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Posts Tagged ‘severe acne’

Severe Acne Treatment – Dont Worry Follow Regimen

06 Dec

Author: Ryan Englishbr
Source: articlerich.combr
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Severe acne is characterized by inflammation, formation of cysts, excessive damage to skin and deep scarring. Severe acne requires aggressive acne treatment which needs to taken up under the watchful eyes of dermatologists. Various severe acne treatments which are available today are as follows:

Drainage and surgical excision

Interlesional corticosteroid injection

Isotretinoin

Oral antibiotics

Drainage and surgical excision:

Some cysts are so large and widespread that they do not respond to medication. These have to be physically drained and excised under the watchful eyes of dermatologist. Care should be taken and no attempt is to be made to personally excise them in front of bathroom mirrors. The instruments employed should be properly sterilized. It has been observed in many a cases that patients attempt to cut and puncture these cysts have led to many a problems and in fact have made the condition worse. To drain and surgically excise these cysts, special comedones are used by surgeons.

Interlesional corticosteroid injection

Some of the cysts may become so large that their bursting might create loss of skin tissues and deep scarring. To avoid such situation these cysts are injected with corticosteroid injection which helps is reducing the inflammation and proper healing. After injecting the inflammation subsides and healing start taking place within 3-5 days.

Isotretinoin

It is the most effective treatment for severe acne which has defied all other medications. It is a man made retinoid which comes if form of a pill. Beauty of this pill is that it tries to attack all four factors which are responsible for acne, namely, excess oil production by glands, presence of P. acnes bacteria, clogged pores and inflammation. The course depends upon the severity but normally one or two course of 16-20 weeks is sufficient to address the problem. Although the pill is quite effective in tackling the root problem but it can have many side effects like severe joint pains, nausea, vomiting, thinning of hairs etc. this medication is complete taboo for pregnant women. Because of such strong side effects this medication is administered only in extreme cases.

Oral antibiotics

This is the most popular severe acne treatment available. The treatment works to attack P. acnes bacteria. The treatment begins with stronger than normal dosage and as the results starts showing up, the dosages can be reduced. The popular antibiotics which are being used today are doxycline, erythromycin and tetracycline.

Oral contraceptive

This is one of the very unusual methods of treating acne. It has been observed that contraceptive pills tend to rein in hyper active sebaceous glands. Oral contraceptives can be used as a long term therapy but it should not be used for women who are over 35 years of age. In addition, before its use women has to seek opinion of gynecologists against the likely side effects.br
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Acne Treatment With Oral Antibiotics

28 Oct

Author: Alvin Poh Hee Kwang
Source: articleage.com

Oral antibiotics work by removing the p.acne bacteria and decreasing inflammation. However there is a big challenge today in using modern antibiotic – that is, over-prescription of antibiotic. The result is a growing resistance to these drugs which means that diseases that once could have been wiped out with a course of antibiotics may now have dire potential.
We are not suggesting not to use antibiotics. In fact, they should be used as long as they are prescribed for the right reason. For example, antibiotic should be used on patients with moderate to severe acne. Two of antibiotic that we feel are safe and effective are doxycycline and minocycline. They are easily absorbed form of tetracycline which has been used for decades to reduce acne inflammation. Tetracycline has very few side effects however there is an emerging resistance to this drug.
Another effective antibiotic for patient with moderate to severe acne is erythromyclin. Unfortunately it has been overly prescribed which resulted in 50 percent of the people are resistance to it. Still erythromycin and eteracycline are very useful because of their anti-inflammatory potential.
Other oral antibiotics include sulfa drugs such as Bactrim and Septra. They are effective orally but can cause worrisome reactions such as skin allergies and bone marrow suppression.
Clindamycin taken orally has been use for over forty years and is a second-line antibiotic, prescribed when the tetracyclines or erythromycin medications fail. The most significant, though rare adverse reaction associated with clindamycin is pseudomembranous colitis, which is a bloody diarrhea that required treatment by a gastroenterologist.
When prescribing antibiotics to patient, it is important that the dermatologist set a timetable to its use. The average course of antibiotic treatment is about one to six months.
After the end of the course, the dermatologist should schedule an appointment with the patient to assess the acne condition. If the condition improves and there is no side effect, the treatment is to be continued until the skin is clear. Usually topical medication is to be used concurrently and some time
Differin or Retin-A is prescribed to aid in further improvement or addresses other problem such as post-inflammatory pigmentation.
A second appointment is to be arranged with the patient after six to either weeks into the treatment. If the acne condition improves, then the dermatologist is likely to lower to stop the oral antibiotic dose and just continue with the topical treatment.
There is no miracle antibiotic cure for acne. Just like you don’t get acne over night, neither will it goes away over night. Sometime if the condition does not improve with the use of one type of antibiotic, another type may have to be prescribed.
For female patients, they can use birth control pills and spironolactone (Aldactone) for acne treatment. However if the condition does not improve and the acne is severe enough and likely to create scar, then the dermatologist may even issue Accutane as the next remedies. In our opinion, it is better to have five months of Accutane treatment than months or years on antibiotic that does not help in solving the acne problem.
Alvin Poh shares more ideas and articles like this on the very popular website
“Ask About Acne” at http://www.askaboutacne.com

 
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