1. 消炎药：doxycycline antibiotic
Isotretinoin 也有好多副作用，depression, ED, pseudo tumor，骨骺提前愈合啥的。当然不是所有的人都有副作用。外用副作用可能小一点。你可以上网查查，心里对副作用有点数。比如要是用了isotretinoin要是开始头疼，视力模糊或者抑郁，起码你知道有可能是副作用。
curology.com 女儿用了这家产品, 用了半年左右, 额头上大面积的闭口粉刺以及鼻头上的黑头全好了. 以前也吃过医生开的药, 忘了名称, 吃了几天头痛就不敢再给她吃. 也试过各种酸类, 还曾从国内带药, 都没解决问题. 这个是她自己在网上找的. 没想到效果非常好。
Suncream 用的也是 Non Comedogenic的。肥皂用 Dove Sensitive的。 每天用纸巾擦脸 （不用毛巾）。 还是建议看好医生。对症下药。如果一个医生给你娃三个选择让你自己挑。我会怀疑他/她的医术。
之前try了很多办法，都没有效果，越来越严重最后还是 take 这个，效果非常好，也很安全, just need to do blood lab work every regularly to monitor, but taking the med is very easy and simple, also use good moisture lotion ( the doc office will give you some samples to take home) , and use good sunscream, especially if taking treatment in the summer....
Also, my kids used this when there were acne breakouts in the past ( before they took the Epuris treatment ( similar to Accutane ) after the Epuris, they did not need to use the patch.
Also for you info, Epuris provides 83% greater absorption, so it works faster than Accutane, giving you clearer skin sooner -- from the web search..
倒是老大，因为开始的晚， and also his situation was way much worse, 所以疗程时间长一些, but still got good results, no more active acnes, but we still need to deal with the scars, have done a lot reserch about scars, have not decided which method to go...
一开始也特别反对用3 , (accutane or Epuris. ) 后来情况越来越严重, 就选择了，效果特别好，另外后来也发现几位医生同事的孩子长豆豆都是吃的这个药，效果都很好。
This is only FYI, not replace the drug, my kids used them before taking the Eprius...
my old child did not like his first dermatologist, as that Doc was always in the rush ( two min, in and out) , did not seem to care his feedback etc , and my old child acne was VERY severe, my son got frustrated :-( and did not want to continue. Then I found another young female dermatologist, she is also chinese, she spent a lot time with him, and explain things patiently, built a good connection and trust, she even told my old child that she had acne herself. So my old child restart the treatment, same medication - Epuris, but much better experince, and good results. he felt confident and good about himself.
As for my young child whose acne was not as bad as the older one, so he stayed with the first dermatologist for the whole duration ( which was short course ) and he was very happy with his results.
so my point is, as parent, do not give up helping our children, if one doc does not work, try another one...
my son's derm Dr. Recommended 3 after failed other treatment. Insurence insist try other treatment before approve this one. Increase choleterol is one of the majore side effect, need blood testing first 3 month. Continue take it for 6 months with different doses. Stopped around fall time when he away from home in college. so far so good.
I have been using many years, now just use 100 mg when I feel something coming up. Then my son started having
same issue, he is using 100 mg/day, twice a day if it gets bad.