Acne and melasma

I have excessively oily and acne prone skin with little melasma. I use Avene triacneal cream but still I am getting acne. I also use Cuvia Aquagel in the daytime. My facewash is Aroma Magic neem facewash. I also take Divya Kayakalp vati. Can I use Vichy normaderm nuit detox cream and Avene triacneal together on alternate days. Please help.
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Dr. Govind Suresh Mittal
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Greetings. Acne is a chronic problem. You may need a few medications and lifestyle changes for long term improvement. The following would help you : 1. Daily use of gel based sunscreen in day time of SPF 30 applied half hour before sun exposure to prevent darkening of spots. 2. Daily bed time use of retinoid cream will reduce acne and oiliness 3. Antibiotic agents short course- prescribed by dermatologist for controlling out bursts .salicylic acid based or benzoyl peroxide based face wash for oily skin. 4. Evaluation by dermatologist for any other trigger or need for oral retinoids- this will indeed help but should be taken only if necessary and under monitoring. Also salicylic acid Peel if needed 6.Using an anti fungal shampoo will be of great help in reducing dandruff and also pimples on forehead 6. Kindly read my blog on daily skin care on Practo health feed. Daily fitness work out and loads of fruits and veggies will help loads in improving your skin. You may Send further queries/ pics of lesions on private follow up chat. Hope this helps. Warm regards.
Health Tips
the medicines you are taking seem to be fine, but see your doctor if these alone are not helping you
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