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Doctor insights on: Alternative Treatments For Propionibacterium Acnes

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Dr. Ed Friedlander
2,095 doctors shared insights

Acne (Definition)

Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics ...Read more


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Can you suggest any alternative acne treatment for people who cannot use benzoyl peroxide or salicylic acid?

Can you suggest any alternative acne treatment for people who cannot use benzoyl peroxide or salicylic acid?

Retin A, (tretinoin)ANTIBIOTICS;: Those patients who can not use benzyl peroxide or salicylic acid, can be treated with retin a (tretinoin) cream and topical antibiotics like Erythromycin or clindamycine. Other alternative therapies which may be effective are manuka honey te tree oil brewers yeast bittersweet night shade some of these have been approved in europe.But discuss with your doctor or dermatologist what is best for you. ...Read more

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Can I use adapalene and benzoyl peroxide gel alternatively for acne treatment? Like adapalene before bed time and benzoyl peroxide in morning?

YES: This is a good combination treatment. The two medications work in different ways and therefore help each other out. The Adapalene can make you more sensitive to the sun. Be careful in the sun. The benzoyl peroxide can be drying especially in the winter, so a mild moisturizer such as aveeno (oatmeal). You are on minocycline. It can cause grayish pigmentation of the skin/ gums. Not reversible. Rare. ...Read more

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Best treatment for acne?

Best treatment for acne?

Scientific Rx: If topical benzoyl peroxide hasn't worked in two weeks, get with your physician. Home remedies are only an adjucnt. Acne is a serious, chronic, non-lifestyle-related disease that cannot be cured, will remit in time, and can be managed. Topical Clindamycin often clears milder cases; acne on the trunk tends to require systemic rx. ...Read more

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Treatment for post-acne marks?

Treatment for post-acne marks?

Depends: Depends on the marks red spots. These come from acne inflammation and resolve over a few months. No treatment needed brown spots. Also come from inflammation, but in this case the inflammation leads to hyper pigmentation. This resolves on its own, but there are topical meds that help. Pitted scars. This needs laser treatment, surgery, or chemical peels to treat. ...Read more

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What's a good treatment for acne?

What's a good treatment for acne?

Rx: I start folks on topical clindamycin, plus benzoyl peroxide if there aren't a lot of blackheads or a retinoid acid derivative if there are. A woman who can take and wants the oral contraceptive pill will often be cleared by it. If this isn't sufficient (patient's opinion), the right systemic antibiotic usually works; the dermatologists have the big guns. ...Read more

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What are some treatments for acne?

What are some treatments for acne?

Scientific Rx: The best over-the-counter treatment is topical benzoyl peroxide 5% 2x/day as tolerated. Tea tree oil is the most effective of the "herbal" remedies as it is an estrogen. If benzoyl peroxide does not clear you in two weeks, your physician can guide you among topical retinoic acid derivatives, topical clindamycin, topical spironolactone, systemic antibiotics, "the pill" and isotretinoin. ...Read more

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Whats the good treatment for acne?

Whats the good treatment for acne?

Several options help: For treatment of acne, over-the-counter benzoyl peroxide gel/cream is quite helpful. If desired, a doctor can add an antibiotic gel/cream such as Cleocin (clindamycin) gel. If more help is needed, prescription retinoids such as Retin-A or Differin gel can be used instead of benzoyl peroxide. Oral antibiotics such as tetracycline can be used also. If acne is quite severe, a dermatologist can help. ...Read more

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What is a good treatment for acne?

What is a good treatment for acne?

Real science: Start with benzoyl peroxide otc if you can tolerate it. Rx topical Clindamycin with or without a retinoic acid derivative is next. Your physician may move to the oral contraceptive pill if you are a woman and can take it, or the right oral antibiotic (macrolide, tetracycline). Dermatologists have the big guns. Good luck. ...Read more