Conversation: The conversation between human and AI assistant.
[|Human|] acne vulgaris .i have this problem from round 7 to 8 years.have taken treatments from 2 to 3 dermatologists for 2 to 3 yrs continuously. bt no improvement.re-occurrence is common.skin is very damaged.had all kind of tests including harmonal examination.all is normal. have regular menses.doctors have prescribed heavy medicines including vit A injections . bt no significant improvement. age 22. plz help
[|AI|]  You may be having recalcitrant type of acne on your face which is resistant to normal treatment. You need oral Retinoid (it A) like ISOTRETINOIN 20 mg for at least 2 months initially after checking blood triglycerides and liver function tests which should be normal before starting therapy and most importantly you must not be pregnant or getting pregnant even after stopping treatment for 2 months since it is a potential teratogenic Chat Doctor.