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Thursday, May 23, 2013

Acne treatment

Acne is just annoying. The best advice one can give you, is to go to the dermatologist, isn't it? Yeah, right... Some dermatologists give antibiotics like they are giving candy to a child. Most probably they will start you on a topical cream containing tetracycline/ benzoyl peroxyde/ salycilic acid or similar and some antibiotics. These are said to be wide spectrum antibiotics, meaning that they are effective against a wide variety of bacteria that causes acne and this cure should be effective to most people.  BUT, if it you are resistant to tetracycline, let's say, you are doing this cure for months and getting no results, of course except the side effects of destroying your intestinal flora. Antibiotics are not easy to deal with. You should take them with caution and you should not forget to take probiotics immediately afterwards. 

That's why my advice is not to go to any dermatologist,  but to find a GOOD dermatologist that is responsible. A good dermatologist, versus a dermatologist that is just interested in your pocket, will first ask for your bacteriogram,  which in other words means that they are going to find out to what kind of antibiotics you are sensitive, semi-sensitive and resistant to. This test is very easy to do and not painful at all. It takes just 5 minutes, but it helps a ton, because, after that, the doctor can give you a narrow spectrum antibiotic, that you are actually sensitive to. So, bacteriogram is very important. 

Another important advice that I will give you is that you must take your prescription antibiotics at the same time everyday. Not an hour early or half hour late..Not even 5 minutes late. Just set up your alarm clock or something, because if  you do not take them at the same time everyday the antibiotic's blood level changes and that gives the bacteria the possibility to defend itself, so you became resistant to that kind of antibiotic, which is in your disfavor... 

Again, in combination with antibiotics the dermatologist can give you a cream that contains retinoic acid. These kind of creams are generally very effective, but they are very strong in side effects, too. They peel your skin, make it dry and red, but that's the desired effect from them. If you are using these kind of cream ALWAYS use a cream with a high sunscreen protection factor. 

If your acne is hormonal then the doctor may prescribe to you an oral contraceptive pill that helps in most cases to clear acne with women. Just be cautious if you have cancer history in your family with these kind of pills. Just talk to your doctor and mention that. To find out if your acne is hormonal or not, you will need to get your blood tests done.

If the above methods haven't worked and your acne is coming back again there is always the possibility of Roaccutane (containing isotretionin as the main ingredient). Oh, the famous Roacuttane... 

It does clear up acne and it does have some pretty difficult side effects. If you are thinking of getting pregnant in the next 6 months, you must forget this medicine. Also during the treatment you have to do your blood tests to check the cholesterol levels, because Roaccutane is pretty damaging to your liver. It is said to have also psychological side effects such as depression, anxiety and similar. The most general side effects of this medicine, that in reality is just vitamin A in an excess amount (that's why you should be careful not to eat food containing vitamin A if you are having Roaccutane) are dryness of the skin, lips and mouth, you will have difficulties to see in the dark, your hair will become dry and so on. You will need to moisturize and often... 

This cure is in cycles of 6 months. If you get results from the first cycle yay to you, but if you don't you will have to continue as long as your dermatologist will say. Just don't give up and be patient. I have seen amazing results with Roaccutane. People with severe cystic acne and acne scarring have achieved a baby soft and clear skin. 

The problem with most acne regimes is that they need their time to show results. People tend to get impatient and change the regime before they see the effects. You need to be persistent and not to care a lot about it. Most of people have had acne or will have, at a point in their life, so just relax... It is not the end of the world and it does have some pretty effective acne treatments. 

If your acne is mild you can get use out of the over the counter creams. Just remember that creams containing salycilic acid do enter inside the pore and help to clean it out, so if you want to unblock your pores, clean your blackheads and ease the inflammation get these kind of creams.

If you want a good peeling cream that will help to boost your skin radiance and have anti wrinkle effect get creams containing glycolic acid.

Gosh, this post is getting really long. But I shouldn't forget to mention the OTC creams containing benzoyl peroxyde. Just start from 2,5% and then you can test 5-10%. 

Benzoyl Peroxide kills the bacterium that causes acne by inducing oxygen to the affected area, because the bacterium that causes acne (P. Acnes) is an anaerobe one, meaning it can live only where there is no oxygen. It works as a peeling agent, thus increasing the skin's turnover and clearing pores. It does dry out the skin, a lot... depending on its percentage, that's why you should use a good moisturizer along with it. Some people say they have had good effects combined with jojoba oil. Dermatologists on the other hand say you shouldn't use oils on your face if you have acne prone skin. So give or take... Clean with a mild soap to not irritate your skin and never forget the SPF cream!!!

That's my two cents for today, too. :) I hope I was of any help. Do not neglect a GOOD dermatologist if you have acne problems. It is worth it. 

Stay well!

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