Conversation: The conversation between human and AI assistant.
[|Human|] i have moderate to severe cystic acne . I am on tri sprintec I am on my second week of the third pack. i also use benzol peroxide fach wash and clydamycin lotion i was on bactrim but became very ill and was hospitalized with high liver counts. That is better since off the bactrim. My cysts are goin away slowly but leaving a reddish purple marks.What can I do to help with these marks and how long will the srintec take to fully work . I do see some improvement but its so slow and its so frustrating. Is there any way to bleach these marks?
[|AI|]  Hi, Chances of pigmentation and scarring in acne depends upon severity and inflammation of acne lesions. As you have cystic acne, your acne are more prone to heal with pigmentation and scarring. To treat pigmentation multiple options like segmenting creams, peels, microdermabrasion or lasers are available. As you are still having active acne lesions, application of a pigmentation reducing cream containing Comic acid, Atelier acid, Glycolic acid or HY Chat Doctor.  Taking chemical peel sessions of Glycolic acid or salicylic acid would be very effective not only in reducing the pigmentation but also active acne lesions. From the medicines you are taking it seems you are having acne due to underlying hormonal derangement. For the same hormonal pills have been added, these might require couple of months time to show good response. Adding oral isotretinoin along with the