Anti-Acne Treatments

Anti-acne drugs are medicines that help clear up pimples, blackheads, whiteheads, and more severe forms of acne.

Benzoyl peroxide is found in many over-the-counter acne products that are applied to the skin, such as Benoxyl, Clear By Design, Neutrogena Acne, PanOxyl, and some formulations of Clean & Clear, Clearasil, and Oxy. Some benzoyl peroxide products are available without a physician’s prescription; others require a prescription. Tretinoin (Retin-A) is available only with a physician’s prescription and comes in liquid, cream, and gel forms, which are applied to the skin. Isotretinoin (Accutane), which is taken by mouth in capsule form, is available only with a physician’s prescription. Only physicians who have experience in diagnosing and treating severe acne, such as dermatologists, should prescribe isotretinoin.

Acne is a skin disorder that leads to an outbreak of lesions called pimples or “zits.” The most common form of the disease in adolescents is called acne vulgaris. Antiacne drugs are the medicines that help clear up the pimples, blackheads, whiteheads, and more severe forms of lesions that occur when a teen has acne.
Different types of antiacne drugs are used for different treatment purposes, depending on the severity of the condition. For example, lotions, soaps, gels, and creams containing substances called benzoyl peroxide or tretinoin may be used to clear up mild to moderately severe acne. Isotretinoin (Accutane) is an oral drug that is prescribed only for very severe, disfiguring acne.

Acne is caused by the overproduction of sebum during puberty when high levels of the male hormone androgen cause excess sebum to form. Sebum is an oily substance that forms in glands just under the surface of the skin called sebaceous glands. Sebum normally flows out hair follicles onto the skin to act as a natural skin moisturizer. The glands are connected to hair follicles that allow the sebum, or oil, to empty onto the skin through a pore.

Sometimes the sebum combines with dead, sticky skin cells and bacteria called Propionibacterium acnes (P. acnes) that normally live on the skin. The mixture of oil and cells allows the bacteria to grow in the follicles. When this happens, a hard plug called a comedo can form. A comedo is an enlarged hair follicle. It can appear on the skin as a blackhead, which is a comedo that reaches the skin’s surface and looks black, or as a whitehead, which is a comedo that is sealed by keratin, the fibrous protein produced by the skin cells and looks like a white bump.

In addition, pimples can form on the skin. Types of pimples include:
•    papules, which are small, red bumps that may be tender to touch
•    pustules, which are pus-filled lesions that are often red at the base
•    nodules, which are large, painful lesions deep in the skin
•    cysts, which are painful pus-filled lesions deep in the skin that can cause scarring

Pimples form when the follicle is invaded by the P. acnes bacteria. The damaged follicle weakens and bursts open, releasing sebum, bacteria, skin cells, and white blood cells into surrounding tissues. Scarring happens when new skin cells are created to replace the damaged cells. The most severe type of acne includes both nodules and cysts.

Acne cannot be cured, but antiacne drugs can help clear the skin and reduce the chance of scarring. The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. Benzoyl peroxide and tretinoin work by mildly irritating the skin. This encourages skin cells to slough off, which helps open blocked pores. Benzoyl peroxide also kills bacteria, which helps prevent whiteheads and blackheads from turning into pimples. Isotretinoin shrinks the glands that produce sebum. It is used for severe acne lesions and must be carefully monitored because of its side effects. Antibiotics also may be prescribed to kill bacteria and reduce inflammation.

A Closer Look At Facial Masks

Facial masks are more than just silly tricks that women try to get their “beauty rest.” They are an important part of skin care. It is recommended that you use a facial mask at least once a week. While it is not necessary to go overboard and wear one every night, a weekly facial mask session cannot only help your skin receive moisture, but it can also ease skin disorders. Facial masks can be soothing or energizing, and the actions and rituals often involved with applying a facial mask can be an effective stress reliever.

A facial mask is generally defined as a substance that is applied to the face, much like smearing on cream. It is thick, and often resembles clay. Many masks make use of clay or gel as a base, as these will stay in place when applied, and they are generally harmless to most skin types (although gel is used most for sensitive skin, as heavy clay irritate it). Masks are meant to cover the entire face and then remain in place for a few minutes before washing off. The materials in most masks are safe to be washed down the sink.

Most facial masks include both deep cleaning and moisturizing agents in the mask. This allows the pores in the face to be cleansed deeply, getting rid of oily build up and trapped dirt. This can help reduce or even prevent acne. Additionally, many masks help slough off dead skin. The dead top skin is dull and lusterless. When it is gently removed, the mask brings the top layer of dead skin cells off with it. This leaves younger, healthier cells exposed as the face’s surface. This means tighter skin and a more brilliant complexion. It can also reduce the look of fine lines and small wrinkles to carry out a regular facial mask.

Another reason that facial masks are so popular involves the soothing and relaxing motions associated with applying a facial mask. If you decide to have one applied in for relaxation as well as the benefits it has for the skin on the face, then you can have a very enjoyable experience. In spas, these masks are applied with special techniques and often include a massage. You can give your own face a gentle massage just prior to applying the mask, and if you are systematic about it, you can apply the mask in a way that is singularly soothing. All masks should be applied to a freshly cleaned face, rinsed with warm water. This opens the pores and allows the mask to do its thing. Warm water is very calming and soothing, and many people find this part of the application to be one of the more enjoyable stages.

Apply the mask in a circular motion until it covers the face. This is calming and stimulating at the same time. Let the mask sit on your face for 15 to 20 minutes (although some are meant to be worn all night). Many women like to lie down and relax. The effect can be enhanced by the addition of candles or incense and some soothing music. Finally, when it is time to rinse the mask, do so in cold water. This will help close the pores, protecting them against dirt and oil, and also energize your face.

Many people enjoy making their own facial masks from common household products like bananas (for wrinkles), avocados, and honey (antibacterial). Butter can also be used as a remedy for dry skin. Other masks can be created using different types of clays, and different essential oils can be used for different skin types. Fruit purees also have different effects and yogurt and milk can soften the skin. Oatmeal is extremely soothing, and most sensitive skin types can use masks of this sort. Adding rose petal powder can enhance your fragrance without the need for perfume, while citrus fruit peel powder acts as an astringent.

When you decide to make use of facial masks, you are certain to feel the good effects of it later down the road. And if you apply them once a week, you can help keep your face healthy-looking and your complexion brilliant with a healthy glow.

Dry Skin and Retinoids

Dry skin recommendations and supplements that can help your skin

RETINOIDS

The group of medicines known as retinoids are derived from Vitamin A. Creams containing the retinoids retinol and retinaldehyde can be obtained over the counter at pharmacies and supermarkets. Other topical retinoids containing tretinoin or isotretinoin require a doctor’s prescription. Adapalene is a related prescription medicine.  Topical retinoids can be applied to any area but are most often used on the face, the neck and the back of hands.

When you first start using the retinoid, apply your night cream first then re-apply the retinoid. Do this every third night for two weeks. Then apply moisturizer followed by retinoid every other night.
If no redness occurs after two weeks you can adjust your regimen and apply the retinoid after cleansing but before your night cream. Then apply the night cream after the retinoid. Do this, using the retinoid every other day, for one week.

If you experience redness or flaking, begin using the retinoid every night. In about twenty-four weeks you will notices fewer wrinkles and smoother skin as well as preventing future wrinkles.
Since retinoids speed up the rare at which skin cells divide, some flaking is normal. This flaking is not additional dryness, but rather dead skin cells sloughing off. You can use a facial scrub once or twice a week before an important event to remove these fakes, allowing your skin to look radiant. Stronger products are more irritating than those with a lower percentage of retinoids, so you can switch products depending on your needs.

Eliminating Allergens and Chemicals for Sensitive Skin

If you suffer from sensitive or dry, delicate skin, you already know how difficult it can be to find a skin care product that does not cause a negative reaction. However, have you considered many other kinds of chemicals you are exposed to every day? Many unsuspecting products, like household cleaners, air pollution and even industrial chemicals in your furniture can induce inflammation in susceptible individuals. If you suffer from dry or sensitive skin, you are more at risk for reactions, especially if you are already experiencing extreme dryness or eczema symptoms.

To repair your natural skin barrier, you must first take active steps to build it up by eating healthy fats – like olives, avocados and raw nuts or butters and engaging in a natural healthy diet to start. To further help your condition, review the dermatological list below to identify, and where possible, eliminate allergy-causing ingredients. Whether what you experience is merely a sensitivity or full-blown allergic reaction, try to eliminate anything that causes inflammation and can degrade your skin barrier – and its ability to protect you from harmful irritants. Give your skin a chance to heal by protecting it from things that may cause a reaction.

1. Eliminate chemical ingredients in skin care and perfumes – including parabens and all manner of chemical substances until you have narrowed down your reactions.

2. Eliminate problem ingredients in soaps, shampoo, bath, body care, dental, shaving, and conditioning products and medications. Avoid products that foam or contain detergents. Always rinse thoroughly after cleansing and shampooing. Protect your skin with moisturizer afterwards.

3. Avoid direct contact with dish and laundry detergents, household cleansing products, paints, strippers, furniture polishes, and other ingredients containing harsh chemicals. Wear gloves, moisturize, or avo: altogether. Studies show that residual detergent remaining in launderei clothing may be a prime contributor to eczema. Rinse your clothing twice if your washing machine allows.

4. Notice whether fabrics in clothing, furniture, or bedding are irritating your skin due to their rough texture or chemicals treating them. Use hypoallergenic protectors on mattresses and large furniture if this is the case.

5. Pay attention to contact allergies from jewelry, flatware, and coins or metals containing nickel, a common allergen. Some are allergic to gold, so always be aware of unsuspecting culprits.

6.  Only use quality filtered water and avoid hard water when possible. Chlorinated water, excessively hot water, or long soaks in baths, showers, or hot tubs, can strip precious oils from your skin.

If you consider all these factors and use them diligently, your skin barrier can be restored and you may be able to withstand common irritants and practices. But for now, notice what chemicals irritate you and avoid contact with them at all costs in order to give your skin a chance to rebuild itself. If you are unable to address your symptom on your own, ask a professional dermatologist about patch testing, which can help you determine exactly what your allergies may be.

AYURVEDA AND SKIN CARE

An occasional attack of dry skin, rash or pimples – although frustrating - is a normal part of the flux of life. As the temperatures change, so does our skin’s constitution. As hormone levels rise and fall in the course of a month and as our diet and activity vary from day to day, the subtle balance of the body chemistry naturally shifts as well, creating shifts in our mood and even changes in our physical appearance.

Ayurveda recognizes these subtle imbalances and gives us the tools to correct them before they are out of control or turn into a full-blown disease. To be sure, imbalance does not necessarily mean disease, we can be quite healthy and still experience symptoms of imbalance. However, perpetual imbalance can lead to disease if it is not corrected in its early stages.

Ayurveda supports the belief that skin and health problems are affected or caused by our behavior. “Undigested” emotions, tension, and stress, can create hormonal imbalance and weaken the immune system. We now know common stressors are leading factors of body toxins and of skin disease. For example, psoriasis is exacerbated by worry and anxiety; acne/ rosacea, by anger and frustration; eczema, by a variety of stresses, depending upon the person’s constitution; and cystic acne, by depression, “holding on” to upsets, and emotional attachments in general. Other significant factors in skin disorders include the overconsumption of refined, canned, and processed foods like sugar, sweets, chocolate, fatty and fried foods, salt, seafood, and red meat. Consuming too many processed foods can result in digestive disorders and poor elimination (constipation). Lack of exercise and rest; and improper external cleansing and skin care will further create skin and health problems.

Of course, we all seek external remedies for the most common skin problems as soon as they develop. But please be aware, even a topical ointment or detoxification treatment is only a temporary remedy. If you continue with unhealthy lifestyle choices, new toxins will soon appear.

One of Ayurveda’s fundamental concepts is that health and disease are holistic-that is, whatever happens in one part of the body happens to the whole body. There are no isolated health problems. Any physical or psychological symptom of imbalance indicates an imbalance in the body-mind unit. Keep this holistic picture in mind as you look to remedy common skin problems with ointments and expensive treatments and try to treat the whole person you are – your emotions, your diet, your lifestyle choices – not just your face.

Acne Symptoms and Treatments

SYMPTOMS

Acne is often not apparent to an observer. Inflamed pores, however, can cause pain or itching. The most troubling aspect of acne for many people is the scarring that can occur. And, while acne may not be very noticeable, individuals tend to be sensitive about their appearance. Teenagers especially may become concerned about the way other people react to them.

DIAGNOSIS

People with acne are often treated by family doctors. More serious cases are referred to a dermatologist (a specialist in skin disorders) or an endocrinologist (a specialist in hormonal disorders).
Because of its appearance, acne is not difficult to diagnose. A doctor takes a complete medical history, which includes questions about skin, diet, medication use, and other factors associated with risk for acne. He or she conducts a physical examination of the face, upper neck, chest, shoulders, back, and other affected areas. The doctor determines the number and type of blemishes, whether they are inflamed or not, whether they are deep or near the surface of the skin, and whether there is scarring or skin discoloration.
Laboratory tests are not done unless the patient appears to have a hormonal disorder. In that case, blood tests and other tests may be ordered. Most insurance plans cover the cost of diagnosing and treating acne.

ANTI-ACNE DRUGS
Brand Name (Generic Name) and their possible common side effects:

Accutane (isotretinoin) > Dry skin, dry mouth, conjunctivitis
Benzamycin > Dry and itchy skin
Cleocin T (clindamycin phosphate)    Dry skin
Desquam-E (benzoyl peroxide) > Itching, red and peeling skin
Erythromycin topical (A/T/S, erycette, t-stat) > Burning, dry skin, hives, red and peeling skin
Minocin (minocycline hydrochloride) > Headache, hives, diarrhea, peeling skin, vomiting
Retin-A (tretinoin) > Darkening of the skin, blistering, crusted, or puffy skin

Side Effects and Conditions Caused By Isotretinoin

Side Effects and Conditions Caused By Isotretinoin

Minor discomforts such as dry mouth or nose, dry eyes, dry skin, or itching usually go away as the body adjusts to the drug and do not require medical attention unless they continue or are bothersome.

Other side effects should be brought to a physician’s attention. These include:
•    burning, redness, or itching of the eyes
•    nosebleeds
•    signs of inflammation of the lips, such as peeling, burning, redness or pain

Bowel inflammation is not a common side effect, but it may occur. If any of the following signs of bowel inflammation occur, stop taking isotretinoin immediately and check with a physician:
•    pain in the abdomen
•    bleeding from the rectum
•    severe diarrhea

Conditions Caused By Benzoyl Peroxide and Tretinoin

The most common side effects of antiacne drugs applied to the skin are slight redness, dryness, peeling, and stinging, and a warm feeling to the skin. These problems usually go away as the body adjusts to the drug and do not require medical treatment.
Other side effects should be brought to a physician’s attention. Check with a physician as soon as possible if any of the following side effects occur:

•    blistering, crusting, or swelling of the skin
•    severe burning or redness of the skin>
•    darkening or lightening of the skin (This effect will eventually go away after treatment with an antiacne drug ends.)
•    skin rash

Other side effects are possible with any type of antiacne drug. Anyone who has unusual symptoms while using antiacne drugs should get in touch with his or her physician.
Interactions

Patients using antiacne drugs on their skin should tell their physicians if they are using any other prescription or nonprescription (over-the-counter) medicine that they apply to the skin in the same area as the antiacne drug.

Isotretinoin may interact with other medicines. When this happens, the effects of one or both drugs may change or the risk of side effects may be greater. Anyone who takes isotretinoin should let the physician know about all other medicines being used and should ask whether the possible interactions can interfere with drug therapy.

Among the drugs that may interact with isotretinoin are listed below:
•    Etretinate (Tegison), used to treat severe psoriasis. Using this medicine with isotretinoin increases side effects.
•    Tretinoin (Retin-A, Renova). Using this medicine with isotretinoin increases side effects.
•    Vitamin A or any medicine containing vitamin A. Using any vitamin A preparations with isotretinoin increases side effects. Do not take vitamin supplements containing vitamin A while taking isotretinoin.
•    Tetracyclines (used to treat infections). Using these medicines with isotretinoin increases the chance of swelling of the brain. Make sure the physician knows if tetracycline is being used to treat acne or another infection.

Parental Concerns

Acne comes at a difficult time, the adolescent years. While mild acne can be treated with over-the-counter medications, more severe acne needs medical attention. Experts advise against a wait-and-see attitude. Treatment options can help control acne and avoid scarring.

Isotretinoin can cause serious birth defects, including mental retardation and physical deformities. This medicine should not be used during pregnancy. Sexually active adolescent females who are able to bear children should not use isotretinoin unless they have very severe acne that has not cleared up with the use of other antiacne drugs. In addition, acne treatments that can dry the skin should be used with caution by people with skin of color.

Benzoyl Peroxide and Tretinoin

When applying antiacne drugs to the skin, people should be careful not to get the medicine in the eyes, mouth, or inside the nose. They should not put the medicine on skin that is wind burned, sunburned, or irritated, and not apply it to open wounds.

Because antiacne drugs such as benzoyl peroxide and tretinoin irritate the skin slightly, users should avoid doing anything that might cause further irritation. They should wash the face with mild soap and water only two or three times a day, unless the physician says to wash it more often. They should also avoid using abrasive soaps or cleansers and products that might dry the skin or make it peel, such as medicated cosmetics, cleansers that contain alcohol, or other acne products that contain resorcinol, sulfur, or salicylic acid.

If benzoyl peroxide or tretinoin make the skin too red or too dry or cause too much peeling, the user should check with a physician. Using the medicine less often or using a weaker strength may be necessary. Benzoyl peroxide can irritate the skin of people with skin of color and cause darkened spots called hyperpigmentation on the skin. Benzoyl peroxide may discolor hair or colored fabrics.

ORAL DRUGS. Oral antibiotics are taken daily for two to four months. The drugs used include tetracycline, erythromycin, minocycline (Minocin), doxycycline, clindamycin (Cleocin), and trimethoprim-sulfamethoxazole (Bactrim, Septra). Possible side effects include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. One effective treatment is topical tretinoin, used along with a topical or oral antibiotic. A combination of topical benzoyl peroxide and erythromycin is also very effective. Improvement is normally seen within four to six weeks, but treatment is maintained for at least two to four months.

Special Conditions

People who have certain medical conditions or who are taking certain other medicines may have problems if they use antiacne drugs. Before using these products, the physician should be informed about any of the following conditions.

ALLERGIES. Anyone who has had unusual reactions to etretinate, isotretinoin, tretinoin, vitamin A preparations, or benzoyl peroxide in the past should let the physician know before using an antiacne drug. The physician should also be told about any allergies to foods, dyes, preservatives, or other substances.

PREGNANCY. Teens who are pregnant or who may become pregnant should check with a physician before using tretinoin or benzoyl peroxide. Isotretinoin causes birth defects in humans and must not be used during pregnancy.

OTHER MEDICAL CONDITIONS. Before using antiacne drugs applied to the skin, people with any of these medical problems should make sure their physicians are aware of their conditions:
•    Eczema. Antiacne drugs that are applied to the skin may make this condition worse.
•    Sunburn or raw skin. Antiacne drugs that are applied to the skin may increase the pain and irritation of these conditions.

In people with certain medical conditions, isotretinoin may increase the amount of triglyceride (a fatty-substance) in the blood. This may lead to heart or blood vessel problems. Before using isotretinoin, adolescents with any of the following medical problems should make sure their physicians are aware of their conditions:

•    alcoholism or heavy drinking, currently or in the past
•    diabetes or family history of diabetes (Isotretinoin may change blood sugar levels.)
•    family history of high triglyceride levels in the blood
•    severe weight problems

Using antiacne drugs with certain other drugs may affect the way the drugs work or may increase the chance of side effects.

Ayurveda for Acne and Rosacea

Many of you may be curious, what is Ayurveda and how’s it going to help my acne?

The word Ayurveda translates to “the science of life” (Ayru – life and Veda – science). Ayurveda has brought true health and wellness to millions of individuals throughout the ages with simple changes in daily living practices. Incorporating just a few of these proven methods into your lifestyle can bring about radical changes in your life.

It is currently considered a form of complementary and alternative medicine (CAM) within the United States of America, but this ancient art of healing has been practiced continuously for over 5,000 years.

Where Ayurveda differs is in its approach. Unlike other treatment methods, Ayurveda is a comprehensive, holistic system that uses a variety of therapies in an attempt to bring about fundamental change in a person’s lifestyle.

Ayurveda states that each person is unique, exhibiting a distinct energy pattern that is a combination of physical, mental and emotional characteristics. These energies manifest themselves within three doshas, or regions within the body. The three doshas and their perceived locations are vata (colon), pitta (small intestine), and kapha (stomach).

There are more than 20 types of Ayurvedic treatments. These include herbs, nutritional changes, healing oils, massage therapy, meditation and breathing exercises, yoga and other forms of exercise, as well as inducing a person to sweat, move his or her bowels, or even vomit to cleanse the body of toxins.

According to Ayurveda, ojas is the source of the body’s immunity and the subtle substance that gives healthy skins it’s natural glow. When ojas is depleted, the immune response is weak and the skin becomes lifeless. Low ojas and low immunity result from the same cause: an overload of physical, chemical or psychological stress. Ayruveda describes this overloaded condition as an imbalance of the three doshas, and seven dhatus (or body tissues).

For example, acne rosacea is a blood disease and therefore originates in the second tissue. Whether the stressor is the wrong food or an undigested emotion, it takes a couple of weeks from the time the stress occurs for this type of type to break out. Cystic acne, on the other hand, is a disease of the fat tissue–or fourth dhatu-and takes as long as three to four weeks to appear on the skin. Cancer, a disease of the bone marrow and reproductive tissue –the sixth and seventh dhatus, may exist in the body as long as seven years before being discovered.

The basic premise here is one that western medicine is only now beginning to recognize–that every organ, tissue and cell in your body, are directly connected to each other. The skin and the mind form from the same embryonic tissues in the womb. Our skin can be seen as our second brain and the mirror of our thoughts and emotions. What you eat or drink can affect your mind as equally as how you think or feel can affect your body. This is experiential fact, for any of you who may have enjoyed too much alcohol at one time or felt your stomach turning the last time you were nervous or upset.

Ayurvedic practitioners believe that they must first identify which of a person’s doshas are out of balance before suggesting treatment methods. Symbiotically, whatever substance is absorbed into the skin will have an effect on the individuals’ body tissues and vice versa.

That said, there are some specific treatments that many recognize as effective treatments for skin conditions. For starters, regardless of the skin condition, Ayurvedic practitioners suggest staying hydrated. Ayurvedic practitioners believe that water helps to naturally stabilize dry or oily skin. Drinking enough water also helps prevent the loss of moisture through the skin, which helps to promote overall wellness.

Ayurveda also recommends adhering to a daily regimen for proper skin care, including the use of a natural soap and the use of natural skin moisturizers. This is true whether a person has naturally dry skin or suffers from a more serious condition such as psoriasis. The key is to make sure that the moisturizer is, in fact, natural, containing only substances such as aloe vera—a natural antibiotic that many believe is particularly helpful in the treatment of many skin conditions. Unfortunately, many commercially available moisturizers contain preservatives and other chemicals, and do not fully absorb into the skin, instead remaining on the surface and sometimes clogging pores as a result.

In addition to proper hydration and skin care, Ayurvedic medicine has identified three natural supplements that appear to help treat a wide range of skin conditions—neem, haemafine syrup and khadir. All three of these are widely prescribed to treat acne, psoriasis, and eczema, although many believe they can be used to treat any skin condition. The tree stem, root, and bark of neem, a large evergreen tree, have antibacterial properties. It is used in supplement form to treat skin conditions. In addition, many Ayurvedic soaps contain neem extract. Haemafine syrup is a natural solution made up of more than a dozen herbs. It is used as a remedy for all types of skin diseases through its natural blood purification properties. Khadir, also known as the acacia catechu herb, is another natural blood purifier used to treat skin conditions.

Besides supplements, some Ayurvedic sources also suggest that a person with a skin condition receive an abhyanga, a traditional Ayurvedic massage that uses herbalized oils to draw toxins out through the skin.

Symptoms and Diagnosis of Acne

SYMPTOMS

Acne is often not apparent to an observer. Inflamed pores, however, can cause pain or itching. The most troubling aspect of acne for many people is the scarring that can occur. And, while acne may not be very noticeable, individuals tend to be sensitive about their appearance. Teenagers especially may become concerned about the way other people react to them.

DIAGNOSIS

People with acne are often treated by family doctors. More serious cases are referred to a dermatologist (a specialist in skin disorders) or an endocrinologist (a specialist in hormonal disorders).

Because of its appearance, acne is not difficult to diagnose. A doctor takes a complete medical history, which includes questions about skin, diet, medication use, and other factors associated with risk for acne. He or she conducts a physical examination of the face, upper neck, chest, shoulders, back, and other affected areas. The doctor determines the number and type of blemishes, whether they are inflamed or not, whether they are deep or near the surface of the skin, and whether there is scarring or skin discoloration.

Laboratory tests are not done unless the patient appears to have a hormonal disorder. In that case, blood tests and other tests may be ordered. Most insurance plans cover the cost of diagnosing and treating acne.

ANTI-ACNE DRUGS

Brand Name (Generic Name)

Possible Common Side Effects Include:

Accutane (isotretinoin)

Dry skin, dry mouth, conjunctivitis

Benzamycin

Dry and itchy skin

Cleocin T (clindamycin phosphate)

Dry skin

Desquam-E (benzoyl peroxide)

Itching, red and peeling skin

Erythromycin topical (A/T/S, erycette, t-stat)

Burning, dry skin, hives, red and peeling skin

Minocin (minocycline hydrochloride)

Headache, hives, diarrhea, peeling skin, vomiting

Retin-A (tretinoin)

Darkening of the skin, blistering, crusted, or puffy skin

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