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  5. I am suffering from acne vulgaris, and my dermatologist prescribed Perobar soap, Onabet SD lotion, and Ketonext shampoo, but even after using them for two weeks, I am not seeing much improvement. Are there any other treatment options that may work better for me?

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I am suffering from acne vulgaris, and my dermatologist prescribed Perobar soap, Onabet SD lotion, and Ketonext shampoo, but even after using them for two weeks, I am not seeing much improvement. Are there any other treatment options that may work better for me?

Asked by Female, 28 · 2 days ago

Acne vulgaris usually does not show quick improvement in just two weeks, even when the correct treatment is started, because pimples form deep in the skin and take time to calm down and stop new breakouts. Medicines like Perobar soap, antifungal or anti-inflammatory lotions, and medicated shampoos help reduce bacteria, oiliness, and irritation, but visible results often take 4-8 weeks or sometimes longer, depending on how active the acne is and how oily or sensitive your skin is. It is also common to see mild initial flare or no obvious change early on, which can feel discouraging but is still part of the normal treatment response. Along with prescribed treatment, keeping the skincare routine simple helps a lot, such as using a gentle cleanser, avoiding heavy creams or oil-based products, not picking pimples, and maintaining daily sunscreen use to prevent marks from darkening. Diet, stress, and sleep also play a role in acne control, so balancing these can improve results over time. If there is no improvement even after 6-8 weeks, or if acne is painful, spreading, or leaving scars, a follow-up with your dermatologist is important because treatment may need adjustment or stronger targeted medicines.
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There are several other treatment options for acne vulgaris beyond your current regimen that might offer better results.

🩺 Conventional Acne Treatments

  • Topical retinoids (e.g., adapalene, tretinoin) help unclog pores and prevent new acne lesions.
  • Topical or oral antibiotics reduce acne-causing bacteria and inflammation.
  • Oral hormonal therapies like combined oral contraceptives can be effective, especially in hormone-related acne.
  • Oral isotretinoin is a powerful option for severe or resistant acne, typically prescribed by a dermatologist.

🩺 Alternative/Complementary Treatments

  • Omega-3 fatty acids and fish oil supplements may help reduce inflammation and redness in acne.
  • Probiotics can modulate inflammation and improve skin health.
  • Gentle skincare routines focusing on non-comedogenic products and avoiding irritants can support treatment.

⚕️ Considerations for Current Medications

  • Your current medications include Perobar soap (benzoyl peroxide), Onabet SD lotion (combination of sertaconazole and mometasone furoate), and Ketonext shampoo (ketoconazole).
  • Prolonged use of topical steroids like mometasone can worsen acne or cause skin thinning, so your doctor may reassess their use.
  • Benzoyl peroxide is effective but may take 6–8 weeks for noticeable improvement, and resistance or irritation can affect outcomes.

🩺 When to See a Specialist

  • If you see no improvement after 6–8 weeks of appropriate treatment or if acne worsens, a dermatologist should reassess your regimen.
  • Consider specialist evaluation if you experience side effects, scarring, or cystic acne.

Please consult your dermatologist to discuss these options and to tailor a treatment plan suited to your skin type and acne severity.

Answered 2 days ago