Medicine for acne image
Acne can be frustrating especially in teenagers. It causes disfigurement which may result in psychological disturbance. An effective medicine for acne would have a marvelous effect both physically and psychologically. Selection of a medicine for acne depends upon many factors: 1- Type of skin lesion: whiteheads, blackheads, papules, pustules, nodules and cysts. 2- Nature of skin: dry, oily or normal. 3- Severity of acne: mild, moderate or severe 4- Presence of inflammatory changes.
The goal of acne therapy is to get rid of existing lesions and prevent the formation of new ones. Most treatments resolve existing acne lesions and, with continuous use, discourage new ones from forming. Given the way acne occurs, acne treatments do one or more of the following: • Reduce sebum productionReduce P. acnesNormalize the shedding of skin cells. Two or more acne products are often used to treat different acne causes The most effective acne medicines are available only by physician prescription. As with any potent pharmaceutical agent, they should be used only after examination by a physician and under the supervision of a physician. Prescribed medications include antibiotics, topical retinoids, anti-androgen spironolactone; and oral isotretinoin for treatment of severe nodular acne and acne resistant to other medications. According to mechanism of action, Medicines for acne include: 1- Cleansing agents 2- Exfoliating agents 3- Antibiotics 4- Keratin life cycle modifiers 5- Sebum production controllers 6- Moisturizing agents An ideal medicine for acne should be: Effective, not expensive and has minimal or no side effects. In order to prevent disfiguring complications of acne such as scarring and pigmentation, you should consult a dermatologist especially in severe cases.

Friday, January 4, 2008

medicine for acne logoAcne tips

Essentials of Diagnosis
• Often occurs at puberty, though onset may be delayed until the third or fourth decade
• Open and closed comedones the hallmarks
• Severity varies from comedonal to papular or pustular inflammatory acne to cysts or nodules
• Face, neck, upper chest, and back may be affected
• Pigmentary changes and severe scarring can occur
Differential Diagnosis
• Acne rosacea, perioral dermatitis, folliculitis, and tinea.
• Trunk lesions may be confused with folliculitis or miliaria.
• May be induced by topical, inhaled, or systemic steroids, oily topical products, and anabolic steroids.
• Foods neither cause nor exacerbate acne.
• In women with resistant acne, hyperandrogenism should be considered; may be accompanied by hirsutism and irregular menses.
Treatment
• Improvement usually requires 4--6 weeks
• Topical retinoids very effective for comedonal acne but usefulness limited by irritation
• Topical benzoyl peroxide agents
• Topical antibiotics (erythromycin combined with benzoyl peroxide, clindamycin) effective against comedones and mild inflammatory acne
• Oral antibiotics (tetracycline, doxycycline, minocycline) for moderate inflammatory acne; erythromycin is an alternative when tetracyclines contraindicated
• Low-dose oral contraceptives containing a nonandrogenic progestin can be effective in women
• Diluted intralesional corticosteroids effective in reducing highly inflammatory papules and cysts
• Oral isotretinoin useful in some who fail antibiotic therapy; pregnancy prevention and monitoring essential
• Surgical and laser techniques available to treat scarring
Advice:
Don't waste time continuing failing therapies in scarring acne; treat
aggressively if needed to prevent further scars.

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