Imcas TEAM:

Hello everyone, thank you all for joining us and welcome to the IMCAS webinar on “Acne: is there an alternative to isotretinoin treatment?”, the webinar will start soon.

Dr. Sandeep GUPTA:

Hi

Dr. Manuela VELASQUEZ:

Hi. Is this webinar going to be available later? Thanks

Imcas TEAM:

Hello Dr Velasquez, yes! Our webinars are always available 48H later on this page.

Dr. Manuela VELASQUEZ:

Thank you very much

Dr. Maria Del Carmen COLACINO:

Buenas tardes desde Madrid

Dr. Anissa GREBICI:

Hallo vrom France

Hemraj SHARMA:

Hello

Hemraj SHARMA:

Can it be recordeed

Dr. Atoussa ARBAB:

Hello everybody

Dr. Syed RAAZEE:

Hello

Imcas TEAM:

Hello everyone, thank you all for joining us and welcome to the IMCAS webinar on “Acne: is there an alternative to isotretinoin treatment?”, the webinar just started.

Dr. Karmina Jaymee H . AUSTRIA:

Good morning and Mabuhay from Manila!

Dr. Jon DIERNAES:

Hello! 3 on iso today. Interested to hear if you any great alternatives?

Imcas TEAM:

Please, feel free to ask your questions to the experts at any time. They will be answered during the debate.

Dr. Jon DIERNAES:

Spironolactone and IPL-PDT or DL-PDT. I don’t use it much if at all. You?

Dr. Prasetyadi MAWARDI:

Hello from Indonesia

Dr. Regina MILLANI:

Hello from rio de janeiro

Dr. Jon DIERNAES:

And best OTC products for acne? I use Dermaknowlogy Face 21 and 51 with zinc and niacinamide

Dr. Claudia Maria LOPES CARNEIRO TEIXEIRA:

I am not seeing, just listening

Dr. Jon DIERNAES:

I don’t recommend Avene Products even though some good ingredients, but they all contain perfume which is not great for sensitive skin

Dr. Hugues CARTIER:

Hello

Imcas TEAM:

If you encounter any difficulty to watch the webinar, please refresh the page.

Dr. Claudia Maria LOPES CARNEIRO TEIXEIRA:

Thanks , it worked

Dr. Khaled EL HOSHY:

Hello from Michigan

Dr. Woraporn PRATEEPCHAIBOON:

Can patient with myoma use isotretinoin?

Mohamed Emad NADEEM:

Thanks for this subject

Dr. Gustavo MORA GUEVARA:

Hola desde España Marbella

Yousef AL NAWAWY:

Hello everyone

Yousef AL NAWAWY:

Welcome to all

Dr. Bhavjit KAUR:

Hello everyone

Maria Eliza SAMY:

Hello from Brazil

Dr. Aicha ZERROUKI LOBIYED:

Hi from Rotterdam

Dr. Manisha MAREDDY:

Hi from India

Dr. Lara REI:

Hello Dr ROCHA, do you start spiro with 100mg a day (50mg morning+50mg evening), or 100 mg bid what makes 200mg per day?

Dr. Kulsoom JUNAID:

What isAA 15%

Dr. Amal SAIDI:

Hi from Algeria ????

Dr. Fiona CAMENZULI:

Dr Rocha, may I ask you what are your thoughts / experiences with Clascoterone in Brazil please? Thanks for the great presentation.

Dr. Norma Angelica HIDALGO MARTINEZ:

Greetings from México City to everybody.

Dr. Artur BANI:

Greetings from Albania!

Dr. Annie Levy BENZECRY SZERMAN:

Excelente from Rio de Janeiro!!

Dr. Maria Jose FLORES:

Amazing! really interesting

Dr. Mariana SANGUINETTI:

Thank you!!!

Dr. Seng CHOMRONG:

Hello from Cambodia

Dr. Nayna BHANDARI:

Excellent. Is spironolactone helpful in rosacea at all as is Isotretinoin?

Dr. Haifaa NASIR:

Dr HAIFAA from London

Dr. Zied KENANI:

Do ypu associate cyclines with aldactone?

Dr. Ayesha SHAHEEN:

Hormonal induced acne treatment regimen

Dr. Amaal ALMAYALI:

Hormonal therapy use in case of isotretinoin failure or from the start ? Any specific indication to start with hormonal from begining?

Dr. Haifaa NASIR:

What exactly hormones we have to check before Spironolactone?Do we have to do pelvic US? Can we use in males as well? Thanks a lot

Elisa TAPIA:

Hello, Elisa from Spain. is azelaic acid effective against acne with continued use or does it have an effect with a single application?

Dr. Ana SANTOS:

I didn´t listen Dr Cartier

Dr. Amaal ALMAYALI:

Menstrual irregularity is Annoying side effects

Alexandros KOTSIKOPOULOS:

Is there an age limitation ?

Dr. Macarena ESPINOZA:

And what do you think Dr if recommend espirololactona + metformina + tetraclinas

Dr. Anissa GREBICI:

This traetment is the same than for the alopecia androgenic?

Dr. Anissa GREBICI:

I meen spironolactone

Dr. Lynda BENTERKI:

Dosage et posologie du spirinolactone ?

Dr. Lynda BENTERKI:

Spironolactone*

Dr. Seng CHOMRONG:

Physical and chemical sunscreen which one the best for post Isotretinoin treat?

Shirlei Maria DOS ANJOS:

Are there cases which are necessary mistourizes besides sunscreen?

Dr. Karmina Jaymee H . AUSTRIA:

Oral vs. Topical sunscreens -- your thoughts, doctor?

Dr. Atoussa ARBAB:

Preventing is the most important

Dr. Kavita PAUNIKAR - NIMJE:

Nowadays patient asked for oral prescription of sunscreen. What to know how much affect of oral vs topical ?

Dr. Heba Elrefai Bedeer ALAKHDER:

For how long the sunscreen 50+ last after applying?

Dr. Zulfiya JETPISBAYEVA:

Hey everyone! Thanks for vebinar! My question “ if after 3-5 months, the effect is not complete, should you continue therapy 50 mg spironolactone? Or are you recommending a higher dose?

Dr. Kulsoom JUNAID:

Which sunscreen do you use for yourself?

Dr. Mikko LEPAUS:

Korean vs european sunscreens? What are the diffenrence in filters

Dr. Anissa GREBICI:

What do you think about peeling for acne?

Dr. Seng CHOMRONG:

Acne conglobata How about your treatement?How to resolve complication of isotretinoin for our patients?

Dr. Anissa GREBICI:

Have you ever had high phototype patients with pigment spots following treatment with isotret. ?

Dr. Anissa GREBICI:

Thank you

Dr. Shamma ABOOBACKER:

How to manage post acne erythema / redness not responsive to arnica

Dr. Anita ABELITE:

Dear doctor!Do you suggest chemical peelings,in acute acne phase?

Dr. Mouna ARSALANE:

Does IPL traitement give good results. Thank you Dr

Dr. Anastasia KORONAIOU:

Could you use PRP in the acute phase?

Dr. Khaled EL HOSHY:

Dr Cartier, please speak louder. Thanks

Dr. Anita ABELITE:

IPL treatment only for post acne pigmentation or in acute phase?

Dr. Jason Valeriano ICASIANO:

How about fungal acne? How to manage?

Dr. Karmina Jaymee H . AUSTRIA:

To all panelists: I came across a recent article that evaluated isotretinoin given with doxycycline on alternate days, and the article noted positive results. Would you recommend the same?

Dr. Haifaa NASIR:

It’s very successful to manage patients from the first consultant via video links

Dr. Anastasia KORONAIOU:

Is there any way to prevent recurrence of acne/pustules on the same areas of the face after completed the treatment of the local medications? Is there anything that the patient could use to prevent acne recurrence?

Dr. Haifaa NASIR:

Can we use Spironolactone for males acne?

Dominique DU CREST:

Very interesting discussion about "keeping patients" within DR clinic. Great answer from Dr Rocha abt teledermatology. Social media is another way to "keep" patients within DR remits

Dr. Patricia RODAS DESCALZI:

Which oral combination contraceptive do you prefer?

Dr. Mai MANSOUR:

Female with early meopause on hormonal replacement therpysuffering from cystic acne can we use spirinolacyone as an option ?

Dr. Argenine Grace T SIBAL SEVILLA:

Dear Doctor, how long do you maintain your patients on spironactone 25mg as maintenance. Thank you.

Imcas TEAM:

Check out our webinar season and register to receive reminders and never miss webinars on your favorite topics! All our webinars are free!

Prof Maria Jose PELLI:

Thank you very much

Dr. Khaled EL HOSHY:

THANK YOU

Dr. Atoussa ARBAB:

Thank you very much

Dr. Seng CHOMRONG:

Thanks

Dr. Artur BANI:

Thank you!

Dr. Anissa GREBICI:

Thank you very much

Dr. Karmina Jaymee H . AUSTRIA:

Thank you Dr. Cartier and all the panelists. Until the next topic! Good morning!

Dominique DU CREST:

BRAVO

Dr. Anissa GREBICI:

Brabo dr carthier

Dr. Anissa GREBICI:

Bravo

Dr. Natasha DIMITRIEVSKA STOJANOVSKA:

Bravo

Dr. Guita HERAVI:

Thank you perfect

Dr. Argenine Grace T SIBAL SEVILLA:

Thank you IMCAS! Thank you Doctors.

Shirlei Maria DOS ANJOS:

Thank you very much!