ACNE - Topical Medications
Benzoyl peroxide kills bacteria
If you have pimples, aka ACNE, you are most likely looking for some medication to help. The available "topical medications," those applied directly to the skin, are available in many forms including acne gels, lotions, creams, soaps, or pads.
When I was a kid, they came out with OXY 5 - and now, 40 years later it is the most commonly used topical medications for acne. Again, Benzoyl peroxide works by killing bacteria and unclogging your pores. OXY comes in prescription and over-the-counter strengths. There are some warnings though. Benzoyl peroxide should not be applied at the same time of day as topical retinoids. To avoid adverse reactions, apply to small area on forearm and observe the area for two to three days. If no reaction occurs, application to the face should be safe.
Do you have red spots from acne? There is something out there to help.
"Retinoids" work by unclogging pores and reducing inflammation; this makes the red go away. These medications are available by prescription only. Commonly prescribed retinoids include Tretinoin, Adapalene, and Tazarotene. If you are prescribed this youmay experience some side effects. These "side effects" may include redness, peeling, and photosensitivity (high risk of sunburn). Most retinoids are applied at night and should NOT be applied at the same time as benzoyl peroxide. One more thing: Topical retinoids should not be used during pregnancy as they may cause harm to the fetus.
Antibiotics work by killing bacteria and reducing inflammation too. In some cases, your doctor may recommend a combination of topical medications, such as benzoyl peroxide and clindamycin. Other topical acne medications available by prescription include sodium sulfacetamide and azelaic acid.
If you have severe, inflammatory acne that does not improve with other medications, healthcare practitioners may prescribe an oral retinoid called isotretinoin. That will work, or you are a very very rare case.
Isotretinoin works by reducing the size of oil glands and lowering sebum production. It is usually prescribed by a dermatologist for individuals with severe, inflammatory acne that does not improve with other medications. Isotretinoin is taken twice a day for 20 weeks.
Surgery? Oh My! Individuals with severe acne scars may require some surgery or other office procedures to improve the appearance of their skin. Dermatologists can perform skin resurfacing techniques such as dermabrasion (a procedure that uses a rapidly rotating brush to remove acne scars or pits) or chemical peeling (a chemical solution is applied to the skin that causes it to blister and eventually peel off). Dermatologic surgeons can also perform scar excisions (a technique in which the scar is removed and the surrounding healthy skin is joined together) and punch grafting (a method in which the surgeon punches a hole in the skin, removes the scar, and replaces it with a small plug of new skin) to correct deep acne scars
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