Treatments For Acne Vulgaris

Laura asks…

How long does it take for Doryx to work?

I think ive been on it for about a lil over a week. Does anyone know when it will start clearing up my acne? Is this suppose to make me worse before better? Ive been on differin for almost a month now so that should be taking care of bringing everything out. Just curious..thanks

admin answers:

A couple of weeks; if you have been on it longer than 3 weeks then you have a very bad case because it can take 6-8 weeks for it to become effective. If you have noticed an increase in your acne then you need to contact your doctor; you may be suffering an allergic reaction.

According to Med Help:
“This drug is a reasonable choice, but if any treatment hasn’t worked in 2-3 months, it’s time to try something else.”

According to:
“For controlling acne, Doryx is normally taken over a period of 12 weeks.

If you do not complete the full course prescribed by your doctor, the infection may not clear completely or your symptoms may return.

For treating infections, Doryx is usually taken for one to two weeks”

According to:
“Oral Antibiotics. When acne is resistant to topical therapies, oral antibiotics may be used. Oral antibiotics commonly are initial therapy in patients with moderate to severe inflammatory acne. Systemic antibiotics decrease P. Acnes colonization and have intrinsic anti-inflammatory effects. First-line oral antibiotics have included tetracycline and erythromycin. Because P. Acnes resistance to erythromycin is increasing, this antibiotic is becoming a second-line agent that is used when treatment with tetracycline or other macrolide antibiotics fails or is not tolerated.20

Tetracycline must be taken on an empty stomach. Iron supplements and milk products decrease systemic absorption of the antibiotic. Because of the risk of tooth discoloration and inhibited skeletal growth, tetracycline should not be used in pregnant women or children younger than nine years. Moderate to severe phototoxicity and gastrointestinal intolerance also may limit the use of tetracycline.

Doxycycline (e.g., Vibramycin, Doryx) frequently is used to treat moderate to severe acne vulgaris. However, associated photosensitivity may limit its usefulness.

Minocycline (Minocin) is a potent acne medication, but treatment with this antibiotic generally is reserved for patients who do not respond to or cannot tolerate aforementioned treatment options.21 Rare but serious side effects are more common in patients taking minocycline than in patients treated with tetracycline or doxycycline.22

Oral antibiotics must be taken for six to eight weeks before results are evident, and treatment should be given for six months to prevent the development of microbial resistance.23 Oral antibiotics may be discontinued after inflammation has resolved. Topical antibiotics may be continued for further treatment. Some patients may require long-term oral antibiotic therapy to control their acne and prevent scarring. The dosing, approximate cost, and side effects of systemic medication for the treatment of acne are summarized in Table 3.”

Hopefully your doctor warned you about the associated photosensitivity, which means you need to avoid the sun. This can limit the use of the medication.

Photosensitivity means that exposure to UV light can be painful or you can sunburn easily. If you notice any of these effects then you need to contact your doctor.

According to Wikipedia:
“People that are photosensitive experience discomfort or get easily sunburned when exposed to UV light, which may come from sunlight or other sources including sunbeds. This is often caused by an allergy or a medication.”

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George asks…

How do I get rid of acne at a low cost?

I’ve been really stressed lately and it seems like using facial cleansers don’t work.

admin answers:

Acne vulgaris is an inflammatory disease of the skin, caused by changes in the skin structures consisting of a hair follicle and its associated sebaceous gland. Acne lesions are commonly referred to as pimples, spots, plukes or zits. Acne is generally placed into one of three categories; mild, moderate or severe. If you have acne and you feel that it is getting worse instead of better, the best thing that you can do is let a professional dermatologist have a look at your condition and prescribe an appropriate treatment for you. Mild acne is first treated by gently washing the area twice daily with warm water and soap. In addition to cleansing the area, an over-the-counter cream or similar otc products that incorporates benzoyl peroxide or salicylic acid should be used. If you have moderate acne, consult a dermatologist in order to quickly get a handle on your situation.

Ruth asks…

What do you know about hyperpigmentation ?

What do you know about hyperpigmentation and how do you treat it ?

admin answers:

Treatment of hyperpigmentation may include hydroquinone, kojic acid, alpha hydroxy acids, azelaic acid, ascorbic acid, tretinoin (Retinol), topical glucocorticoids, and licorice extract.

CausesHyperpigmentation may be caused by sun damage, inflammation, or other skin injuries, including those related to acne vulgaris.[1] People with darker Asian, Mediterranean or African skin tones are also more prone to hyperpigmentation, especially if they have excess sun exposure.

Many forms of hyperpigmentation are caused by an excess production of melanin. Hyperpigmentation can be diffuse or focal, affecting such areas as the face and the back of the hands. Melanin is produced by melanocytes at the lower layer of the epidermis. Melanin is a class of pigment responsible for producing color in the body in places such as the eyes, skin, and hair. As the body ages, melanocyte distribution becomes less diffuse and its regulation less controlled by the body. UV light stimulates melanocyte activity, and where concentrations of the cells are denser than surrounding areas, hyperpigmentation is effected.[2] Can also be caused by using skin lightening lotions.

Hyperpigmentation is associated with a number of diseases or conditions, including:

Addison’s disease and other sources of adrenal insufficiency, in which hormones that stimulate melanin synthesis, such as melanocyte-stimulating hormone (MSH), are frequently elevated.
Cushing’s disease or other excessive adrenocorticotropic hormone (ACTH) production, because MSH production is a byproduct of ACTH synthesis from proopiomelanocortin (POMC).
Acanthosis nigricans – hyperpigmentation of intertriginous areas associated with insulin resistance.
Melasma, also known as chloasma – patchy hyperpigmentation often found in pregnant women.
Linea nigra – a hyperpigmented line found on the abdomen during pregnancy.
Peutz-Jeghers syndrome – an autosomal dominant disorder characterized by hyperpigmented macules on the lips and oral mucosa and gastrointestinal polyps.
Exposure to certain chemicals such as salicylic acid, bleomycin, and cisplatin.
Smoker’s melanosis
Celiac disease
Cronkite-Canada syndrome
Tinea fungal infections such as ringworm
Haemochromatosis – a common but debilitating genetic disorder characterized by the chronic accumulation of iron in the body.
Mercury poisoning – particularly cases of cutaneous exposure resulting from the topical application of mercurial ointments or skin-whitening creams.
Aromatase deficiency
Nelson’s syndrome
Hyperpigmentation can sometimes be induced by dermatological laser procedures.

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