Acne Treatments While Pregnant

Lisa asks…

Is it true that a daily dose of vitamin C supplements can help fade hyperpigmentation and melasma?

I have a case of hyperpigmentation and some melasma and I heard that taking daily supplements of vitamin C supplements of like 2,000mg per day for a while can help fade away the hyperpigmentation and melasma … Is it true ? Thanks a lot for the answers … I dont wanna use chemicals like hydroquinone as I’ve heard it’s very dangerous health-wise

admin answers:

Here’s some info on megadoses of vitamin c

here’s some info on the various treatments for melasma
The discoloration usually disappears spontaneously over a period of several months after giving birth or stopping the oral contraceptives or hormone replacement therapy.

Treatments to hasten the fading of the discolored patches include:

Topical depigmenting agents, such as hydroquinone (HQ) either in over-the-counter (2%) or prescription (4%) strength. HQ is a chemical that inhibits tyrosinase, an enzyme involved in the production of melanin.
Tretinoin, an acid that increases skin cell (keratinocyte) turnover. This treatment cannot be used during pregnancy.
Azelaic acid (20%), thought to decrease the activity of melanocytes.
Facial peel with alpha hydroxyacids or chemical peels with glycolic acid.
Laser treatment. A Wood’s lamp test should be used to determine whether the melasma is epidermal or dermal. If the melasma is dermal, Fraxel laser has been shown in studies to provide improvement in many patients. Intense pulsed light has also been effective in the treatment of melasma [3]. Dermal melasma is generally unresponsive to most treatments, and has only been found to lighten with products containing mandelic acid (such as Triluma cream) or Fraxel laser.
In all of these treatments the effects are gradual and a strict avoidance of sunlight is required. The use of broad-spectrum sunscreens with physical blockers, such as titanium dioxide and zinc dioxide is preferred over that with only chemical blockers. This is because UV-A, UV-B and visible lights are all capable of stimulating pigment production.

Cosmetic cover-ups can also be used to reduce the appearance of melasma.

The vitamin c info doesn’t mention melasma.

The melasma info doesn’t mention vitamin c.

There are other treatments with less side effects that hydroquinone.

Azelaic acid :
Antibacterial: it reduces the growth of bacteria in the follicle (Propionibacterium acnes and Staphylococcus epidermidis).
Keratolytic & comedolytic: it returns to normal the disordered growth of the skin cells, lining the follicle.
Scavenger of free radicals and reduces inflammation.
Reduces pigmentation: it is particularly useful for darker-skinned patients, who have melasma, or whose acne spots leave persistent brown marks known as actinic lentigines. (per the product insert: “There have been reports of hypopigmentation after use of azelaic acid. Since azelaic acid has not been well studied in patients with dark complexions, these patients should be monitored for early signs of hypopigmentation.”)
Non-toxic, and is well tolerated by most patients.
Azelaic acid does not result in bacterial resistance to antibiotics, reduction in sebum production, photosensitivity (easy sunburn), staining of skin or clothing, or bleaching of normal skin or clothing.

If you’re not pregnant you can use Retin-A. There are some side effects but unlike hydroquinone, none of them are cancer.

Lasers will most likely have the least side effects i would think.

Talk to a dermatologist about your options.

Maria asks…

What do I need to tell my doctor to convince him to give me Accutane?

I have really bad acne and I am desperate for anything. What kind of doctor will prescribe me accutane? I know a dermatologist will…but what about a regular MD? What are the side effects of the medication? Did it work for you also?

admin answers:

You would most likely need to go to a dermatologist to be prescribed Accutane. Accutane has a lot of side effects, and to combat the risk, your prescribing doctor has to be enrolled in a program called iPledge in order to write Accutane prescriptions. Practically every dermatologist out there who works with acne patients is enrolled in the program, but it doesn’t hurt to ask when you are making your appointment.

Basically, Accutane is considered the last resort for acne. Your dermatologist will want to try a few other prescription options, probably including topical treatments and antibiotics to make sure nothing else will work for you.

The medication causes severe birth defects if taken during pregnancy, so there is a lot of administrative red tape to make sure women who take it don’t get pregnant while they are on it. Other severe issues are raised cholesterol and liver triglycerides. These are monitored with monthly blood draws. In addition, some less serious side effects are dry skin, dry eyes, dry nose, dry mouth, dry ears, dry hair, etc. There have been concerns about it causing depression/suicidal tendencies, however, I don’t know how much value I would put on this information. My current dermatologist is the number three prescriber in the state of Michigan and has never had anyone complain of these symptoms. I think it may be more caused by the initial acne flare ups and being unable to cope with it psychologically.

The medication worked for me. I was only on it for five months, which I don’t feel was long enough. (My dermatologist at the time was not very good…) My cholesterol skyrocketed 60+ points in the first month, and I had to continue with a low fat, low cholesterol diet for the next four months. It was definitely worth it though. My cholesterol went back down and my skin showed significant improvement. I still do get some acne, but it’s nowhere near as bad as it was and it gave me so much more confidence.

Good luck with whatever you choose! :]

Richard asks…

How successful or helpful are dermatologists?

Hi there,

From your own personal experience with them,
Has their advice managed to relieve you from stress of having to deal with Acne? has their solutions worked?

I’m yet to see one and i’m wondering how you go about seeing one?
Do you need to ask your GP to be referred?

What advice do they tend too give, and what type of medicines are they able to prescribe to you?

Thanks in advance.

admin answers:

A very low opinion of dermatologists.
There is a saying that their patients don’t get better but they don’t die either.
I had dyshidrosis for 27 years and I eventually found the cure myself. I am a podiatrist, and I have to work with dermatologists to publish the treatment. Since none of them could cure me when I had the disease, now they are going to get credit for finding the cure. That’s the way journals work.
That said, I know a few, and they are bored by acne. Some became dermatologists because they had acne and/or eczema. (I became a podiatrist because of my dyshidrosis.)
The only real cure is Accutane and that is such a dangerous drug that we all wonder how much the proposers had to bribe the FDA/TGA/NHS to pass it. More and dermatologists refuse to prescribe it because of the huge litigation against them and the manufacturers, some prescribe it because they figure it would be made and sold ‘underground’ if they did not. But most will only give it to the very worse cases.
The rant over: This is my solution, but I never had acne.Only a few spots where I rest my hand on my chin.
Natural acne control protocol:
1/ Never, ever touch your face.NEVER EVER!!!
3/ Use 3 facecloths to wash your face, one to soap on, one to soap off with very hot water, one to rinse off with ice cold water, in that order, once a day.
3/ If you are under 18 take 5,000 IU of vitamin A once a day with a full meal
4/ If you are over 18 take 5,000 IU of vitamin A twice a day with a full meal.
Do not get pregnant while taking vitamin A. Do not take any more, like Accutane, it will stop you growing.
5/ Never, ever. Pick, squeeze or pop your spot. Read number 1 again.
6/ Do this for 90 days.

A bit of advice given to me as a teenager, a bit of science as I am studying allergic reactions and vitamin A is a part of that. A bit of research: I sat in a lecture at the back and watched the acne prone pick at their faces, those with the worse acne touched their faces 32 times in an hour, the clearest complexions didn’t touch their faces even once. I have circumstantial evidence that acne is the result of dermatophyte transfer from hands to face…where it does not get washed off and is well fed by hormones, sweat and oil…just a hypothesis… But it would explain why vitamin A is so effective as vitamin A causes skin to remove dermatophytes.

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