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Doctor for Acne

142 replies

Elliejane · 06/08/2024 11:55

Hi
Just wondering about taking my son to see doctor for acne . He is 17 and it’s getting worse . We have tried pretty much everything you can buy yourself . It’s mostly on his cheeks and has horrible white heads also and red inflamed .

Have tried tea tree, Cerave wash (initially helped) ,dots for spots ,salicylic acid various brands , freedmen gel , usual acne products like clearsil etc .

I know nhs is busy but just not sure what else to try . I tried pharmacy and got a cream but told not to use in sunny days so was bit worried over that
any ideas ?

Could maybe book a private dermatologist also ?

He keeps his skin clean and never had issues until last few years but it getting worse .

Ellie

OP posts:
Ireolu · 12/04/2025 22:07

My husband is a dermatologist and a previous acne sufferer and firmly believes in roaccutane as it works. It's where some people eventually end up and will typically get rid of it for good. Some people need more than one course though typically years apart. With a good doctor and monitoring roaccutane orally is fine.

Elliejane · 12/04/2025 21:57

Thanks for all the new posts. Will keep you all updated . Benzol peroxide was worse for him too.

I am so hoping the oral antibiotics works only on day 5 so far .

OP posts:
Emeraldwitch · 12/04/2025 17:12

I've just seen this post on the aibu page, appreciate it's an older thread.

My son takes lymecycline - he's into his 2nd 3 mth supply, but the nurse practitioner said it can take anything up to 6mths-1 year for them to stop the spots completely. We have seen a massive improvement in his skin, particularly his face.

I hope they work for your son.

Hankunamatata · 12/04/2025 14:09

alsohappenedoverhere · 11/04/2025 23:03

Also following. My dd is 16 and her face is so bad. I suspect Pcos.

Dianette worked wonders for my skin (combined pill) plus a topical antibiotic like dalacin t or zineryt

Hankunamatata · 12/04/2025 14:08

Anything with benzoyl peroxide made my skin worse - sore and red.

I found dalacin t worked well for me as only topical antibiotic

Oral antibiotics never worked for me

Zineryt was good too as it antibiotic and zinc.

lidlbitupset · 12/04/2025 13:52

@alsohappenedoverhere you could try spironolactone, our dermatologist said it's fantastic for girls with hormonal acne. So sorry for your DD, I had it as a teen as well.

alsohappenedoverhere · 11/04/2025 23:03

Also following. My dd is 16 and her face is so bad. I suspect Pcos.

lidlbitupset · 11/04/2025 19:40

He's 15. He is just desperate to have clear skin again so would do anything. In fact though, after 11 weeks, I looked at him this evening and even though it's still quite bad, I can see a definite improvement. The only side effects have been dry lips and joint aches after exercise (he is quite sporty and was hoping to do some competitions this summer). He had one nose bleed and his mood has been fine.

If you end up going this route do DM me as I have read around it obsessively endlessly over the past few weeks.

I hope your DS clears his skin soon, I'm rooting for him, we had the pills with epiduo and it is good stuff. Just for us the results didn't last.

Elliejane · 11/04/2025 16:58

Hi

We are behind you only just started oral antibiotics this week.

Please let me know how the roccatune goes. What age is your son? Its so sad for them.

My son never complains over it but I know he would love for the acne to disappear .

OP posts:
lidlbitupset · 11/04/2025 12:29

How are things @Elliejane ? I have been following this thread as DS developed bad acne last year and we've been down the lymecycline plus cream (all my towels and pillowcases ruined to prove it!) which worked for a while but the third course had no effect and then things started to get really bad with it spreading all across his cheeks. We are now 11 weeks into roaccutane and desperately waiting for things to improve. DS has been very stoical and was straight up with the doctor when he asked about mental health and side effects. I would put those spots on my face if I could to save DS from this.

SugarandSpiceandAllThingsNaice · 04/04/2025 11:42

Yes use both. Then keep on with duac when come off the antibiotics. They each kill different bacteria.

LushLemonTart · 01/04/2025 21:04

I agree use both

northernballer · 01/04/2025 19:25

My son was always prescribed cream alongside tablets - I'd use both.

Elliejane · 01/04/2025 19:15

Had follow up appointment with gp today . Thete has been improvement with the duac cream in last while however she wanted to try oral antibiotics so got lymecycline. She said don’t need to use the duac cream now but the first doctor we saw said if he needs oral antibiotics to still carry on with duac also

Have any of you had both or just one?

Thanks

OP posts:
Elliejane · 20/03/2025 22:30

Thank you.

OP posts:
iciclemelts · 20/03/2025 19:05

Just an FYI. My daughter who was referred to dermatologist on NHS waited 18 mths to be seen. She’s 15 now and just finally seeing some improvement in her acne after 10mths of treatment.

Elliejane · 20/03/2025 19:01

Thank you

OP posts:
Elliejane · 20/03/2025 19:00

Thanks . I have gp on 1 April who I been seeing for 25 years so will see what she advises which i think oral antibiotics . If no success I will pay for dermatologist. Roccatune is last resort for him for various reasons. I know people who have had horrific side effects personally. I know thats minority but its still a hard core drug that i am not rushing into .

OP posts:
user1471457354 · 20/03/2025 11:31

I'm sorry your son is going through this!

I've had bad acne in my early 20s which I managed to get under control but I had a flare up last year (now early 30s) and my GP prescribed me Clindamycin + benzoyl peroxide gel and I find this one works really well on the red angry spots.

I also find with acne that everyone tends to use products that are really drying such as salicylic acid to try dry the spots out but I actually find that when I use really hydrating products this helps! I think sometimes that the products are too drying and then the skin has to overcompensate to produce oil which then clogs the skin.

Not an expert by any means but just my experience.

I really hope your son gets some relief soon!

FormerlyPathologicallyHappy · 20/03/2025 11:22

UPF I can totally see because there’s no antioxidant content to the food. I had someone tell me I should t eat bananas once because of sugar. Wasn’t even that ripe.

Have to say cutting out dairy never helped me either I’ve been full on allergic to it for over 20 years.

TuxedoJunction · 20/03/2025 11:20

I took Roaccutane many moons ago, near to when it first came out. The results for me were life changing, it cleared my skin up in 10-12 weeks. The only side effects I experienced were dry lips. I would highly recommend speaking to his consultant about it.

LushLemonTart · 20/03/2025 11:16

Roccutane isn't the evil it used to be when I took it years ago. Dn has been on it and hardly any side effects and her skin is clear.

Princesspollyyy · 20/03/2025 11:12

You need a referral to dermatology. I
l know you keep saying you’re not keep to try different medications but can you see now that they are very much needed??

if you can afford to go private please do as it sounds like your son needs to see a dermatologist.

U53rName · 20/03/2025 11:10

FormerlyPathologicallyHappy · 20/03/2025 11:05

The nhs is bound by the nice guidelines that say you have to try topicals then systemic antibiotics and then if that fails you can see a dermatologist.

If you go private it’s quicker but not everyone needs accutane. I was ok till I had to stop dianette then eventually I needed accutane which was fab. If they hadn’t put me on the implant contraceptive I would’ve never had cystic acne the progesterone tipped me over the edge.

I can never figure out the link between sugar and acne. If you get any other skin infection no one says cut out carbs they give you antibiotics.

I’m not sure what the link is either, but after the dietician we went to had us cut out sugar, UPFs, and wheat, my DC’s face went from completely covered with spots to the odd spot or two.

FormerlyPathologicallyHappy · 20/03/2025 11:05

The nhs is bound by the nice guidelines that say you have to try topicals then systemic antibiotics and then if that fails you can see a dermatologist.

If you go private it’s quicker but not everyone needs accutane. I was ok till I had to stop dianette then eventually I needed accutane which was fab. If they hadn’t put me on the implant contraceptive I would’ve never had cystic acne the progesterone tipped me over the edge.

I can never figure out the link between sugar and acne. If you get any other skin infection no one says cut out carbs they give you antibiotics.