Acne
Acne is primarily due to the blockage of a pore or oil gland that subsequently becomes inflamed either because of the blockage itself or invasion of skin bacteria. While prominent in the teenage years due to hormonal changes, acne is also seen in all ages as a result of stress or application of acne-forming compounds.
The treatment of acne centers on preventing pore occlusion and reduction of inflammation. Basic acne-fighting ingredients include salicylic acid and glycolic acid to reduce pore occlusion, and benzoyl peroxide to decrease inflammation. Additional acne prevention can be obtained with retinoids and topical/oral antibiotics. Treatment should begin with a basic or advanced skin care regimen. In addition, your physician may prescribe several of the following prescription treatments:
Tretinoin / Retin-A® / Retin-A Micro®
* place a pea-sized amount on the tip of your finger, dab small areas on your entire face, and then rub the medication in
* this medication should be applied every other night for one to two weeks; if tolerated without dryness, cracking, or irritation, then you may apply this medication every night
* if your skin becomes red, dry, scaly, or irritated, then take a day or two off in between applications
* this medication will be deactivated by sunlight, thus it is primarily applied at night
Tazorac®
* place a pea-sized amount on the tip of your finger, dab small areas on your entire face, and then rub the medication in
* this medication should be applied for 5 minutes and then washed off every other night for the first week; then, 10 minutes every other night for the second week, 20 minutes every other night for the third week, 1 hour every other night for the fourth week, then all night every other night for the fifth week, then all night every night
* if your skin becomes red, dry, scaly, or irritated, then take a day or two off in between applications
* this medication is not made to use twice a day since it is quite irritating
Differin®
* dab small areas on your entire face, and then rub the medication in
* this medication may be used every night, and even twice a day as directed by your physician
* this medication is not deactivated by sunlight
Benzaclin® / Duac®
* apply a thin layer to the affected area once to twice a day as directed by your physician
Evoclin® / Clindamycin topical
* apply a thin layer to the affected area once to twice a day as directed by your physician
Tetracycline / Minocycline / Doxycycline
* Tetracycline should be taken one half-hour prior to a meal or two hours after a meal; this medication should be taken with plenty of water; it may be taken once to twice a day as directed by your physician
* Minocycline may be taken with or without food; if taken without food, take with plenty of water; it may be taken once to twice a day as directed by your physician
* Doxycycline may be taken with or without food; if taken without food, take with plenty of water; it may be taken once to twice a day as directed by your physician
Benzoyl Peroxide Cleanser / Wash
* if a cleanser, apply in the shower for 1-2 minutes and then wash off
* if a facial
wash, apply to affected area for 30 seconds and then wash off with copious
amounts of water
Don Mehrabi MD, FAAD
Dermatologist, Certified by the American Board of Dermatology
Los Angeles, California
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© Physician's Skincare Group, LLC. 2006. All Rights Reserved. This material may not be reproduced, published, or distributed in any form without express written consent of DermZone.com. DermZone.com does not assume any financial, legal, or medical liability for any content on this site. Please review any condition or treatment plan with your physician.