Many doctors seem tempted to use as many as five or six treatments. Most
acne can be treated effectively with two drugs, or at most three, at any one
time. Failure to respond to a regimen within four to eight weeks should
prompt a substantial change in drugs, not merely the addition of another
product.
Tretinoin, isotretinoin, adapalene, and tazarotene are topical retinoids which, if
applied daily, inhibit formation of comedones and usually clear even severe
comedonal Cystic Acne within a few months. The only major drawback is irritation,
which is greatest after a few weeks, but the irritation usually requires no
more than simple moisturising. Azelaic acid is a dicarboxylic acid with
modest antibacterial and comedolytic effects. It is the least irritating
preparation. The side effects: in dark skinned patients, inflammation
results in hyperpigmentation, which could otherwise remain for weeks or
months.
Usually, two drugs are prescribed an antibacterial and a comedolytic.
Benzoyl peroxide 2.5-10% is extremely effective against this type of acnes.
Its major disadvantage is irritation, which can be minimised by using lower
concentrations in a cream vehicle. Topical erythromycin and clindamycin are
available as alcoholic solutions, lotions, creams, and gels, all of which
are about equally effective. A combination of clindamycin and
benzoyl peroxide in gel form is superior to a topical antibiotic alone.
Azelaic acid 20% cream is also an effective alternative. Failure to respond to topical
treatment within four to eight weeks should automatically prompt a change in
treatment. Other options for resistant P acnes include oral antibiotics and
isotretinoin.
Wash the skin
Avoid oily substances
Shampoo the hair daily
Don`t "pop" pimples
Exercise regularly
Don't stop the acne medicine
Cystic Acne
Cystic Acne Information
Cystic Acne Treatments
Cystic Acne Accutane
Cure Cystic Acne
Cystic Acne Experiences
Cystic Acne Disclaimer
Cystic Acne Links
Contact Cystic Acne