ACNE VULGARIS TREATMENT .

                      

In this article, we will discuss the treatment of acne to get rid of acne and acne scars.As in the previous article, we had discussed what is acne, cause.signs and symptoms of acne including risk factors.
                            

Medical treatment.   

Medical treatment of the acne totally depends upon the type of acne you are having

  • Mild acne
  • Mild to moderate acne.
  • acne scars.

Mild acne.  
Black head, white head, and pimples are considered as mild acne, and the treatment of the mild acne includes

  • Salicylic acid. In mild acne apply salicylic acids such as stridex or propa PH.
  • Gently cleanse the affected area with warm water and a mild soap such as cetaphil, dove and acne care face wash.
  • Application of benzoyl peroxide such as traiz or brevoxyl. 
  • Topical retinoids.
  • Topical antibiotics.

                                   

 

Topical retinoids. 

Topical retinoids basically preventing the plugging of hair follicle of dead skin cells.Sebum production is reduced by the use of topical retinoids. Adapalene and tretinoin are mostly used in the acne treatment easily available in the cream and gel form and doctors recommend to use it one or two times a day.

Mostly doctors advised applying this at night because sunlight and UV  excessive exposure should be avoided.

It is contraindicated during pregnancy because it increases the risk of causing the birth defect.

Stinging of skin and mild irritation is some common side effects of topical retinoids.

20 minutes after washing your face apply topical retinoids to all part of the face affected by acne.


Benzoyl peroxide.

It is also available in cream or gel form can be used once or twice times a day.

it should also be applied after twenty minutes of washing your face or affected part with lukewarm water.

it should be used in a limited amount as more amount can be harmful.

Benzoyl peroxide kills the bacteria of the skin that causes the plugged follicles to become infected.

Benzoyl peroxide provides the prevention of dead skin cells that is plugged up by hair follicles.

After application of benzoyl peroxide avoid contact with bed linen, clothes, towel, and hair as it can bleach that stuff.

It makes your face sensitive to sunlight.so excessive exposure to ultra-violet (UV)light and sunlight should be avoided or use sunblock.

 Typical side effects of benzoyl peroxide include.

  1.  Redness
  2. Peeling of skin.
  3. Tensed skin.
  4. Dry skin.
  5. Burning, itching and stinging sensation.

                                               

According to doctors mostly people require six-week treatment course to get rid of all or most of the acne.But it varies person to person depending upon the signs and symptoms and severity of acne.

Antibiotics.

They are available in both orally and topical form.Antibiotics kill the causes of acne or in other words, we can say it kill the germs and bacteria that causes acne.Most of the time antibiotics are recommended for severe acne.

Mild to severe acne.

Severe acne needs to be treated with high dose of medicine or by other technique for example therapy.Cyst and nodules which are considered as deep blemishes can leave a scar. So, in that case, your doctor will prescribe oral antibiotics for the treatment.As we described above antibiotics are available both in topical and oral form.

Topical antibiotics. 

It reduced the inflammation and decreases the number of bacteria.however topical antibiotics are not so much effective in unplugging of blocked pores.
                                                

Antibiotics.

Uses.

It is considered good in treating:
  • Inflamed acne.
  • White and black head.

Side effects.

  • It may cause mild to moderate irritation.
  • The treatment becomes less effective if the topical antibiotic used alone because it increases the risk that the germs will become immune to that specific antibiotic.

Retinoids. 

Retinoids is a drug that is derived from vitamin A and includes adapalene (Differin), tretinoin (Retin A, Avita).It is available both in cream or gel form.Doctors prescribed to apply this medication in evening mostly three times a day in starting then apply daily because your skin becomes to use it.It prevents plugging of hair follicles.

Azelaic acid. 

It is basically an alternative that also works to unplug the blocked pores.It is quite effective for the treatment of white and black head just like retinoids.It is also effective in the treatment of inflamed acne but not more than benzyl peroxide.

Oral antibiotics. 

To reduced bacteria and inflammation oral antibiotics is needed.When your symptoms of acne begin to improve doctor will prescribe to quit or tapering of the medicine usually within four months. oral antibiotics also has some side effects 

  • Dizziness.
  • Stomach issues.
  • Discoloration of teeth.
  • Bone growth reduces in newborn children when the pregnant mother takes tetracycline.
  • Skin become sensitive especially to UV lights.

The antibiotics which we use for the treatment are

  • Tetracycline.
  • Hormonal treatment or combine oral contraceptive.
  • Isotretinion.

Tetracycline.

Tetracycline is the most common medicine that is used to treat acne and it includes deoxycyclin, lymecyclin and oxytetracycline.

Contraindications.

It is contraindicated in.
  • Pregnant females because it affects newborn baby bone growth.
  • After intake of food.food and milk effect the absorption of tetracycline and oxytetracycline so you should take it in empty stomach.
  • children who are below the age of 12.

Hormonal treatment or combine oral contraceptive. 

Women with acne which is suspected to be due to hormonal issues combined contraceptive pill are given to the patient as a medication. Three products are approved by drug and food administration that is the formed by the combination of progestin and estrogen(Estrostep and yaz, Ortho tri-cyclin).
Co-cyprindol is useful in patients when the reason of worse acne is considered to be the sensitivity to the androgen hormones.

Anti-androgen agent.

If oral antibiotics fail to treat acne spironolactone (Aldactone) is given especially to women and adolescent girls.The effect of androgen hormones on sebaceous gland is blocked by spironolactone. 

Side effects.

  • Painful periods.
  • Potassium retention.
  • Breast tenderness.

Isotretinion.

It decreases the amount of sebum (oil) made by sebaceous gland.It clears the acne spot and scars. Isotretinion (Claravis, Amnesteem and Sotret) are the powerful drugs for the treatment of acne whose acne does not give the response to other medicines.

Side effects.

  • Severe birth defects.
  • Raised or increased the risk of depression.
  • Suicide.
  • Ulcerative colitis.
 

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