Using Clindamycin 600mg Twice Daily for Acne Treatment
At 23 years old and weighing 200 pounds, I've been grappling with serious acne primarily around my neck, with occasional flare-ups on my cheeks. Initially, my condition started to improve thanks to a prescription for Aknemycin Plus, which combines erythromycin and tretinoin. However, my doctor later reverted back to an earlier treatment, Aklief (trifarotene), which unfortunately proved ineffective, leading me to discontinue its use. Recently, my doctor expressed significant concern about my acne; I had mentioned that I felt the prior medication was beneficial. He suggested trying Accutane, which requires monthly blood tests as part of the regimen. I decided against that option since my breakouts aren't overly severe. Subsequently, he reinstated my prescription for Aknemycin Plus and added an ointment along with Clindamycin tablets at a rather high dosage. I must admit I feel a bit anxious about this approach, especially since I discovered that Clindamycin is not typically employed for acne treatment, particularly at such elevated doses. If anyone has insights or experiences concerning this medication, I would greatly appreciate your input.
Answers (1)
7/23/2025, 8:20:49 AM
OpenHealth AI
It sounds like you're dealing with a frustrating acne situation, and it's completely understandable to have concerns about your current treatment plan. Clindamycin can be effective in treating acne, particularly when used topically, but the high oral dosage you're describing is less common and deserves careful consideration.
Understanding Clindamycin for Acne
Clindamycin is an antibiotic that helps fight the bacteria that can contribute to acne. While it can be effective, it's typically prescribed as a topical treatment due to potential side effects associated with long-term oral use, such as gastrointestinal issues or antibiotic resistance. Your doctor's shift back to Aknemycin Plus suggests they are aiming for a combination approach to manage your acne effectively.
Next Steps to Consider
-
Communicate Your Concerns:
- It's crucial to have an open conversation with your doctor about your anxiety regarding the Clindamycin dosage and the rationale for its use in your case. Discuss any potential side effects you're worried about, and ask about the expected duration of this treatment plan.
-
Monitor Your Skin's Response:
- Keep a detailed diary of your symptoms, including any improvements or worsening of your acne, as well as any side effects you might experience from the Clindamycin or other medications. Documenting these changes can help both you and your doctor assess the effectiveness of the treatment.
-
Skin Care Routine:
- Ensure you maintain a gentle skincare routine that avoids harsh scrubs or irritants. Use a non-comedogenic moisturizer to help support your skin’s barrier, especially since antibiotics can lead to dryness.
-
Consider Alternatives:
- If you continue to feel uncomfortable with your current treatment or if you don’t see improvement, discussing alternative options like other topical treatments, hormonal therapies, or even professional options like chemical peels might be worthwhile.
-
Regular Follow-ups:
- Schedule regular follow-ups with your doctor to review progress. This allows you to express any ongoing concerns and make adjustments as necessary.
Final Note
It's great that you're advocating for yourself and seeking a treatment that aligns with your comfort levels. Acne can be a challenging condition, but there are various approaches available. Your insights and experience are vital in navigating a successful treatment plan. Don’t hesitate to reach out to your healthcare provider with any further questions or doubts.
Related Questions
Concerns About Changes in Partner's Semen Consistency
At 19 years old, I’m seeking some insights regarding a situation. My girlfriend, who is also 19, has experienced a noteworthy change in her semen consistency during our intimate encounters over the last two to three weeks. To provide some background, she stands at 5 feet 5.5 inches tall and weighs approximately 130 pounds. Her ethnicity is Caucasian, and she is from Canada. Historically, my girlfriend has been in good health without any significant medical conditions. Currently, she is not taking any medications. Previously, she had a history of frequent vaping, but that was about a year ago, and now she limits it to occasional use. The change in her semen is quite striking; it appears very thick, white, and somewhat chunky, rather than being mostly liquid. There are some liquid components, but the thick texture predominates. Throughout this period, she has maintained her regular diet, and importantly, there are no signs of a urinary tract infection or sexually transmitted disease. Neither does she experience any pain or unusual odors. This alteration has raised some concerns for her, and while I am trying to be supportive, I am uncertain about the potential causes. We searched online for explanations, but the reactions we found mostly related to digital sources that discussed various infections or medical conditions, none of which seemed to match her symptoms. Does anyone have insights or similar experiences regarding this matter? It would be appreciated in easing her worries and determining the best course of action.
Three Weeks Post Gallbladder Surgery - Is It Infected?
Patient Profile: - Age: 35 - Gender: Female - Height: 5 feet 4 inches - Weight: 160 pounds - Ethnicity: Asian Issue Duration: 3 weeks Location: United States Relevant Medical History: Approximately three weeks ago, I underwent gallbladder removal surgery. Recently, I have observed a slight amount of cloudy fluid emerging from the surgical site over the past few days. Just moments ago, I noticed a possible pus discharge from the incision. While there is no significant pain, I do feel mild soreness when shifting my position. I have not experienced any fever or chills, and there is no unpleasant odor coming from the wound. Should I continue to clean the area with soap and water, or would it be prudent to seek immediate medical attention at the ER for a professional evaluation?
Should I Seek Medical Attention?
At 22 years old, I am a female who has been on medications like duloxetine, lamotrigine, and hydroxyzine for several years. I have managed to keep my Graves' disease under control, but I have reasons to believe I may also be experiencing symptoms of POTS (Postural Orthostatic Tachycardia Syndrome). Last year, I was scheduled to consult a neurologist regarding hand tremors and the possibility of fibromyalgia. Unfortunately, I could not continue my treatment after relocating and losing my health insurance. Just 15 minutes ago, I fainted. Prior to that incident, I was feeling unwell—dizzy, my vision was blurry, and I experienced a whooshing sensation along with heat in my ears. My face and arms also felt tingly. After fainting, I experienced a heavy, aching sensation in my head, and I still have a headache now. Additionally, I’ve been waking up with headaches for a couple of days. I want to know if it's advisable to go to the emergency room. It's important to note that this isn’t my first fainting spell; I had one incident years back, which helped me recognize the signs when it started happening. At that time, I was lifting a heavy bed frame, and when I began to feel faint, I tried to sit down but stood back up to assist, and that’s when I lost consciousness. I’m unsure how long I was out, but I initially thought I was just sleeping before realizing what had happened when I regained awareness.
Seeking Guidance for My Mother's Sudden Hearing Loss Case
I am looking for advice regarding my mother's situation with sudden sensorineural hearing loss (SSNHL). **Patient Overview:** - **Age:** 48 years - **Gender:** Female - **Medical Issues:** Hypothyroidism and overweight (approximately 95 kg at the onset) - **Treatment:** Thyroid medication (25 mcg taken daily) **Medical Background:** In November 2025, my mother experienced an abrupt hearing loss in her right ear accompanied by dizziness and nausea. We consulted several ENT specialists within approximately 36 hours following the onset of her symptoms. She received a diagnosis of SSNHL but unfortunately, she did not undergo intratympanic steroid injections during the critical first 24 hours that could have aided her recovery. Despite receiving subsequent treatment, she has not regained hearing in her affected ear. **Examination Results:** - **Audiogram:** Loss of approximately 100 dB in the right ear; left ear shows normal hearing. - **Brain MRI:** A normal scan was conducted previously, ruling out tumors. - **Laboratory Tests:** Recent blood tests (including thyroid function, HbA1c, renal and liver function tests, CBC, etc.) show elevated TSH (6.73) and a HbA1c of 8.5%. We are currently preparing for a contrast MRI to eliminate the possibility of a vestibular schwannoma or nerve issues. **Current Condition:** The hearing loss persists in her right ear. She is feeling anxious about the upcoming contrast MRI, which involves gadolinium injection. However, she has started making positive lifestyle changes and has lost about 4.5 kg over the past two months, adhering to a protein-rich diet and a walking regimen. **My Inquiries:** 1. Is it still beneficial to perform a contrast MRI several months after the initial SSNHL diagnosis, considering that a normal MRI has already been completed? 2. For cases such as this—severe SSNHL with delayed steroid intervention—are there realistic prospects for hearing recovery at a later date? 3. Are there any additional tests or treatments that should be taken into account at this stage? 4. For family gatherings where loud music will be present, would high-quality earplugs or noise-canceling earbuds be a good option to safeguard her healthier ear? 5. Is it advisable for her to continue with whey protein supplementation and the weight-loss plan? 6. What should we prioritize for long-term management: hearing aids, rehabilitation, regular monitoring, etc.? I recognize that the chances of recovery may be slim, but I want to ensure we are covering all bases and that her care plan is appropriate. I appreciate any insights or suggestions you can offer. Thank you for your assistance!
Seeking Clarity on Medical Notes
Greetings, I’ve chosen to use a throwaway account to keep my medical details private from my main one. My daughter, a 3-year-old with cerebral palsy, is prescribed baclofen, gabapentin, senna, and occasionally, Miralax. She is raised in a smoke-free and alcohol-free environment. Recently, my daughter has exhibited instances of staring and being unresponsive, which we discussed with her pediatric neurologist. These episodes occurred multiple times over three weeks. Concerned about potential seizure activity, we recorded some incidents and shared them with the doctor. He advised us to schedule an EEG, which was set for the soonest available time a week later, while instructing us to call if more episodes occurred. When another episode took place, we reached out to the neurologist, who practices at a children’s hospital approximately two hours away. He recommended that we go to our local emergency room. Upon arriving there, the attending physician reviewed her history but seemed skeptical. After a lengthy wait and attempts to clarify our situation, the on-call neurologist eventually came to see us—although he showed little interest in the video evidence we provided. He proceeded with an EEG that lasted only 15 minutes during which my daughter did not have any episodes. Unfortunately, this neurologist was rather abrupt and seemed dismissive, ultimately sending us home without satisfactory answers. Now, I find myself puzzled. In the EEG report, the neurologist mentioned something called a "teddy bear sign." As I had never encountered this term before, I did some research and discovered that it may suggest that seizure activity is not genuine if the patient is in possession of a stuffed animal or similar item. Is this a legitimate observation? My daughter indeed had her beloved baby doll, which she takes with her everywhere. I fail to comprehend how this could be relevant or why it might indicate that her potential seizure activity is fabricated. I plan to reach out to her primary neurologist to gain deeper insight into the meaning of this "teddy bear sign." Thank you for your help!