### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi, i m 30 yrs old female. I m suffering from acne for more than a year now. I continuously took treatment from a dermatologist for almost 6 months, but did not help but made my skin more sensitive. Originally my skin is very oily but now it has become sensitive also. Finally, i ve started using natural products for my acnes. I m using face wash with 2% salicyc and it is helping my problems. I ve read that benzoyl peroxide helps to resolve acne problems by drying them. Can you please suggest any cream or gel which has 5% bezoyl peroxide(Available in India(Delhi)), so that i can apply it on my acnes at night. Thanks in Advance.

### output:

Hi Narmada, Onset of acne in adult age usually points towards a hormonal derangement. To get the same confirmed a hormonal work up and a pelvic ultrasound needs to be done. Usually adult onset acne does not respond to topical therapy alone. A course of oral anti acne medicines like azithromycin, isotretinoin needs to be taken along with hormonal pills. The same can only be prescribed after a thorough consultation with dermatologist. In the meanwhile you can start with these1) continue using salicylic acid face wash2) as your skin has become sensitive, use a mild moisturizer and sunscreen. You may use acne moist moisturizer and sun cote sunscreen3) use benzoyl peroxide 2.5 percent(Bengal ac gel) in daytime and Darlene gel in night. Apply these medicines only over acne lesions and do not rub the medicine. Too much rubbing or excess application can irritate the skin. Chances of irritation of skin are quite high with benzoyl peroxide 5 percent. So I would not advise you to use it without a proper skin analysis.4) get your comedones extracted regularly. Hope that answers your query. Take care.