instruction: hi doctor I am using a treatment on my acne called epiduo which was prescribed by my doctor my skin has very bad hyperpigmentation and acne I have been using the treatment for three days and on the second day it itched and burnt a little and I thought it was just working and all was fine but on the third night I put it on and my skin began to burn terribly and it was unbearable it blocked me from breathing and I nearly passed out I did not wash it off because I found when I did that on the second night it made it worse and when I woke up today I had terrible chemical burns all over my face my hyperpigmentation and acne had become worse and it is causing immense pain and discomfort and it really does look terrible it is similar to the worst kind of sunburn ever and the skin is plastered and dry too I do not know what I can do is there some sort of treatment I can do in a cosmetic skin clinic or something I can use on the burns and the acne and the hyperpigmentation
output: hello you have developed contact dermatitis to this epiduo adapalene and benzoyl peroxide which you were using for treatment of acne now your skin has two problems it needs to be treated in two steps first we have to treat contact dermatitis do not use epiduo now wash your face with mild soap and water take tablet azithromycin 250 my twice daily for the first three days then on alternate days for three weeks apply sunblock of spy 60 sun protection factor from morning till evening use good moisturizer four to five times a day when your skin improves from this contact I burned condition then step two of treating acne and leftover pigmentation will be done contact dermatitis and acne vulgaris apply a sunblock of spy 60 take azithromycin 250 my be for the first three days then on alternate days for three weeks apply moistuerzer four to five times a day wash face with mild soap and water avoid using dettol and other irritant avoid scratching or pricking up the leison follow up at three weeks