Common Specialities
Common Issues
Common Treatments


Acnex 20 MG Capsule

Acnex 20 MG Capsule

Manufacturer: Unichem Laboratories Ltd
Medicine composition: Isotretinoin
Prescription vs.OTC: Prescription by Doctor required

Acnex 20 MG Capsule belongs to a category of chemical compounds called retinoid. This medication helps in the treatment of cystic acne or nodular acne that has previously not responded to any other kinds of treatment. It lowers the production of facial oil and prevents hardening of the skin. If acne is not properly treated it can cause permanent scarring.

On using Acnex 20 MG Capsule you may experience the following side effects: drying of skin around the lips and mouth, bleeding from the nose, stomach upset, hair loss. Should these reactions continue or worsen with time notify your health care provider right away. However, it is advised that before taking Acnex 20 MG Capsule you should take preventive measures and consult your doctor if:

  • You are taking any prescriptive or over the counter drugs, vitamins, herbal or dietary supplements.
  • You are allergic to the ingredients contained within this drug or are allergic to any other medicines especially drugs containing vitamin A.
  • You are allergic to foods, particularly peanuts or soy.
  • You have a medical or family history of diabetes, liver disease, eating disorders, mental disorders or lowered bone density.
  • You are pregnant, are planning to become pregnant or are breastfeeding.
  • You have hearing problems, bowel problems or irregular periods.

Some medications may interact with Acnex 20 MG Capsule and have some adverse effects, in such cases care should be taken to have a discussion with your doctor. Take Acnex 20 MG Capsule as prescribed. Acnex 20 MG Capsule comes in a capsule form and needs to be swallowed down with a glass of water. You may have it with our without food. It needs to be taken twice daily for a minimum of four to five months. In case of a missed dose try to take it as soon as you recall it or skip it entirely. Do not by any means try to have a double dose. In case of drug overdose notify your doctor promptly. It may take a few weeks before results start to show.

Acne vulgaris
This medicine is used for the prevention and treatment of severe and painful nodular acne.
This medicine is not recommended for use if you have a known history of allergy to tretinoin/isotretinoin/retinoids or any other component present in the dosage form.
This medicine is not recommended for use if you have an impairment of liver function.
Hypervitaminosis A
This medicine is not recommended for use if you have more than normal levels of vitamin A in the body.
In addition to its intended effect, Acnex 20 MG Capsule may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Bone and joint pain Major Rare
Bleeding from nose Major Rare
Scaling, burning, redness, and swelling of skin Moderate Less Common
Nausea and Vomiting Moderate Rare
Stomach pain Moderate Rare
Diarrhea Moderate Rare
Pain and tenderness of eyes Moderate Rare
Itchy and dry skin Minor Less Common
Heart burn Minor Common
Rectal bleeding Moderate Rare
Difficult or painful urination Moderate Less Common
Increased thirst Minor Less Common
Increased heartbeat Moderate Rare
Ringing or buzzing in the ears Moderate Less Common
How long is the duration of effect?
The time duration for which this medicine remains effective is not clinically established.
What is the onset of action?
The effect of this medicine can be observed within 2-4 weeks of topical application.
Are there any pregnancy warnings?
Use of this medicine by women are pregnant or suspecting a pregnancy is not recommended. It is advised to take extra precautionary measures and avoid intended/unintended pregnancy while using this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
Use of this medicine by women who are breastfeeding is not recommended. Your doctor may prescribe suitable alternatives after assessing your condition.
Below is the list of medicines, which have the same composition, strength and form as Acnex 20 MG Capsule, and hence can be used as its substitute.
Ajanta Pharma Ltd
Glenmark Pharmaceuticals Ltd
Zydus Cadila
Abbott Healthcare Pvt. Ltd
Missed Dose instructions
Skip the missed dose and continue with the regularly scheduled dose. Do not take extra medicine to make up for the missed dose.
Overdose instructions
Contact a doctor immediately if an overdose with this medicine is suspected. Symptoms of overdose may include a headache, dizziness, vomiting, stomach pain, tingling and stinging sensation of the skin etc.
United States
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Increased pressure around the brain Major
This medicine is not recommended for use in patients having an increased pressure around the brain due to a disease or trauma. Your doctor may determine the best course of treatment in such cases.
Psychiatric disorders Moderate
Use of this medicine may worsen the symptoms of psychiatric disorders. It should be used with caution by patients suffering from mood changes, anxiety, agitation, depression etc.
Osteoporosis Minor
Use of this medicine may cause a reduction in bone density and hence should be used with caution in patients suffering from osteoporosis or other disorders affecting bone density.
Interaction with Alcohol
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Lab Test
Information not available.
Interaction with Food
Information not available.
Interaction with Medicine
Tetracycline Major
The oral form of isotretinoin should not be used with tetracycline or other antibiotics belonging to the same category. Your doctor will determine the best course of treatment in such cases.
Ethinyl Estradiol Major
The oral form of isotretinoin should not be used with Ethinyl estradiol or other hormonal preparations belonging to the same category. Your doctor will determine the best course of treatment in such cases. It is advised to take extra precautionary measures to avoid unintended pregnancies while using this medicine.
Natural Micronised Progesterone Major
The oral form of isotretinoin should not be used with progesterone or other hormonal preparations belonging to the same category. Your doctor will determine the best course of treatment in such cases.

Popular Questions & Answers

Many doctors are giving different treatment for pimples n acne scare n black heads. Like lemon juice .rose water .clean n clear face wash .acnex soap etc. So please give me one best medicine to use in this products .am confusing what to use in this many products .its my humble request to dermatologist give me one best one .thank you.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Many doctors are giving different treatment for pimples n acne scare n black heads. Like lemon juice .rose water .cle...
One good solution for you - 1. In the morning wash with Sebamed face wash 2. Use Tea tree toner after that. 3. Then use neutrogena oil free cream with sunscreen. At night - Again use the same face wash Pat face dry and apply Retino-A after 20 mins of drying the face.

I am 24 year old female I have severe acne and scars on my face I am diagnosed with hemorrhagic cyst in my left ovary of size 3 cm hence I fear taking medicines for acne How can I get rid of acne and pimples for ever What should I do?

MBBS, P. G. Diploma in Dermatology Venerology & Leprosy (D. D. V. L )
Dermatologist, Moga
I am 24 year old female I have severe acne and scars on my face
I am diagnosed with hemorrhagic cyst in my left ovary...
Cyst is causing Acne you take treatment for that from gynecologist, For Acne start capsule Acnex 20 mg daily, Metrogyl gel twice daily after washing face with Saslic face wash 1% The medicine can lead to dryness of lips, so to avoid that take lots of water and salad and fruit, Avoid sugary n fried foods, if you r married avoid pregnancy, you will see the results within 1 month.

Sir I used so many products to remove pimples n acne scare n black heads. But not able to remove that .sir plzzz give me a best product to remove pimples n acne scare on my face as much as possible within 1 month I want to remove this all. So plzzz give any best treatment. Thank u.

Homeopath, Ludhiana
Sir I used so many products to remove pimples n acne scare n black heads. But not able to remove that .sir plzzz give...
Use clean n clear face wash twice a day. If your skin is dry then use good quality face cream which is non sticky. You can make moisturiser at home. Take rose water, glycerine and lemon in equal quantity. Mic them and preserve in a bottle. Use it twice a day on face. It also help in reducing pimples and scars. Drink lots of water. Avoid fried things and bakery products. Drink lots of water. Avoid too much tea and coffee. Take good sleep. Avoid stress. You need medicine to compelet removal of pimples and scars. Consult me for medicine.

Hello sir, this is Abhishek. I had pimples and black dots on my face. I have tried many face washes and creams but I didn't get the good results. So please suggest me the good medicines without side effects. Thank you.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Hello sir,
this is Abhishek. I had pimples and black dots on my face. I have tried many face washes and creams but I ...
Hello Use Tea Tree face wash and Toner twice daily. Use AHA Glow face wash once in a day. Use Sunscreen with SPF 30 daily. Use natural face pack of Multani Mitti and lemon 2 times a week. You can also use apple cider vinegar for 5 minutes after washing your face and splash it clean with water. Most important is diet- Do not eat Junk, Eat more Vegetables and fruits especially with Vitamin C.

Popular Health Tips

Gram Negative Folliculitis - How It Can Be Treated?

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Thane
Gram Negative Folliculitis - How It Can Be Treated?

Gram-negative folliculitis is an infection of the skin. It is caused by gram-negative organisms. This can occur in patients, who are suffering from acne vulgaris and rosacea. In these patients, the acne gets resistant to drugs or antibiotics due to its prolonged use. This disease was first discovered by Fulton in 1968. People suffering from aids may also develop this infection.

Gram negative folliculitis can cause other skin conditions including the following ones: pool folliculitis is a pseudomonas infection.
2. Folliculitis caused by aeromonas hydrophila: This happens due to exposure of injured skin to contaminated water.

The appearance of Gram-negative folliculitis: It looks like rash similar to that of acne. Often patients mistake it to be the worst form of acne. In most cases, Gram-negative folliculitis leads to superficial pustules with lesser papules and comedones. These are caused by Klebsiella, Escherichia and Serratia species. In rare cases, it forms deeper lesions, which are nodular and cyst-like. These are caused due to infection by Proteus species. This microbe fails to penetrate deeper layers of the skin. The lesions are found on the upper lip, under the nose and on cheeks.

Diagnosis: When acne gets unresponsive to antibiotics, you should suspect it to be a case of gram-negative folliculitis. It is diagnosed by cytology. The colour of the bacteria in gram stain appears red or pinkish. Bacterial culture is conducted to identify the species.

Treatment: The treatment of gram-negative folliculitis can be done by using sotretinoin and other systematic antibiotics. Isotretinoin is a complex compound of beta-carotene and is effective for treating severe and unresponsive nodulocystic acne. This has been proved best for the eradication of facial lesions and nasal carriage in two to three months. Recurrence of the lesions is not seen. In case you have a concern or query you can always consult an expert & get answers to your questions!

2980 people found this helpful

What is Scarring Alopecia?

Dermatologist, Delhi
What is Scarring Alopecia?

Scarring Alopecia, otherwise called Cicatricial Alopecia, alludes to a gathering of hair loss issue that might be diagnosed in up to 3% of hair loss patients. It happens worldwide in generally healthy men and women of any age.

Every particular diagnosis inside this class is genuinely uncommon, yet a few cases incorporate analyzing Cellulitis, Eosinophilic Pustular Folliculitis, Follicular Degeneration Disorder (beforehand called "Hot Brush" Alopecia), folliculitis decalvans, lichen planopilaris, and pseudopelade of Brocq, to give some examples. Scarring Alopecia may likewise be a piece of a significantly bigger condition, for example, Chronic Lupus Erythematosus, where numerous organs of the body can be influenced.

While there are many types of Scarring Alopecia, the normal topic is a conceivably changeless and irreversible demolition of hair follicles and their Replacement with scar tissue.

Most types of Scarring Alopecia initially happens as little Patches of Hair Loss that may extend with time. Now and again the hair loss is steady, without recognizable indications, and may go unnoticed for quite a while. In different examples, the hair loss is related with Serious Itching, Burning, and Pain, and is quickly dynamic.

The Scarring Alopecia Patches normally appear to be somewhat unique from Alopecia Areata in that the edges of the Bald Patches look more "battered." The annihilation of the hair follicle happens beneath the skin surface so there may not be much too really observe on the scalp skin surface other than Patchy Hair Loss. Influenced areas might be smooth and clean, or may have redness, scaling, expanded or diminished pigmentation, or may have risen rankles with fluids or Pus originating from the influenced area.

These visual markers may help with diagnosis; however it is hard to diagnose a Scarring Alopecia just from the pattern of the hair loss and the nature of the scalp skin. Regularly while Scarring Alopecia is suspected, at least one Skin Biopsies are done to affirm the diagnosis and help recognize the specific type of Scarring Alopecia. A little biopsy of 2 to 4 mm in distance across is taken and analyzed under a microscope. A Pathologist or Dermatologist will search for annihilation of the hair follicles, scar tissue deep in the skin, and the presence and area of aggravation in relation to the hair follicles.

Regularly, the early phases of a Scarring Alopecia will have Inflammatory Cells around the hair follicles, which, numerous scientists believe, actuates the demolition of the hair follicles and advancement of scar tissue. In any case, there is some argument about this among Dermatologists, as in some cases a biopsy from a Scarring Alopecia person shows very low irritation.

Scarring Alopecia quite often burns out. The Bald Patches quit growing and any irritation, tingling, burning, or pain goes away. In this end phase; another skin biopsy generally demonstrates no inflammation around hair follicles. Bald areas more often than not have no more hair follicles. Here and there, however, hair follicles, in any event those at the fringe of a Bald Patch, are not totally annihilated and they can re-grow, but rather frequently all that is left are only a couple of Longitudinal Scars deep in the skin to indicate where the hair follicles used to be.


Scarring Alopecia can include a great deal of harm and lasting Hair Loss. Hence treatment of Scarring Alopecia ought to be very forceful. The nature of treatment changes relying upon the specific Diagnosis. Scarring Alopecia’s that include for the most part Lymphocyte Inflammation of hair follicles, for example, Lichen Planopilaris and Pseudopelade, are by and large treated with Corticosteroids in topical creams and by Injections into the affected skin. Likewise, Antimalarial and Isotretinoin Medications might be utilized.

For Scarring Alopecia’s with aggravation of generally Neutrophils or a blend of cells, treatment includes Antibiotics and Isotretinoin. All the more tentatively, drugs like Methotrexate, Tacrolimus, Cyclosporin, and even Thalidomide have been utilized to treat a few structures.

Once a Scarring Alopecia has achieved the burn out stage and there has been no more Hair Loss for a couple of years, Bald areas can be either surgically expelled on the off chance that they are not very huge or the Bald Patches can be transplanted with hair follicles taken from unaffected areas.

2 people found this helpful

Meibomianitis - 8 Things That Can Trigger It!

Ophthalmologist, Thane
Meibomianitis - 8 Things That Can Trigger It!

In order to see clearly, the eyes need to be constantly lubricated. This function is performed by small glands located in the eyelids known as meibomian glands. These glands secrete oil onto the surface of the cornea through tiny openings on them. Malfunctioning of this gland can create an excessive amount of oil.

When oil accumulates on the eyelids, it encourages the bacteria present in the eye and the skin around it to multiply leading to inflammation. This condition is known as meibomianitis. Adults are at a higher risk of suffering from this condition as compared to children.

Some of the factors that could trigger meibomianitis are:

  1. Allergic reactions
  2. Fluctuation of hormones associated with puberty and adolescence
  3. Acne and other skin conditions
  4. Lice or mites on the eyelashes
  5. Unsanitary contact lens solution
  6. Contaminated eye makeup
  7. Certain medications such as isotretinoin for acne that increases bacteria on the eyelids
  8. However, in some cases, a clear trigger factor may not be identifiable.

Some of the characteristic symptoms of this disease are:

  1. Dry eyes
  2. Constant watering from the eyes
  3. Inflammation and reddening of the eyelids
  4. Burning sensation in the eyes
  5. Itchiness
  6. Flaking of skin around the infected eye
  7. Heightened sensitivity to light
  8. Excessive blinking
  9. Crusting of eyelashes
  10. Blurred vision
  11. Frequent formation of sties
  12. Loss of eyelashes or abnormal growth of eyelashes

Regular cleaning of the eyes with warm water and abstaining from the use of contact lenses and eye makeup can help reduce irritation and manage the inflammation. Additionally, the doctor may also prescribe antibiotics or steroids in the form of pills, eye creams or drops. Artificial tears may also be recommended to patients exhibiting dry eye symptoms. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.

4904 people found this helpful

Unwanted Facial Hair - Laser Hair Removal

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Unwanted Facial Hair - Laser Hair Removal

How does the diode system remove hair?

A laser produces a beam of highly concentrated light. The light emitted is well absorbed by the pigment located in hair follicles. The laser pulses for a fraction of a second, just long enough to vaporize the pigment, disabling numerous follicles at a time to eliminate or significantly impede the hair growth. Skin n laser center, uses the highest technology from lumenis u. S. A, a gold standard light sheer diode laser with incomparable treatment efficacies in hair removal.

Is it painful?

The laser has a cooling tip where temp goes to 0 degree centigrade which allows significant cooling of skin before any shot of laser comes, making the procedure almost painless. During the treatment, there will be a tingling or stinging sensation, which can be tolerated. But, if you want the process to be completely painless, topical anesthetic creams are also available.

How many sessions do I need?

Number of sessions varies depending on patient's hair thickness, density and area to be treated. Eight to ten sessions are generally recommended, but few cases with patchy growth or fine hair even after ten sessions, may require treatment for longer period for maintenance.

Does it work on gray hair?

Laser energy is attracted to the melanin in our hair. The greater the amount of melanin, the better the results. White or grey hair does not contain any melanin and, therefore, does not respond to treatments.

Do I need to grow the hair for the treatment?

No, in fact we ask you to shave the area you want to be treated. Laser actually targets the anatomical structures below the skin. Surface hair actually interferes with the process.

In how long will I see the results?

You may see some changes immediately. Duration of one or two weeks will be taken for all of the hair in the treated area to fall. After that, you will experience no growth for several weeks. Therefore, you will be receiving immediate gratification, while you are moving towards a long-term goal.

Can I take treatment while I am on other medications?

The only medications that are prohibited for laser hair removal are isotretinoin and retino-a, which must be discontinued prior to treatment.

38 people found this helpful

Know More About Acne

BHMS, MD - Homeopathy
Homeopath, Delhi
Play video

Acne - Do's and don'ts

Hi, I’m Dr. Bela, and residing in Punjabi Bagh, and practicing in Punjabi Bagh, and I’m here to talk about Acne.

Acne seems to be the present concern about everybody, and everybody has once or the, sometime or the other suffered from acne. So let’s discuss why acne occur. Generally what happens is that the acne may be because of the hormones, or because of genetics, or it could be because of the dust and pollution that we expose our bodies to, our face and our upper body to. These are the primary areas where the acne you would see, the acne would occur primarily on the face as well as in the back of the, on your upper back, as well as the upper arms. These are because the sebaceous glands are most mostly present here, and mostly active there.

So hormone, if your hormones are a little topsy-turvy, or genetically you are blessed with parents who had acne because of oily skin, or because or your dirt, the acne would occur. There would be a clogging on the sebaceous glands, because of the sebum that is being produced, or because of the dust that comes on, or because of the cosmetics that you apply, and then the sebum would start accumulating under the skin, and that would develop a little bit of bacteria that would develop pus or a cyst, and therefore you have this kind of acne. It may start with a blackhead or a whitehead, that’s the open or closed acne, or it may develop into pustular and cystic acne. So we call that the inflammatory acne and the non-inflammatory acne. We can treat that completely through homeopathy. We have wonderful medicines that would clear your skin completely. You would have a nice healthy skin.

The general do’s and don’ts that one could do for acne is what I can describe right now. You should be washing your face about three to four times a day, specially with the facewash that suits your skin, so it could be, just check it out if it’s a dry kind of skin, pick up a, pick up a face wash for dry skin, and if it’s a oily or normal skin, pick up a facewash for oily skin or normal skin. For a very very acne prone acne, acne prone skin, you can pick up something which has salicylic acid, look out for that, or look out for creams which have either antibacterial, if they’re very pustular, or look out for creams that would sort of, put your sebum down, oil content down, which would be something which has isotretinoin, like retinol a.

Having said that, eat healthy, exercise, but remember not to let the sweat be there on the face or on the upper body too long. So after you exercise, make sure that you are washing your face, so that the clogging does not occur because of the sweat being there. Also if the upper back is involved, or the upper arms are involved, I would recommend having a bath twice a day, so that we are removing the sebum periodically, so that there is no much of, not much of clogging there. Another point that I would like to tell is that by exercising make sure that you have your hair up, even when you’re getting your hair styles done, make sure that your hair is not falling on your forehead, things are not touching in your cheeks, so that the hair products that you’re using should not be blocked and clogging your pores at all. Always remember to wear k=loose kind of t-shirts and lose tracks for your exercise, so that again, the sweat does not stay on your body, on your face.

And lastly, which is very important, is that you should try some kind of taking less stress, so go for something like meditation, which would really cool you, calm you, and your skin would have that internal glow. And if you want any kind of medication, you can come to us at Dr. Bela’s Clinic, through Lybrate. Or you can come to use directly, we are at Punjabi Bagh, West. Thank you.

3337 people found this helpful