There are many products offered for the treatment of acne, most of them without any scientifically- demonstrated effects. However, a mixture of treatments can greatly reduce the amount and severity of acne in many patients. It is highly recommendable to ask a specialist about the interactions between these products for any individual case, especially when considering using any of them in combination. There are a number of treatments that have been shown efficient. Killing the bacteria that are gathered in the blocked follicles. This is performed either by the administration of antibiotics or by treating the afflicted patches externally with bactericidal elements like erythromycin or benzoyl peroxide. However, reducing the P.
Acnes bacteria will not, in itself, do anything to reduce the oil secretion and aberrant cellular behaviour that is the initial cause of the blocked follicles. Benzoyl Peroxide has the characteristic of being a strong oxidiser and does not seem to generate bacterial resistance. Acne will usually reappear quite soon after the treatment has ended; days later in the case of local applications, and weeks later in the case of oral antibiotics. Reducing the secretion of oil from the glands. This is done by a regular oral intake of vitamin A by-products like isotretinoin (marketed as Accutane) over a period of some months. Isotretinoin has been demonstrated to be very efficient in treating severe acne and is efficient in well over 80% of patients. The drug has a much longer effect than anti-bacterial treatments and will often eliminate acne for good. The treatment requires close medical supervision by a specialist because the drug has many known side effects, even some severe ones. The most usual unwanted effects are dry skin and nosebleed.
The drug also produces birth defects if women take it while pregnant or become pregnant while taking it. For this reason, female patients are asked to vow abstinence or use two separate forms of birth control while taking this drug. For this reason, the drug is supposed to be administered as a last option after milder treatments have proven insufficient. Exfoliating the skin. This can be performed either mechanically, using a liquid scrub or an abrasive cloth, or chemically.
Known chemical exfoliating agents include salicylic acid and glycolic acid, which encourage the peeling of the external layer of skin to avoid a build-up of devitalized skin cells which combine with skin oil to block pores. It also helps to unblock already clogged pores. Note that the term "peeling" is not meant in the visible sense of shedding, but rather as the destruction of the external layer of skin cells at the microscopic level. According to the kind of exfoliation applied, some visible flaking is possible. If you want to try them, moisturizers and biological acne skin care products containing exfoliating agents are commonly available over-the-counter.
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