Differin and Royalsense for Sensitive Skin Issues - Dermatology

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Acne Skin Moisturizer (Retinoid Issues)


Hello: I apologize for bothering you again :) My condition is that I have sensitivity and redness on both cheeks with visible blood vessels.
The doctor believes it is not yet rosacea, and prescribed me Royalsense and Differin 4.
The pharmacist at the hospital advised me to apply it to the areas with acne and the redness with blood vessels, but I do not have any acne on my reddened cheeks.
Do I still need to apply the antibiotic? I have checked the frequently asked questions, and a doctor explained that acne medications do not thin the skin, but I still experience slight peeling and redness after application.
I asked a friend who uses similar medications, and he said the pharmacist told him that long-term use can thicken the skin.
However, my doctor did not mention this @@ so I am a bit confused about whether I should continue applying these two medications to my cheeks.
Sorry for bothering you!

fang, 20~29 year old female. Ask Date: 2007/04/27

Dr. Jiang Zheen reply Dermatology


Of course, everyone's skin type is not exactly the same.
I suggest you apply it for a while and observe your reaction.
It's important to return to your physician for a follow-up appointment to evaluate the effectiveness and response to the medication.
Wishing you peace, and Jesus loves you.

Reply Date: 2007/04/27

More Info


When dealing with sensitive skin issues, particularly conditions like redness and irritation, it's essential to understand the medications prescribed and their potential effects. In your case, you have been prescribed Differin (adapalene) and Royalsense, which are both topical treatments used for various skin conditions, including acne and rosacea-like symptoms.

Differin (Adapalene) is a topical retinoid that is primarily used to treat acne. It works by promoting cell turnover, which helps to prevent clogged pores and reduces inflammation. While it is effective for acne, it can also cause irritation, especially in sensitive skin. Common side effects include redness, peeling, and dryness, particularly during the initial weeks of use. It is crucial to apply it as directed, typically once daily in the evening, and to start with a small amount to assess your skin's tolerance.

Royalsense, on the other hand, is a topical antibiotic that may contain ingredients aimed at reducing inflammation and bacterial growth. It is often used in conjunction with other treatments for inflammatory skin conditions. If your doctor has prescribed it for areas that are not actively breaking out, it may still help reduce redness and irritation, but its necessity should be evaluated based on your specific symptoms.

Regarding your concerns about the use of these medications on your cheeks, where you experience sensitivity and redness without active acne, it is essential to consider a few factors:
1. Skin Tolerance: If you are experiencing persistent redness, peeling, or irritation, it may indicate that your skin is sensitive to the treatments. It is advisable to monitor your skin's reaction closely. If the irritation worsens, you might want to reduce the frequency of application or temporarily discontinue use, especially if you are not seeing improvement.

2. Consultation with Your Doctor: Given that your symptoms are not typical for acne, it would be prudent to follow up with your healthcare provider. They can reassess your condition and determine whether continuing with both medications is appropriate or if adjustments are necessary. They may suggest alternative treatments that are better suited for sensitive skin.

3. Long-term Effects: There is a common concern regarding the long-term use of topical retinoids and their potential to cause skin thinning or thickening. While some patients report changes in skin texture, these effects can vary widely among individuals. It is essential to have open communication with your healthcare provider about any concerns you have regarding long-term use.

4. Moisturization: Incorporating a gentle, hydrating moisturizer into your routine can help mitigate dryness and irritation caused by these treatments. Look for non-comedogenic products that are fragrance-free and designed for sensitive skin.

5. Sun Protection: Retinoids can increase your skin's sensitivity to sunlight. Therefore, using a broad-spectrum sunscreen daily is crucial to protect your skin from UV damage, especially when using Differin.

In summary, while Differin and Royalsense can be effective for treating certain skin conditions, their use should be tailored to your specific symptoms and skin type. If you are experiencing adverse effects, consult your healthcare provider for personalized advice and potential alternatives. Your skin health is paramount, and adjustments may be necessary to achieve the best results while minimizing irritation.

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