10/27

More Info


When it comes to using acid-based skincare products alongside dermatological treatments, it’s essential to approach the matter with caution, especially considering your specific skin conditions and sensitivities. Acid-based products, such as retinoids (like A-acid), salicylic acid, and tranexamic acid, can be beneficial for various skin issues, including acne and hyperpigmentation. However, their use must be tailored to your skin's needs and the treatments you are currently undergoing.


Understanding Acid-Based Products
1. Retinoids (A-acid): These are often prescribed for acne treatment and can help with skin texture and pigmentation. They promote cell turnover, which can be beneficial for acne-prone skin. However, they can also cause dryness, peeling, and irritation, especially when first introduced.

2. Salicylic Acid: This beta hydroxy acid (BHA) is particularly effective for acne as it penetrates the pores and helps to exfoliate the inside of the follicle. It can reduce inflammation and prevent clogged pores, making it a good option for treating acne.

3. Tranexamic Acid: This is often used for hyperpigmentation and melasma. It works by inhibiting melanin production and can be effective in evening out skin tone.


Combining with Dermatological Treatments
Given your conditions—acne and folliculitis (fungal infection)—it is crucial to consult with a dermatologist before combining these acids with any prescribed topical treatments. Here are some considerations:
- Consultation: Always discuss with your dermatologist before introducing new products. They can provide personalized advice based on your skin type, current treatments, and any potential interactions.

- Patch Testing: If you receive the go-ahead to use acid-based products, consider patch testing them first. Apply a small amount to a discreet area of skin to check for any adverse reactions.

- Start Slow: If you are cleared to use these acids, start with lower concentrations and gradually increase as your skin builds tolerance. This is particularly important with retinoids, as they can cause significant irritation if used too frequently or in high concentrations.

- Moisturization: Acid-based products can lead to dryness and irritation. Ensure you are using a good moisturizer to help maintain your skin barrier. Look for non-comedogenic and hydrating ingredients like hyaluronic acid or glycerin.

- Avoid Overlapping Treatments: If you are using a topical medication for your folliculitis, be cautious about layering multiple active ingredients. This can lead to increased irritation. It might be best to use acids on alternate days from your other treatments.


Considerations for Asthma and Allergies
Given your history of asthma and allergic rhinitis, it’s also important to consider that some skincare ingredients can potentially trigger allergic reactions or sensitivities. Always check the ingredient list for known allergens and consult your dermatologist if you have concerns about specific products.


Conclusion
In summary, acid-based skincare products can be beneficial for treating acne and improving skin texture, but they should be used judiciously, especially in conjunction with other dermatological treatments. Always prioritize consultation with a healthcare professional to ensure safety and efficacy tailored to your unique skin needs. Your dermatologist can help you create a comprehensive skincare routine that addresses your concerns while minimizing the risk of irritation or adverse reactions.

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