Doctor insights on:
What Prevents Acne
Meds: Many patients do well with over the counter benzoyl peroxide or salicylic acid preparations. Some patients require topical or oral antibiotics or retinoids as well. If the over the counter meds alone don't control your acne after a month of daily use, see a doctor for additional treatment options. It is important to be persistent, and some patients 'get worse before they get better'. ...Read more
Scientific Rx: Acne is a chronic, non-lifestyle-related, non-hygiene-related, recurrent, serious disease that eventually self-cures. Until then, if you think you are prone to an outbreak, use a salicylic-acid based wash or topical benzoyl peroxide as tolerated. Ignore "pop" ideas and advice. ...Read more
Different options: For over the counter methods try using products that have benzoyl peroxide, salicylic acid, alcohol, and acetone. For prescription treatments you may be prescribed antibiotics, retinoids or vitamin a derivatives, azelaic acid, oral contraceptives, or spironolactone. Always ask a dermatologist about the possible affects and the risks vs benefits of each treatment. Make sure it's best for you. ...Read more
No: Despite anecdotes and ads, no "holistic" remedy helps much. I start with topical Clindamycin with or without a retinoic acid derivative. If needed after a few weeks, consider adding an oral antibiotic such as Erythromycin or tetracycline / Minocycline as suitable for the individual. Dermatologists have the big guns -- accutane, lasers. Freedom from acne should be a person's right. Good luck. ...Read more
Scientific Rx: Benzoyl peroxide for starters. If not sufficient, topical Clindamycin and/or a topical retinoic acid derivative the latter especially if there are a lot of blackheads. Next step for a lady is the oral contraceptive pill if it is right for her. Then a systemic antibiotic right for the person. The big guns is accutae, not pleasant cheap or without risks but hugely effective and very much worth it. ...Read more
Maintenance: Scientific treatment can keep acne at bay quite well. Your personal physician can manage this; one regimen is a mild topical rx plus a low dose of a systemic antibiotic such as tetracycline. Remember that acne is not a lifestyle or hygiene problem. Good health measures such as a cheap vitamin-and-mineral supplement may be of some help. ...Read more
Not preventable: It's manageable. You'll need both a topical agent such as benozyl peroxide or retinoic acid, and prescription-strength meds, probably oral, such as oral tetracycline, spironolactone, or the oral contraceptive pill. Acne is a major liability unrelated to lifestyle, diet, or anything else under your control. As an adult, you'll need to work with your physician to clear it up. Best wishes ...Read more
Individual program: Acne is very complex and treatment highly variable. Important to find a good dermatologist who's willing to work with you to understand what works best on your particular skin. There is no one method that works on everyone. There's a lot of trial and error involved. Also your skin changes thru out your life which will then require different treatments. ...Read more
OTCs help some: The best you can do with over the counter products is a cleanser with 3% salicylic acid or 10% benzoyl peroxide. Of find both and alternate days. Acne is difficult to treat...Get help from a doc with experience and be patient. You may need a lot more than cleansers to fix acne. Combination treatments including bcp, antibiotics, diet, etc may all be required. Severe cases need more. Good luck! ...Read more
Low Glycemic Index: There is some evidence that foods with a high glycemic index (foods that cause one's blood sugar to spike quickly) have a harmful effect on promoting acne. Therefore, choosing low glycemic index foods may be helpful in treating/preventing acne. Also, using organic dairy products may also help as they do not contain the many hormones used to make cows produce more milk. ...Read more
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