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Acne / Birth Control Pill

For some female patients, treatment-resistant acne is caused by excessive production of hormones called androgens. With extra androgens in your system, your oil-producing glands go into high gear ­— and so does your acne. Several clues can help your doctor identify acne that may be influenced by hormones: acne that appears in adults for the first time; acne flare-ups preceding the menstrual cycle; irregular menstrual cycles; hirsutism (excessive growth of hair or hair in unusual places); and elevated levels of certain androgens in the blood stream.

Adult women and teenage girls whose acne has resisted treatment with antibiotics or topical retinoids may be candidates for hormonal therapy. Once a patient’s acne is identified as hormonally influenced, the doctor will be able to prescribe a number of different therapies, or perhaps a combination of several different drugs; “combination therapy” is often the best approach to this kind of acne. Following are a few common components of therapy for hormonal acne, but remember to consult your doctor before using any of the remedies listed here.

Acne / Birth Control Pill – Oral contraceptives. Birth-control pills (a combination of estrogen and progestin taken orally) are often prescribed for hormonal acne. Low doses of estrogen help suppress the androgens produced by the ovaries, and the newer progestin agents, including desogestrel and norgestimate, are less androgenic than those found in older formulations. While only Ortho Tri-Cyclen and Estro-Step are currently approved by the FDA for this indication, experts agree that low-dose contraceptives improve acne regardless of which formula is used. Consult your gynecologist to find the formula that’s right for you. While side effects are uncommon, some women may experience brownish blotches, or melasma (hyperpigmentation) on the skin. These can be treated with topical bleaching agents.

Acne / Birth Control Pill – Anti-androgens. In combination with oral contraceptives, doctors also may prescribe an anti-androgen ; these drugs inhibit androgen production in the ovaries and adrenal glands and help prevent existing androgens from causing excessive oil production. Spironolactone, a high blood pressure medicine with anti-androgenic properties, has proven quite effective in the treatment of acne. Side effects may include breast tenderness, menstrual irregularities (in women not using oral contraceptives), headache and fatigue; since it’s also a diuretic, you may experience frequent urination as well.

NOTE: Spiranolactone is tetrogenic and can cause feminization of a male fetus. If you are sexually active and not taking “the pill,” it’s imperative that you use another form of birth control.

Acne / Birth Control Pill – Corticosteroids. Small doses of corticosteroids, like prednisone or dexamethasone, may curb inflammation and suppress the androgens produced by the adrenal glands. Keep in mind that in some acne sufferers, corticosteroids may actually aggravate acne; they’re most effective when used in combination with oral contraceptives.

In conclusion, if you think your acne is hormonally induced, see your doctor right away. While this kind of acne requires a different course of treatment, it is highly treatable. More about your hormones.

For patients who suffer from moderate to severe acne, doctors may prescribe a combination of topical remedies and oral antibiotics. The most common oral medications used to treat acne are tetracycline, minocycline, doxycycline and erythromycin.

Antibiotics for Acne – HOW THEY WORK

Like Benzoyl Peroxide, antibiotics control breakouts by curbing the body’s production of
P. acnes, the bacteria that causes acne, and decreasing inflammation. This process may take several weeks or months, so be patient. And remember, you’re not “cured” just because your breakouts have subsided. That’s the medicine doing its job — so if you stop taking it, your acne will probably come back. Likewise, doubling up on your medication won’t make your skin clear up twice as fast. Using your topical antibiotics more frequently than prescribed may actually induce greater follicular irritation and plugging, which slows clearing time. And taking your oral medications more often than prescribed won’t help your skin clear faster — but it will increase your chance of experiencing unpleasant side effects.

Antibiotics for Acne – WHERE TO GET THEM

If you have moderate to severe acne, consult your dermatologist; he or she will discuss your options and help you make the best choice. Once you’ve begun treatment, give it time to start working. Keep your doctor apprised of your progress, so he or she can make changes to the course of treatment if necessary. And again, don’t stop using your medication when your skin clears — let your doctor make that call.

Antibiotics for Acne – COMMON SIDE EFFECTS

With most of the antibiotics used to treat acne, side effects may include photosensitivity (higher risk of sunburn), upset stomach, dizziness or lightheadedness, hives, lupus-like symptoms and skin discoloration. Some women report a higher incidence of vaginal yeast infection while taking antibiotics; these can usually be treated with over-the-counter antifungal medication or a prescription antifungal, such as diflucan. Tetracycline is not given to pregnant women or children under 12 years of age because it can discolor developing teeth. Lastly (and least common), because doxycycline is also the treatment of choice for Lyme disease, there is the theoretical possibility that a patient who takes this medication for a long period of time would build a resistance, and therefore be unable to fight Lyme.

Acne grows in stages. If we allow acne to grow up to the third stage, it may burst and also leave permanent scars. To understand how acne may be stopped to grow up to second or third stage, it is important to know more about the later stages of acne.

Blackheads and whiteheads are first stages of acne. In the later stages they break out as papule, pustule, nodule and cyst. Let us find out more about them.

What is a papule – a papule is a slightly elevated lesion that is solid. Papules are generally less than 5 mm in diameter.

What is a pustule- pustules are filled with pus that contains dead skin cells, white blood cells and bacteria. Pustules are fragile and can easily break. Pustules are dome shaped and contain a hair in the center when they form over a sebaceous hair follicle. Pustules can progress to cyst.

What is a Nodule- a nodule is an inflamed lesion that extends to deeper layers of skin. A nodule looks like a papule and is dome shaped like a papule. Nodules can cause scarring as they damage the inner tissues of the skin.

What is a cyst- a cyst is severe form of acne that is filled with bacteria, white blood cells and dead skin. Cysts can be very painful and extend inside the skin damaging the skin tissue. Any acne that damages the skin tissue deep inside can form scars.

For the above forms of acne, it is always better that you consult a dermatologist and get treated not only to cure the acne quickly but also stop scarring as much as possible. Please remember that acne may get healed but scars always remain for the lifetime. It is better to get cured at an early stage to prevent inflammation and stop scarring.

This article is only for informative purposes. This article is not intended to be a medical advise and it is not a substitute for professional medical advice. Please consult your doctor for your medical concerns. Please follow any tip given in this article only after consulting your doctor. The author is not liable for any outcome or damage resulting from information obtained from this article.

Here are arguably the top nine acne treatments …

Most people want to get rid of acne forever, and never be bothered with zits and blackheads again. The problem can be embarrassing and hard to control, especially among teenagers, who almost always suffer from some sort of acne. Acne is a part of adolescence and cannot be gotten rid of entirely, but it can be controlled and the effects lessened.

Here are the top nine acne treatments :

1. First, while the old myth that fried foods and chocolate has been disproved, eating right and having good nutrition helps the body and strengthens the immune system, so proper diet is still recommended. Eating whole grains, vegetables, lean meats, fruits and only limited dairy products can help. Also made sure that you are getting enough vitamins and minerals in your diet. It might be necessary take a good quality vitamin supplement. Along with a healthy diet, getting plenty of exercise will go a long way to good health in general and a healthy immune system. Moderate amounts of exercise three times a week will improve health. Avoiding smoking, alcohol and dangerous drugs is a given.

2. Next, it is important to practice proper hygiene. There is an old myth that says acne comes from bad hygiene, and that is not true, but acne will certainly take advantage of chances to grow. One of the causes of acne is a bacterium on and under the skin. Moderate washing will help. Also exfoliating with a mild over the counter exfoliate helps many people.

3. Next, take a look at the topical antibiotics and antibacterial agents available in many of the over the counter medications and washes sold to help acne. The good ones may contain Benzoyl peroxide, the most common acne treatment available without a doctor’s prescription. It kills the bacteria and the pimples do not develop a resistance to the medication. For this reason Benzoyl peroxide will not loose its effectiveness in fighting and killing bacteria. If using it, begin with a low concentration and work up. Be sure when you buy it that it is non-comedogenic, which means that the medication will not clog the pores. If you are into natural remedies, tea tree oil is a popular natural remedy that works the same way Benzoyl peroxide works, but is less irritating to the skin.

4. Another over the counter acne remedy that works and is popular is salicylic acid. Salicylic acid unplugs the pores and helps to get rid of dead skin cells, which attract bacteria and make acne worse. There are many good over the counter remedies available that contain salicylic acid and it is good to use it in conjunction with Benzoyl peroxide. The two make a good two-fisted team.

5. Sulfur works in many ways like Benzoyl peroxide. It is not as widely used, however, it is believed to be not quite as effective. However, if for some reason you cannot use tea tree oil or Benzoyl peroxide, the by all means give sulfur a try.

6. Glycolic acid is another ingredient that works. It gets rid of dead skin and it stimulates the production of new cells, which many believe will help unclog pores.

7. Light therapy and acupuncture are two natural remedies that have their fans. Acupuncture also usually involves changing diet and lifestyle and according to the practitioners who use it can cure the root causes of acne. Light therapy is expensive, but for many very helpful. It involves treatments of light in wavelength that many believe kills bacteria, and if it doesn’t work, at least does no harm because light at the wavelength used is not harmful to skin.

8. If the above remedies are not making a visible difference, visiting a doctor can result in prescriptions for antibiotics that are known to be effective. Erythromycin, Benzaclin, Duac, benzamycn, Sodium Sulfacetamide, and aazelic acid cream all work for many people. Tetracycline and the related cycline drugs also kill the bacteria when taken orally and help many.

9. Still the best cure for acne is simply age. Most people outgrow acne when they get through puberty and get into their early twenties. For some it sticks around a little longer, but with adulthood it usually goes away. But the good nutrition and hygiene habits you gain in fighting acne will stay with you and benefit you for a lifetime.

Of course, it is always best to see your family doctor to get their opinion. If necessary, they’ll refer you to a Dermatologist who will be able to help you.

If you scour the shelves of a pharmacy or drug store, you’ll most likely find numerous brands of over-the-counter treatment for acne more than you can count with your fingers. among other skin infections,There are likely to be ingredients common to said treatments for skin infections, though none are exactly the same. If the problem is something that your typical medication can handle, it is probably best you consult a skin care professional.

In most cases, these readily available measures achieve the simple goal of alleviating your acne problem without causing any discomfort. Of course, given individual reactions to the chemicals in the skin treatments, that may not always be the case. Prescription medication, which is typically more potent, may also cause the same unwanted side-effects as those that come from over-the-counter products.

Various factors influence the effectiveness of an over-the-counter or prescription acne treatment product. You might be inclined to wonder which of the two would be the best acne medication, with minimal possible side effects. Well, the answer to this is that all medications can potentially cause side effects. Every person’s skin will react differently to different drugs or medications.

Let’s take a look at this whole thing objectively, shall we? Or at least, with as much objectivity a single person can have. Hopefully, if we do that we can find the best acne medication, or at least something close to it. In theory, there may be no such thing as a “best” medication, as individual skin chemistry can easily get in the way.

First off, over-the-counter medication for your average range of skin infections, let alone acne, is nowhere near as potent as your typical prescription treatment. This may stem from either the differences in the basic chemical composition or how concentrated the key ingredients of the treatments are. A prescription acne treatment may clear up the problem faster, but the potency of the chemicals can cause side effects more readily than the over-the-counter variants. That means that your life can get back to normal a lot faster, seeing as how you’ve got one less thing to worry about.

However, despite being “less effective” (and that’s something that’s just this side of being arguable), over-the-counter stuff is significantly cheaper. Unless you’ve somehow gotten a case of monumentally bad acne, you should go and try an over-the-counter treatment first. They may not be as potent, but they very often can do the job on their own. If they’re not helping, you shouldn’t hesitate to seek professional help. Medical insurance may or many not entirely cover your costs, as this sort of thing is something that varies depending on the details of your coverage.

The lower potency of the drugs can also be a boon rather than a bane, for some people. You see, every once in a while, the combination of skin, acne, and other factors is going to produce a person with very sensitive skin. The kind of skin that turns red and swells to the size of a grapefruit at the slightest touch of benzoyl peroxide, or something similar. However, lower chemical potency means that you’re also less likely to run into a nasty side effect.

There’s also the matter of convenience to be considered here. An over-the-counter product is obviously easier to get your hands on. Go to a drug store, find medication for acne that you like or think would work, and pay for it at the counter. Simple, clean, and there’s not a whole lot of time involved. In contrast, if you need to get one that’s prescription-required, that involves the time to set up the appointment, the consultation, and all that other good stuff.

There’s also the matter of an individual’s skin. Your skin is unique and how it might react to something is different from how someone else’s skin might react. Your skin may be tougher than most, or it can be easier to scar than most. Medications are set to a specific formula when they’re made.

Finally, you may want to keep in mind not to mix and match your treatments. Drug interaction is a leading cause of side effects, aside from poor interaction with the patient’s skin. Skin infections like acne can be made worse if you mix two treatments together, such as benzoyl peroxide and salicylic acid. The warning about drug interaction holds true even when you mix together over-the-counter medication and prescription ones, even if the two have ingredients in common.

Treating acne depends on the type and severity of your acne. Treatment also depends on how dry or oily your skin is, if you are male or female, if you are taking any medications, if you are pregnant or might be soon. These various factors affect your treatment options and can make any one size fits all acne treatment method ineffective.

Lucky their are numerous acne treatment options, so while you might not find one that works the first time, do not give up just try another. Do to the numerous acne treatments available today doctors can control most acne outbreaks; with greater success the earlier treatments are started. Hopping your acne will go away will not work, your local pharmacy is filled with many over the counter medications you can try, or visit your doctor who can prescribe more powerful treatments if needed.

The most popular way to treat mild to moderate acne is by using a topical treatment. These treatments can be in the form of a gel, cream, lotion or on a pad. They are applied to the surface of your skin, hence the name topical. The two main over the counter topic treatments are Salicylic acid and Benzoyl peroxide. Prescription Salicylic acid and Benzoyl peroxide are also available in stronger doses if required. Doctors my also prescribe ointments containing sulfur, tetracycline, erythromycin or a retinoid. Many times you will need to use a combination of the above treatments for best results.

Salicylic acid and retinoids are used to treat the clogged hair follicles that are causing the acne lesions. They penetrate the pores and help the dead skin cells dissolve. Benzoyl peroxide, sulfur, tetracycline and erythromycin are antibacterial ointments used to treat the inflammation and kill the bacteria in the blocked follicles.

For people with moderate to server acne, in addition to topical treatments they my also require some type of oral medication to treat their acne. The three types of oral medications are antibiotics, hormones, and isotretinoins. All three require a prescription.

Tetracycline, erythromycin, clindamycin, and doxycycline are the most common prescribed antibiotics. They work by being absorbed through the digestive system, then into the blood, and then into the hair follicles where they kill bacteria and reduce inflammation. This option would be used when topical antibiotic treatments were unsuccessful.

Hormones are an option available to treat teenage girls and women with acne. They are usually taken in the form of a birth control pill. They work by increasing the level of female hormones in the bloodstream. This helps reduce the production of androgen, which will then reduce the production of sebum.

For severe acne, isotretinoin is often used. It is a powerful drug that treats acne by stopping all of the changes in the skin that causes acne. It kills bacteria, reduces sebum production, and slows the growth of skin cells.

All of the above acne treatment options should be reviewed carefully prior to use. As with any type of medication they all present some type of risk or side effect. For the over the counter treatments read the product labels and warnings to see if the product is right for you. For prescription acne treatments discuss with your doctor all of the potential sides effects you may experience.

Treatment on Acne

It’s important to know that there is no true cure for acne. If untreated, it can last for many years, although acne usually clears up as you get older. The following treatments, however, generally can keep acne under control.

1. Use topical benzoyl peroxide lotion or gel
Benzoyl peroxide helps kill skin bacteria, unplug the oil ducts and heal acne pimples. It is the most effective acne treatment you can get without a doctor’s prescription. Many brands are available in different levels of strength (2.5 percent, 5 percent or 10 percent). Read the labels or ask your pediatrician or pharmacist about it.

* Start slowly with a 2.5 percent or 5 percent lotion or gel once a day. After a week, increase use to twice a day (morning and night) if your skin isn’t too red or isn’t peeling.
* Apply a thin film to the entire area where pimples may occur. Don’t just dab it on current blemishes. Avoid the delicate skin around the eyes, mouth and corner of the nose.
* If your acne isn’t better after four to six weeks, you may increase to a 10 percent strength lotion or gel. Start with one application each day and increase to two daily applications if your skin tolerates it.

2. If you don’t see results, consult your pediatrician
Your doctor can prescribe stronger treatments, if needed, and will teach you how to use them properly. Three kinds of medications may be recommended:

* TRETINOIN (RETIN-A) CREAM OR GEL helps unplug oil ducts but must be used exactly as directed. Be aware that exposure to the sun (or tanning parlors) can cause increased redness in some people who are using the medication.

* TOPICAL ANTIBIOTIC SOLUTIONS may be used in addition to other medications for a type of acne called pustular acne.

* ORAL ANTIBIOTIC PILLS may be used in addition to creams, lotions or gels if your acne doesn’t respond to topical treatments alone.

3. What about the “miracle drug” Accutane?
Isotretinoin (Accutane) is a very strong chemical taken in pill form. It is used only for severe cystic acne that hasn’t responded to any other treatment. Accutane must NEVER be taken just before or during pregnancy. There is a danger of severe or even fatal deformities to unborn babies whose mothers have taken Accutane while pregnant or who become pregnant soon after taking Accutane. You should never have unprotected sexual intercourse while taking Accutane. Patients who take Accutane must be carefully supervised by a doctor knowledgeable about its usage, such as a pediatric dermatologist or other expert on treating acne. Your pediatrician may require a negative pregnancy test and a signed consent form before prescribing Accutane to females.

If you are experiencing acne problems, remember that your pediatrician can help you. And as you begin treatment, keep these helpful tips in mind:

* Be patient. It takes three to six weeks to see any improvement. Give each treatment enough time to work.

* Be faithful. Follow your program every day. Don’t stop and start each time your skin changes. Remember, sometimes your skin may appear to worsen early in the program before you begin to see improvement.

* Follow directions. Not using the treatment as directed is the most common reason the treatment fails.

* Don’t use medication prescribed for someone else. This holds true for all medications, especially Accutane. Doctors prescribe medication specifically for particular patients. What’s good for a friend may be harmful for you. Never take Accutane that’s prescribed for another person.

* Don’t overdo it. Too much scrubbing makes skin worse. Too much benzoyl peroxide or Retin-A cream makes your face red and scaly. Too much oral antibiotic may cause side effects.