Androgens stimulate sebum production by androgen receptors in the sebaceous glands. Many prescribed topical antibiotics are clindamycin and erythromycin. They should not be used alone because there is a risk of bacterial resistance, so you will generally see them formulated with benzoyl peroxide.
And keep in mind that salicylic acid can dry the skin if it is applied too much, so it may be advisable to choose only one product with the ingredient that can be used every day. Oral antibiotics (p. E.g. tetracycline, Acne Treatment minocycline) are generally indicated for moderate to severe acne of the chest, back and shoulders. Treatment should be limited to several months to prevent the development of antibiotic resistance.
Macrolide drugs, such as erythromycin and azithromycin, have been used in the treatment of acne patients, but have recently fallen out of favor as first-line treatment. Macrolide agents are considered alternative therapy when traditional antibiotics cannot be used. As with tetracycline, macrolide has some anti-inflammatory properties, but the specific mechanism of action in acne is unknown. For very persistent cases of moderate to severe acne that do not respond to any of these treatments, your dermatologist may recommend the drug Accutane or a laser treatment. “Accutane is a very effective treatment, but has serious side effects,” says Dr. Kingsley. Some patients become depressed while taking the medication and it also causes severe neural tube defects in babies of mothers who have taken Accutane during pregnancy.
In addition, primary school professionals and dermatologists are popular that acne is a cosmetic problem, making physicians choose less effective treatments or even maintain treatment during pregnancy and breastfeeding . It also contains antimicrobial properties, dapsone gel works to kill acne-causing bacteria on the skin while reducing acne inflammation. It is mainly used for the treatment of mild acne and severe acne in women. I often recommend a topical retinoid cream to unclog pores and exfoliate the skin. Retinoids also have some anti-inflammatory effects and increase the rate at which our skin cells share.
Numerous treatment options are available to treat adult acne patients. Treatment options should be tailored to the individual patient with considerations of patient preferences, drug tolerance and psychosocial factors. Relatively limited options are available for acne treatment during pregnancy and breastfeeding. However, the level of evidence for the safety of each therapy during pregnancy and lactation is low. New agents are still being developed to treat AV patients, further improving physician care for patients with this shocking and common disease.
For the erythromycin base, the dose ranges from 250 to 500 mg twice daily. For erythromycin ethyl succinate, the dose ranges from 400 to 800 mg twice daily. Minocycline treatment was previously thought to be superior to doxycycline in reducing P. acnes (Strauss et al. 2007). However, a recent Cochrane study found that minocycline was effective in treating AV patients, but was not superior to other antibiotic drugs (Garner et al. 2012).