Struggling with Acne: Effective Treatments and Doctor Visits Explained - Dermatology

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Acne won't go away?


Hello...
I am very prone to acne...
I have been seeing a doctor for over a year...
I have spent nearly 20,000 NTD on consultation fees...
I would like to ask if I can get a prescription for medication for half a month to a month like chronic diseases when I visit the hospital? ...
Because I have to spend 150-200 NTD on consultation fees every week and can only get a four-day supply at most...
I would like to know if taking oral retinoids is effective for treating acne? ...
Do you need to have severe acne to be prescribed retinoids? ...
Also, why do the acne injections I receive at the clinic not have a significant effect on me? Are the acne injections similar across different hospitals?

A Jie, 20~29 year old female. Ask Date: 2006/10/20

Dr. Zheng Lizhen reply Dermatology


Hello: 1.
A one-week supply of medication can be prescribed.
2.
Oral isotretinoin is effective for acne, but it is covered by health insurance only for severe cases after a special application; otherwise, it must be paid out of pocket.
3.
Acne injections? We need to know the ingredients before discussing their efficacy.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2006/10/20

More Info


Dealing with acne can be a frustrating and often costly experience, especially when it feels like you are not making significant progress despite ongoing treatments and consultations with healthcare professionals. Your concerns about the frequency of doctor visits, the cost of consultations, and the effectiveness of various treatments are valid and shared by many individuals struggling with acne.

Firstly, regarding your question about obtaining a longer supply of medication, it is indeed possible in many healthcare systems to receive a prescription for a longer duration, especially for chronic conditions like acne. However, the specifics can vary based on the healthcare provider's policies and the severity of your condition. It is advisable to discuss this directly with your dermatologist. They may be able to provide you with a prescription that covers a longer period, reducing the frequency of your visits and associated costs.

As for the use of oral retinoids, commonly referred to as "A-acid" or isotretinoin, it is indeed a potent treatment for severe acne. It works by reducing oil production, preventing clogged pores, and has anti-inflammatory properties. However, it is typically reserved for cases of moderate to severe acne that have not responded to other treatments, such as topical retinoids or antibiotics. Your dermatologist will assess your specific situation to determine if this treatment is appropriate for you. It is important to note that isotretinoin comes with potential side effects, including dryness, sensitivity to sunlight, and, in some cases, more serious effects, which is why it is closely monitored by healthcare professionals.

Regarding the effectiveness of "acne injections" or cortisone shots, these are often used for treating individual cystic acne lesions. They can help reduce inflammation and speed up healing, but their effectiveness can vary from person to person. If you find that these injections are not yielding significant results for you, it may be worth discussing alternative treatments with your dermatologist. Different clinics may use varying formulations or techniques, which can also influence the outcome.

In terms of the medications you are currently taking, such as Famotidine, Borymycin, Ascorbic Acid, and Neofusin + Urea Cream, it is essential to understand their roles in acne treatment. Famotidine is primarily used as an acid reducer and is not typically indicated for acne. Borymycin, an antibiotic, can help reduce bacterial growth on the skin, which is beneficial for acne treatment. Ascorbic Acid (Vitamin C) is known for its antioxidant properties and can help with skin healing and brightening, while Neofusin + Urea Cream may assist in exfoliating the skin and keeping it hydrated.

If you have been on these treatments for over a year with intermittent use, it may be time to reassess your treatment plan. Acne can be persistent, and sometimes a combination of therapies or a change in approach is necessary to achieve better results. Regular follow-ups with your dermatologist are crucial, as they can provide tailored advice and adjust your treatment based on your progress.

In conclusion, managing acne often requires a multifaceted approach, including lifestyle changes, topical treatments, and possibly systemic medications. Open communication with your healthcare provider about your concerns, treatment effectiveness, and financial considerations is essential in finding a suitable and effective treatment plan. Remember, patience is key, as acne treatment can take time to show significant results.

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