Acne is not a simple condition to treat. It is a skin disease that affects each individual that has it
differently. Every case of serious acne has to be looked at as an individual case in order to be properly treated. There is no catch-all treatment that can be used for every case. Furthermore, a lot of trial and error is usually needed in order to find an effective treatment individual by individual. There are many acne products that are mass-marketed as the best cure for acne. It is very important to realize that products that are marketed towards acne sufferers and that can be bought off the shelf in the supermarket, do not cure acne. They manage, mask or suppress the symptoms of acne. It is important to recognize this as well as to realize that acne is not a result of bad hygiene. If your acne is progressively getting worse do not think that it is enough to wash your skin often and to use an over the counter product. If your acne is getting worse, seek medical advice for stronger products that might only be available with a prescription. Acne treatments vary from being off the shelf, over-the-counter creams, prescribed and surgical.
Over the counter acne products are usually topical medicines that contain Benzoyl Peroxide or
Salicylic Acid. These are usually used to treat mild cases of acne where an individual is attempting to halt the progression of acne and clear up some troublesome pimples. They can also be used during severe stages of acne in combination with another treatment.
Doctors usually recommend that the acne-infected area be washed very gently with warm water and a mild soap and then the topical treatment applied. When acne progresses to the moderate or severe stage, doctors and dermatologists will usually use a combination of treatments in order for maximum effectiveness in halting any further development of the skin disease. Light therapy and extraction are often used at the moderate stage, in combination with an oral antibiotic or a retinoid cream, depending on the observations and recommendations of your doctor. Since acne is such a complex condition to properly treat, it is not advisable to attempt to self-medicate. If you try over the counter products and they do not work.
Do not give up thinking that you have an incurable case of acne. Seek further professional medical advice. A doctor or a dermatologist will try to stop your acne from getting out of hand and will make an aggressive attempt at using a combination of products to prevent the possibility of acne scarring. If you are serious about putting a halt to your acne, learn about the latest acne fighting products and how they can possibly work for your type of acne from your doctor. Do not make off the shelf products the extent of your fight against acne. Be as aggressive about fighting acne as acne is about progressing step by step into a serious skin condition.
For more information visit: AcneZine
Antibiotics Used to Treat Acne
cne is caused by the effects of hormones on the pilosebaceous unit, consisting of a hair follicle, sebaceous gland, and a hair. The follicle becomes obstructed and an overgrowth of a normal skin bacteria, Propionibacterium acnes, causes destruction of the lining of the follicle. This process allows follicular material to enter the dermis, causing an inflammatory response. For a more detailed description of this process, see What Causes Acne?
How Antibiotics Work for Acne
Antibiotics work by several mechanisms. The most important is the decrease in the number of bacteria in and around the follicle. Antibiotics also work by reducing the irritating chemicals produced by white blood cells. Finally, antibiotics reduce the concentration of free fatty acids in the sebum, also reducing the inflammatory response. The most frequently used antibiotics for acne are summarized here.
Tetracycline
Tetracycline is the most widely prescribed antibiotic for acne. The usual starting dose is 500 mg twice a day continued until a significant decrease in acne lesions is seen. The dose can then be decreased to 250 mg twice a day or discontinued. The main drawback for this antibiotic is that it must be taken on an empty stomach to be the most effective. For a teenage boy who eats frequently, this can be very difficult. Tetracycline should not be given to pregnant women or children under 9 years of age.
Erythromycin
Erythromycin is a very commonly used antibiotic for acne. It has several advantages over tetracycline. First, it has anti-inflammatory properties that help reduce redness in lesions, in addition to killing bacteria. Also, it can and should be taken with food - a benefit for teenagers. The dosage of erythromycin varies with the type used, but it is typically prescribed as 250 - 500 mg twice a day. It can cause stomach upset and nausea, but can be used in pregnant women.
Minocycline
Minocycline is a tetracycline derivative that has been used effectively for decades as a treatment for acne. It is especially useful for pustular type acne. While the absorption of minocycline is decreased with food, it is not as significant as the decrease seen with tetracycline. The usual starting dose is 50 to 100 mg twice a day. Major side effects of minocycline include dizziness, nausea, vomiting, skin pigmentation changes, and tooth discoloration. The skin and tooth changes are seen more often in people who have taken minocycline for a long time.
Doxycycline
Doxycycline is often used for people who do not respond to or cannot tolerate erythromycin or tetracycline. The dosage of doxycycline is started at 50 to 100 mg twice a day. It should be taken with food; otherwise it can cause significant nausea. Doxycycline is more likely than tetracycline to increase sensitivity to the sun, or cause sunburns.
Clindamycin
Clindamycin is very useful as an oral antibiotic for acne, but it is most widely prescribed as a topical antibiotic. The starting dose is 75 to 150 mg twice a day. The major side effect of clindamycin therapy is serious intestinal infection called pseudomembranous colitis caused by the bacteria, Clostridium difficile.
Side Effects of All Antibiotics
All antibiotics can cause candida vaginal yeast infections in women. Tetracycline seems to be the antibiotic that most frequently has this side effect. All oral antibiotics can also lessen the effectiveness of birth control pills,
How Antibiotics Work for Acne
Antibiotics work by several mechanisms. The most important is the decrease in the number of bacteria in and around the follicle. Antibiotics also work by reducing the irritating chemicals produced by white blood cells. Finally, antibiotics reduce the concentration of free fatty acids in the sebum, also reducing the inflammatory response. The most frequently used antibiotics for acne are summarized here.
Tetracycline
Tetracycline is the most widely prescribed antibiotic for acne. The usual starting dose is 500 mg twice a day continued until a significant decrease in acne lesions is seen. The dose can then be decreased to 250 mg twice a day or discontinued. The main drawback for this antibiotic is that it must be taken on an empty stomach to be the most effective. For a teenage boy who eats frequently, this can be very difficult. Tetracycline should not be given to pregnant women or children under 9 years of age.
Erythromycin
Erythromycin is a very commonly used antibiotic for acne. It has several advantages over tetracycline. First, it has anti-inflammatory properties that help reduce redness in lesions, in addition to killing bacteria. Also, it can and should be taken with food - a benefit for teenagers. The dosage of erythromycin varies with the type used, but it is typically prescribed as 250 - 500 mg twice a day. It can cause stomach upset and nausea, but can be used in pregnant women.
Minocycline
Minocycline is a tetracycline derivative that has been used effectively for decades as a treatment for acne. It is especially useful for pustular type acne. While the absorption of minocycline is decreased with food, it is not as significant as the decrease seen with tetracycline. The usual starting dose is 50 to 100 mg twice a day. Major side effects of minocycline include dizziness, nausea, vomiting, skin pigmentation changes, and tooth discoloration. The skin and tooth changes are seen more often in people who have taken minocycline for a long time.
Doxycycline
Doxycycline is often used for people who do not respond to or cannot tolerate erythromycin or tetracycline. The dosage of doxycycline is started at 50 to 100 mg twice a day. It should be taken with food; otherwise it can cause significant nausea. Doxycycline is more likely than tetracycline to increase sensitivity to the sun, or cause sunburns.
Clindamycin
Clindamycin is very useful as an oral antibiotic for acne, but it is most widely prescribed as a topical antibiotic. The starting dose is 75 to 150 mg twice a day. The major side effect of clindamycin therapy is serious intestinal infection called pseudomembranous colitis caused by the bacteria, Clostridium difficile.
Side Effects of All Antibiotics
All antibiotics can cause candida vaginal yeast infections in women. Tetracycline seems to be the antibiotic that most frequently has this side effect. All oral antibiotics can also lessen the effectiveness of birth control pills,
Acne Scars Can Be Treated Naturally
Acne Scars are much bigger problem than what they seem to be. Acne usually occurs when people reach puberty but it can also happen when females start undergoing the menopause. Acne can affect the face, neck, arms, shoulders and the chest area and sometimes these whiteheads, blackheads, pimples and blemishes can leave ugly scars in their wake. These scars can be a cause for concern and often lead to serious complications. So, in order to gain/regain the flawless skin you have always dreamed of, you have to get rid of these scars for good and find a good acne treatment.
How to Remove Acne Scars?
Acne scars has many solutions starting from face creams to plastic surgery. At long last there is a permanent solution to treat your acne scars. Getting these scars removed doesn't mean you have to visit a specialist dermatologist and spend hundreds of dollars on medical bills. Additionally, you will not need to apply expensive creams, lotions or ointments to get rid of these acne scars. All you need to do is simply apply a natural ingredient onto your acne scars and in a relatively short time your face will become acne free. Natural ingredients are the best to treat any kind of scars. Acne Scar Removal Creams are the best when they have natural extracts.
Natural Anti Acne Review
Well in the past three years there have been numerous instances and products which cure acne and scars naturally. Natural anti acne creams are the best acne scar treatment, though their action is slow paced but they are long lasting without any side effect.
Below are just a few benefits of the natural acne scar cure:
• It cures your acne for ever - period
• It halts recurrences
• It stops blackheads, whiteheads and pimples in their tracks
• Anti acne creams are totally safe for the skin and have no harmful side effects
• Completely Natural supplements
One Should Go For Natural Supplements as Natural Supplements Is Best Option without Side Effects to enjoy Acne Free Life.
How to Remove Acne Scars?
Acne scars has many solutions starting from face creams to plastic surgery. At long last there is a permanent solution to treat your acne scars. Getting these scars removed doesn't mean you have to visit a specialist dermatologist and spend hundreds of dollars on medical bills. Additionally, you will not need to apply expensive creams, lotions or ointments to get rid of these acne scars. All you need to do is simply apply a natural ingredient onto your acne scars and in a relatively short time your face will become acne free. Natural ingredients are the best to treat any kind of scars. Acne Scar Removal Creams are the best when they have natural extracts.
Natural Anti Acne Review
Well in the past three years there have been numerous instances and products which cure acne and scars naturally. Natural anti acne creams are the best acne scar treatment, though their action is slow paced but they are long lasting without any side effect.
Below are just a few benefits of the natural acne scar cure:
• It cures your acne for ever - period
• It halts recurrences
• It stops blackheads, whiteheads and pimples in their tracks
• Anti acne creams are totally safe for the skin and have no harmful side effects
• Completely Natural supplements
One Should Go For Natural Supplements as Natural Supplements Is Best Option without Side Effects to enjoy Acne Free Life.
Using Clindamycin to Treat Bacterial Vaginosis - Does it Work?
Women seeking a prompt cure will use Clindamycin to treat bacterial vaginosis. The bad news is there is no antibiotic to eliminate this infection. Sure, your doctor has assured you it will work but he probably included the fact that it will reoccur.
What You Should Know About Clindamycin?
What your doctor probably left out is that while antibiotics are targeted for any infection they are also working against you. While doctors still promote clindamycin to treat bacterial vaginosis you should ask them the pros and cons of using this form of treatment.
First and foremost we must look at the root cause of bacterial vaginosis to understand why Clindamycin won't work to your satisfaction. BV is caused by a loss of protective bacteria normally found in your body. Invaders enter your vagina and cause a loss of lactobacilli resulting in your ph levels changing and this allows the bacteria to multiply and get out of control.
It's not known what the exact trigger is but scientists suspect all the chemicals we come in contact with is less-friendly to our natural disinfectant found in the vagina. Bath gels, feminine sprays and fragrant douches can all impact how our good bacteria protect us.
So BV is not an invader that you must fight off with antibiotics. It is a bacteria naturally found in your body that multiplies and gets out of control. The only thing your body needs is to bring balance back to your vagina meaning a normal ph level.
Is Clindamycin For You?
So why wouldn't you want to use Clindamycin to treat bacterial vaginosis?
While its true antibiotics do kill off bacterium it kills off all the bacterium - bad and good. So it really can compromise your immune system leaving you vulnerable to other illnesses. The irony is that you go through all of these mishaps and use a medicine that doesn't work and doctors know it will reoccur.
Antibiotics are really aimed at curing the symptoms but not eliminating the root cause. Clindamycin isn't practical because you're not treating the cause of bacterial vaginosis; you're only treating the frustrating symptoms you're experiencing.
Another problem you'll find with using clindamycin to treat bacterial vaginosis is that some women are allergic to this antibiotic. It's not common but some do experience itching, rashes or even hives. And for those women prone to yeast infections, clindamycin increases your vulnerability and can become the cause of a yeast infection. Additionally, another one of the side effects is diarrhea.
Now if you take all of that into consideration would you still think using clindamycin to treat bacterial vaginosis is a positive source for a cure?
There is no over-the-counter medicine or prescribed medicine to cure bacterial vaginosis. You will have to plan a treatment of natural prescription. Everyday kitchen ingredients can normalize your body's ph levels. The most helpful ingredient you can buy is probiotics and live cultured yogurt containing Lactobacilli.
While it's more of a nuisance in the beginning stages, if not treated bacterial vaginosis can become worse, creating havoc for a women's reproductive health; but natural treatments can eliminate your problem.
Bernie Lo is the owner of FightAgainstBV.com, a website dedicated to educate every women about bacterial vaginosis and help them cure bacterial vaginosis with home and natural remedies.
Get all the latest, up-to-date and accurate information about bacterial vaginosis at: FightAgainstBV.com
Article Source: http://EzineArticles.com/?expert=Bernie_Lo
What You Should Know About Clindamycin?
What your doctor probably left out is that while antibiotics are targeted for any infection they are also working against you. While doctors still promote clindamycin to treat bacterial vaginosis you should ask them the pros and cons of using this form of treatment.
First and foremost we must look at the root cause of bacterial vaginosis to understand why Clindamycin won't work to your satisfaction. BV is caused by a loss of protective bacteria normally found in your body. Invaders enter your vagina and cause a loss of lactobacilli resulting in your ph levels changing and this allows the bacteria to multiply and get out of control.
It's not known what the exact trigger is but scientists suspect all the chemicals we come in contact with is less-friendly to our natural disinfectant found in the vagina. Bath gels, feminine sprays and fragrant douches can all impact how our good bacteria protect us.
So BV is not an invader that you must fight off with antibiotics. It is a bacteria naturally found in your body that multiplies and gets out of control. The only thing your body needs is to bring balance back to your vagina meaning a normal ph level.
Is Clindamycin For You?
So why wouldn't you want to use Clindamycin to treat bacterial vaginosis?
While its true antibiotics do kill off bacterium it kills off all the bacterium - bad and good. So it really can compromise your immune system leaving you vulnerable to other illnesses. The irony is that you go through all of these mishaps and use a medicine that doesn't work and doctors know it will reoccur.
Antibiotics are really aimed at curing the symptoms but not eliminating the root cause. Clindamycin isn't practical because you're not treating the cause of bacterial vaginosis; you're only treating the frustrating symptoms you're experiencing.
Another problem you'll find with using clindamycin to treat bacterial vaginosis is that some women are allergic to this antibiotic. It's not common but some do experience itching, rashes or even hives. And for those women prone to yeast infections, clindamycin increases your vulnerability and can become the cause of a yeast infection. Additionally, another one of the side effects is diarrhea.
Now if you take all of that into consideration would you still think using clindamycin to treat bacterial vaginosis is a positive source for a cure?
There is no over-the-counter medicine or prescribed medicine to cure bacterial vaginosis. You will have to plan a treatment of natural prescription. Everyday kitchen ingredients can normalize your body's ph levels. The most helpful ingredient you can buy is probiotics and live cultured yogurt containing Lactobacilli.
While it's more of a nuisance in the beginning stages, if not treated bacterial vaginosis can become worse, creating havoc for a women's reproductive health; but natural treatments can eliminate your problem.
Bernie Lo is the owner of FightAgainstBV.com, a website dedicated to educate every women about bacterial vaginosis and help them cure bacterial vaginosis with home and natural remedies.
Get all the latest, up-to-date and accurate information about bacterial vaginosis at: FightAgainstBV.com
Article Source: http://EzineArticles.com/?expert=Bernie_Lo
Acne aid soap - Liquid acne clensers, benefits over bar soaps
Acne aid soaps can be found in a wide variety of ingredients which can help solve a number of problems experienced by a lot of people. Info on these acne aid soaps can be obtained from the internet, which has everything from soaps which enable the drying of oily pores to soaps which can give you a smooth and silky skin by constantly using it. Acne can be classified under skin rashes. It can generally be seen on shoulders, back, legs and the chest. Acne generally comes about due to diet, hormones, vitamin deficiency, stress, evolutionary biology and a variety of other factors. The actual reason could be a mix of all these. Excessive make-up or oily skin can also be another reason for acne. Heavy make-up can clog the pores and make-up of the oily variety can add more oil to your skin, meaning bad news for already oily skin. The friction which comes about due to rubbing or leaning on the skin can further damage it.
If you are a victim of acne, you need an acne aid soap which won’t be too harsh to your skin so that, in addition to not irritating your skin, it will dry and remove any blemishes caused by acne. Glycerin present in the acne aid soap can dry the acne blemishes, while ensuring that your skin is nourished with some Dead Sea minerals and also soothed with some gentle Aloe Vera. The acne soap also helps to get rid of bacteria, dirt and impurities, thereby reducing the chances of further acne. It will also have natural oils which can moisturize the skin without leaving it oily.
Gentle acne aid soap can be used one week after it is manufactured and can continue to be used for a long period of time. The soap uses the useful properties of purified lavender and tea tree, which will help in reducing the level of acne. It has a variety of ingredients like Rice Bran Oil, Water, Grape seed oil, Niaouli essential oil, Lavandin and Sodium hydroxide.
People who have acne may also undergo a lot of emotional and physical problems. The scars left behind due to acne go deeper than the outer skin. Using some acne aid soap can be very useful in ending the problems which are generally associated with acne and pimples.
A sulfur acne aid soap should also be taken into considerations. This type of acne aid soap is antibacterial, so it will easily get rid of acne and blackheads. A sulfur acne aid soap contains a Keratolytic agent which works by getting rid of bacteria and killing off the dead skin cells from your face, thereby reducing the chances of further pimples.
If you are a victim of acne, you need an acne aid soap which won’t be too harsh to your skin so that, in addition to not irritating your skin, it will dry and remove any blemishes caused by acne. Glycerin present in the acne aid soap can dry the acne blemishes, while ensuring that your skin is nourished with some Dead Sea minerals and also soothed with some gentle Aloe Vera. The acne soap also helps to get rid of bacteria, dirt and impurities, thereby reducing the chances of further acne. It will also have natural oils which can moisturize the skin without leaving it oily.
Gentle acne aid soap can be used one week after it is manufactured and can continue to be used for a long period of time. The soap uses the useful properties of purified lavender and tea tree, which will help in reducing the level of acne. It has a variety of ingredients like Rice Bran Oil, Water, Grape seed oil, Niaouli essential oil, Lavandin and Sodium hydroxide.
People who have acne may also undergo a lot of emotional and physical problems. The scars left behind due to acne go deeper than the outer skin. Using some acne aid soap can be very useful in ending the problems which are generally associated with acne and pimples.
A sulfur acne aid soap should also be taken into considerations. This type of acne aid soap is antibacterial, so it will easily get rid of acne and blackheads. A sulfur acne aid soap contains a Keratolytic agent which works by getting rid of bacteria and killing off the dead skin cells from your face, thereby reducing the chances of further pimples.
The Role of Soap in Acne
In clinical dermatology, there are few questions asked more commonly by acne patients than "What is the best way for me to cleanse my face?" In my office, we recently reversed this inquiry back to the patients by asking fifteen acne subjects the three characteristics that they most sought by their acne cleanser.[1] The list included smell, foam, thickness, ease of use rinse ability, softness, gentleness, moisturizing, soothing, and clean feeling. Each person was to select the three most important cosmetic features of a wash product for their situation. In order, the major traits sought were cleanliness feeling (11), moisturizing (9), gentleness (8), and pleasant smell (7). A previous study similarly reported that the most sought-after qualities of soap by consumers were safety, mildness, gentleness, less irritation, and less drying.[2] Of note, cleansing the skin, the main purpose for using soap, is no longer the desired endpoint.[3,4]
For generations, patients and physicians believed that successful treatment of acne depended on the degreasing of the skin to an extent which produces noticeable peeling.[5] In the 1980s, pharmaceutical companies began suggesting that irritation of the skin was not necessary for acne control. Going full circle, recent articles imply that acne can be exacerbated by external insults, such as harsh soaps, and that compliance is only achieved by products that are esthetically pleasing.[6] Nevertheless, there are still acne patients who benefit from aggressive washing of the face.
Washing meets various people's needs of hygiene, cosmesis, medical, social, cultural, and religious functions. It contributes to a feeling of well being as well as improving the appearance and smell of the skin. Rather than promoting health, its importance is in the feeling, appearance, and scent it imparts to the skin.[2] The formulation of a soap is closely tied to its marketing strategy (consumer needs, targeted consumer segment, purposes for which it is intended, and chosen distribution) as well as to the production process chosen and its intended technical characteristics).[7] Mildness has become the major benefit claimed for soaps and testing for mildness now ranks among the first concerns of the manufacturing industry.[8] One could query whether this movement away from harsh soaps was lead by physicians, patients, or the pharmacologic industry.
In patient care, it is important to realize that cleansing is an important aspect of skin care because it not only removes unwanted dirt, soil, and bacteria from skin, but also removes dead surface cells, preparing skin to better absorb topically applied medications.[6] Paradoxically, skin cleansing also typically leads to weakening of the barrier in which many of the cleansers' surfactants interact with the proteins and lipids of the stratum corneum detrimentally.[6] Inasmuch as almost half of the population claims that they personally have sensitive skin,[9,10] it is important that products be acceptable for this populace so that they are able to use an acne cleanser for prolonged time intervals. The lesser dehydration and damage and patient discomfort may enhance patient compliance and thereby improve the chances for successful therapy.[11,12] Nevertheless, there will be some patients who prefer soaps that remove more facial oils.
When opting for an acne cleanser, take into consideration that soaps emulsify dirt, oil, and microorganisms on the skin surface so that they can be easily removed. Likely prescription choices include Brevoxyl®-8 Creamy Wash, Triaz®-6 Wash, and Zoderm® Wash, which have the benefit of containing benzoyl peroxide, which has antibacterial, anti-comedonal, and exfoliative properties. Lipid-free cleansers, such as Cetaphil® and Moisturel®, are able to remove cosmetics and low level of environmental dirt, but can only remove bacteria and oil through mechanical means. More studies are needed to assess the best agent for acne control and to answer whether different agents may be attractive to groups with variant forms of acne.
reference
1. Burkhart CG, Scheinfeld NS. Benzoyl peroxide skin washes: basis, logic, effectiveness, and tolerance. SkinMed 2005;4(6):370-96.
2. Wolf R, Wolf D, Tuzun B, Tuzun Y. Soaps, shampoos, and detergents. Clin Dermatol 2001;19:393-7.
3. Wolf R. Has mildness replaced cleanliness next to godliness? Dermatology 1994;189:217-21.
4. Wolf R. Entering the 21st century: future perspectives. Clin Dermatol 1996;14:129-32.
5. Winnefeld M, Richard MA, Drancourt M, Grob JJ. Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use. Br J Dermatol 2000;143:546-50.
6. Subramanyan K. Role of mild cleansing in the management of patient skin. Dermatol Ther 2004;17:26-34.
7. Friedman M, Wolf R. Chemistry of soaps and detergents: various types of commercial products and their ingredients. Clin Dermatol 1996;14:7-13.
8. Gabard B, Chatelain E, Bieli E, Haas S. Surfactant irritation: in vitro corneosurfametry and in vivo bioengineering. Skin Res Technol 2001;7:49-55.
9. Willis CM, Shaw S, DeLacharriere O, Baverel M, Reiche L. Sensitive skin: an epidemiological study. Br J Dermatol 2001;145:258-63.
10. Jourdain R, Lacharriere O, Bastien P, Maibach HI. Ethnic variations in self-perceived sensitive skin: epidemiological survey. Contact Dermatol 2002;46:162-9.
11. Nicoll G, Barrows J, Murahata R, Greene A, Leyden J, Grove G. Clinical implications of mild cleansing products for individuals undergoing acne therapy with tretinoin. J Europ Acad Dermatol Venereol 1995;5:S151
12. Gehring W, Gloor M, Kleesz P. Predictive washing test for evaluation of individual eczema risk. Contact Dermatol 1998;39:8-13.
For generations, patients and physicians believed that successful treatment of acne depended on the degreasing of the skin to an extent which produces noticeable peeling.[5] In the 1980s, pharmaceutical companies began suggesting that irritation of the skin was not necessary for acne control. Going full circle, recent articles imply that acne can be exacerbated by external insults, such as harsh soaps, and that compliance is only achieved by products that are esthetically pleasing.[6] Nevertheless, there are still acne patients who benefit from aggressive washing of the face.
Washing meets various people's needs of hygiene, cosmesis, medical, social, cultural, and religious functions. It contributes to a feeling of well being as well as improving the appearance and smell of the skin. Rather than promoting health, its importance is in the feeling, appearance, and scent it imparts to the skin.[2] The formulation of a soap is closely tied to its marketing strategy (consumer needs, targeted consumer segment, purposes for which it is intended, and chosen distribution) as well as to the production process chosen and its intended technical characteristics).[7] Mildness has become the major benefit claimed for soaps and testing for mildness now ranks among the first concerns of the manufacturing industry.[8] One could query whether this movement away from harsh soaps was lead by physicians, patients, or the pharmacologic industry.
In patient care, it is important to realize that cleansing is an important aspect of skin care because it not only removes unwanted dirt, soil, and bacteria from skin, but also removes dead surface cells, preparing skin to better absorb topically applied medications.[6] Paradoxically, skin cleansing also typically leads to weakening of the barrier in which many of the cleansers' surfactants interact with the proteins and lipids of the stratum corneum detrimentally.[6] Inasmuch as almost half of the population claims that they personally have sensitive skin,[9,10] it is important that products be acceptable for this populace so that they are able to use an acne cleanser for prolonged time intervals. The lesser dehydration and damage and patient discomfort may enhance patient compliance and thereby improve the chances for successful therapy.[11,12] Nevertheless, there will be some patients who prefer soaps that remove more facial oils.
When opting for an acne cleanser, take into consideration that soaps emulsify dirt, oil, and microorganisms on the skin surface so that they can be easily removed. Likely prescription choices include Brevoxyl®-8 Creamy Wash, Triaz®-6 Wash, and Zoderm® Wash, which have the benefit of containing benzoyl peroxide, which has antibacterial, anti-comedonal, and exfoliative properties. Lipid-free cleansers, such as Cetaphil® and Moisturel®, are able to remove cosmetics and low level of environmental dirt, but can only remove bacteria and oil through mechanical means. More studies are needed to assess the best agent for acne control and to answer whether different agents may be attractive to groups with variant forms of acne.
reference
1. Burkhart CG, Scheinfeld NS. Benzoyl peroxide skin washes: basis, logic, effectiveness, and tolerance. SkinMed 2005;4(6):370-96.
2. Wolf R, Wolf D, Tuzun B, Tuzun Y. Soaps, shampoos, and detergents. Clin Dermatol 2001;19:393-7.
3. Wolf R. Has mildness replaced cleanliness next to godliness? Dermatology 1994;189:217-21.
4. Wolf R. Entering the 21st century: future perspectives. Clin Dermatol 1996;14:129-32.
5. Winnefeld M, Richard MA, Drancourt M, Grob JJ. Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use. Br J Dermatol 2000;143:546-50.
6. Subramanyan K. Role of mild cleansing in the management of patient skin. Dermatol Ther 2004;17:26-34.
7. Friedman M, Wolf R. Chemistry of soaps and detergents: various types of commercial products and their ingredients. Clin Dermatol 1996;14:7-13.
8. Gabard B, Chatelain E, Bieli E, Haas S. Surfactant irritation: in vitro corneosurfametry and in vivo bioengineering. Skin Res Technol 2001;7:49-55.
9. Willis CM, Shaw S, DeLacharriere O, Baverel M, Reiche L. Sensitive skin: an epidemiological study. Br J Dermatol 2001;145:258-63.
10. Jourdain R, Lacharriere O, Bastien P, Maibach HI. Ethnic variations in self-perceived sensitive skin: epidemiological survey. Contact Dermatol 2002;46:162-9.
11. Nicoll G, Barrows J, Murahata R, Greene A, Leyden J, Grove G. Clinical implications of mild cleansing products for individuals undergoing acne therapy with tretinoin. J Europ Acad Dermatol Venereol 1995;5:S151
12. Gehring W, Gloor M, Kleesz P. Predictive washing test for evaluation of individual eczema risk. Contact Dermatol 1998;39:8-13.
What is Benzoyl Peroxide?
benzoyl peroxide is an over-the-counter medication that’s frequently used to treat mild-to-moderate acne. Found in products, such as Clearasil and Proactiv, it works in a few different ways. First, once a pore is clogged, bacteria can invade the pore and cause redness and inflammation. One of the types of bacteria commonly found in clogged pores is known as propionibactera acnes, and it cannot survive in the presence of oxygen. Benzoyl peroxide introduces oxygen in to the pore, effectively killing the bacteria. Second, it also helps to clear the pore of any dirt or cellular debris.
It is important to read the instructions of the individual product before using it. Start with a mild form, usually 2.5%. If it does not work within a couple of weeks, then look for a stronger product. Make sure to apply it to your entire face, as it can help to prevent breakouts as well. You will probably need to continue taking this medication, even once your acne begins to improve.
As with any drug, there can be side effects. The most common ones are increased sensitivity to the sun; mild burning; and red, irritated or inflamed skin. If these become bothersome or worsen, you may need to speak with your physician about an alternative. Finally, other products may interact with benzoyl peroxide. Be sure to avoid cosmetics or other cleaning products that may also dry the skin, and let your physician know of any other medications you are taking.
Tips for Using Benzoyl Peroxide
Tips for Using Benzoyl Peroxide
1. Use a Moisturizer
Benzoyl peroxide will dry your skin. If you have super oily skin, you might actually welcome this drying -- no more oily shine. But many people find benzoyl peroxide leaves the skin uncomfortably dry and flaky. To counteract this, use a noncomedogenic moisturizer after cleansing. Just a dab is enough to keep your skin smooth.
2. Keep Away From Clothing, Towels, and Hair
Benzoyl peroxide acts like bleach, and will discolor everything it touches. Many people learn this the hard way, after ruining countless towels. Thoroughly rinse off benzoyl peroxide cleansers. Let benzoyl peroxide creams and lotions dry completely before dressing, or lying on your pillow at night. And always wash your hands well after using any benzoyl peroxide treatment.
If you have darker hair, you'll also want to keep benzoyl peroxide away from your hairline. Regular exposure can bleach your hair too.
3. Always Wear Sunscreen
Benzoyl peroxide can cause photosensitivity, or sensitivity to the sun. So during use you will be more prone to sun burn and sun damage. Too much sun time and you may find yourself with a nasty burn. And yes, you'll want to stay out of tanning beds as well.
Wear an oil-free sunscreen with an SPF of at least 15 everyday. You'll protect yourself from skin cancer and premature aging. Today's sunscreens don't have much in common with the thick, smelly lotions of the past. Plenty of light, nongreasy sunscreens are available.
Don't like the thought of applying a separate sunscreen? Many moisturizers have SPF 15 or more. You can moisturize and get your sun protection in just one step.
4. Don't Use Benzoyl Peroxide with Other Acne Medications
Everyone wants their skin to clear up quickly, but layering on several different treatment products won't speed the process. It can cause severe redness, drying, peeling and flaking. Don't use benzoyl peroxide with other acne medications unless your doctor has recommended you do so.
In some cases, layering your medications can thwart your acne treatment. When applied at the same time, benzoyl peroxide essentially de-activates Retin-A (tretinoin). Probably not the result you're looking for. So again, whenever you're in doubt, ask your doctor first.
1. Use a Moisturizer
Benzoyl peroxide will dry your skin. If you have super oily skin, you might actually welcome this drying -- no more oily shine. But many people find benzoyl peroxide leaves the skin uncomfortably dry and flaky. To counteract this, use a noncomedogenic moisturizer after cleansing. Just a dab is enough to keep your skin smooth.
2. Keep Away From Clothing, Towels, and Hair
Benzoyl peroxide acts like bleach, and will discolor everything it touches. Many people learn this the hard way, after ruining countless towels. Thoroughly rinse off benzoyl peroxide cleansers. Let benzoyl peroxide creams and lotions dry completely before dressing, or lying on your pillow at night. And always wash your hands well after using any benzoyl peroxide treatment.
If you have darker hair, you'll also want to keep benzoyl peroxide away from your hairline. Regular exposure can bleach your hair too.
3. Always Wear Sunscreen
Benzoyl peroxide can cause photosensitivity, or sensitivity to the sun. So during use you will be more prone to sun burn and sun damage. Too much sun time and you may find yourself with a nasty burn. And yes, you'll want to stay out of tanning beds as well.
Wear an oil-free sunscreen with an SPF of at least 15 everyday. You'll protect yourself from skin cancer and premature aging. Today's sunscreens don't have much in common with the thick, smelly lotions of the past. Plenty of light, nongreasy sunscreens are available.
Don't like the thought of applying a separate sunscreen? Many moisturizers have SPF 15 or more. You can moisturize and get your sun protection in just one step.
4. Don't Use Benzoyl Peroxide with Other Acne Medications
Everyone wants their skin to clear up quickly, but layering on several different treatment products won't speed the process. It can cause severe redness, drying, peeling and flaking. Don't use benzoyl peroxide with other acne medications unless your doctor has recommended you do so.
In some cases, layering your medications can thwart your acne treatment. When applied at the same time, benzoyl peroxide essentially de-activates Retin-A (tretinoin). Probably not the result you're looking for. So again, whenever you're in doubt, ask your doctor first.
Acne Prevention
One of the most common misconceptions about acne is that it's caused by dirt. It's not! Acne is caused by a combination of factors you can't control, like your hormone balance and the natural pace of your skin's renewal system. Fortunately, there are a number of things you can control that may help you keep your acne in check. Begin by following these simple suggestions for healthy-skin hygiene.
Acne Prevention - Tip #1: Don't over-wash. Since dirt is not causing your acne, excessive scrubbing and washing won't make it go away. Try to limit yourself to two washings per day — anything more than that can leave your healthy skin dry, and your acne-prone areas irritated. Habitual over-washing may also stimulate extra oil production, which could result in more breakouts.
Acne Prevention - Tip #2: Skip harsh scrubs. It's okay to exfoliate, but be sure to use a gentle formula with small, smooth grains. Avoid products with almond or apricot shell fragments; they can irritate or even tear your skin and further aggravate your acne.
Acne Prevention - Tip #3: Say no to alcohol. If you use a toner, avoid products with high concentrations of isopropyl alcohol, or common rubbing alcohol. A strong astringent, alcohol strips the top layer of your skin, causing your sebaceous glands to produce more oil. The result? Dry, red skin — and possibly more blemishes.
Acne Prevention - Tip #4: Don't squeeze or pick. Squeezing or picking your blemishes — with fingernails, pins or anything else — can force bacteria deeper into the skin, causing greater inflammation and infection. You'll also increase the damage to the surrounding skin, so the blemish is more likely to leave a permanent acne scar.
Acne Prevention - Tip #5: Hands off! Propionibacterium acnes (the bacteria that causes breakouts) is a normal resident of your skin; it doesn't lead to acne until it gets trapped inside the hair follicle. Excessive touching of your face, including rubbing or even resting your chin in your hands, can drive bacteria into your pores — where it can begin its dirtywork.
Acne Prevention - Tip #6: Work out, wash off. When you exercise, your movement generates heat; clothing and equipment cause friction. Until you shower off, heat and moisture are trapped against your skin, creating an ideal breeding ground for the spread of bacteria. So whenever you can, shower off immediately after exercising.
Acne Prevention Treatment - Find a regimen and stick with it. Most cases of mild acne can be improved with "over-the-counter" products, or products that don't require a prescription from your doctor. There is a wide range of treatments available, and there’s a good chance one of them will work for you. If you start treatment before your acne gets severe, you’ll have a better chance of avoiding physical and emotional problems down the road. But if your acne gets worse or lasts more than a couple of weeks, see a dermatologist. Here's a quick listing of the most common products used to treat acne — click on the links that interest you for more information on that course of acne treatment.
Acne Prevention - Tip #1: Don't over-wash. Since dirt is not causing your acne, excessive scrubbing and washing won't make it go away. Try to limit yourself to two washings per day — anything more than that can leave your healthy skin dry, and your acne-prone areas irritated. Habitual over-washing may also stimulate extra oil production, which could result in more breakouts.
Acne Prevention - Tip #2: Skip harsh scrubs. It's okay to exfoliate, but be sure to use a gentle formula with small, smooth grains. Avoid products with almond or apricot shell fragments; they can irritate or even tear your skin and further aggravate your acne.
Acne Prevention - Tip #3: Say no to alcohol. If you use a toner, avoid products with high concentrations of isopropyl alcohol, or common rubbing alcohol. A strong astringent, alcohol strips the top layer of your skin, causing your sebaceous glands to produce more oil. The result? Dry, red skin — and possibly more blemishes.
Acne Prevention - Tip #4: Don't squeeze or pick. Squeezing or picking your blemishes — with fingernails, pins or anything else — can force bacteria deeper into the skin, causing greater inflammation and infection. You'll also increase the damage to the surrounding skin, so the blemish is more likely to leave a permanent acne scar.
Acne Prevention - Tip #5: Hands off! Propionibacterium acnes (the bacteria that causes breakouts) is a normal resident of your skin; it doesn't lead to acne until it gets trapped inside the hair follicle. Excessive touching of your face, including rubbing or even resting your chin in your hands, can drive bacteria into your pores — where it can begin its dirtywork.
Acne Prevention - Tip #6: Work out, wash off. When you exercise, your movement generates heat; clothing and equipment cause friction. Until you shower off, heat and moisture are trapped against your skin, creating an ideal breeding ground for the spread of bacteria. So whenever you can, shower off immediately after exercising.
Acne Prevention Treatment - Find a regimen and stick with it. Most cases of mild acne can be improved with "over-the-counter" products, or products that don't require a prescription from your doctor. There is a wide range of treatments available, and there’s a good chance one of them will work for you. If you start treatment before your acne gets severe, you’ll have a better chance of avoiding physical and emotional problems down the road. But if your acne gets worse or lasts more than a couple of weeks, see a dermatologist. Here's a quick listing of the most common products used to treat acne — click on the links that interest you for more information on that course of acne treatment.
Acne Medicine
Most cases of acne can be cured with over-the-counter medications. However, the most severe forms of acne will require a prescription drug to eliminate. The type needed will depend on each outbreak, and will be determined by a dermatologist. There are two types of acne medicine: systemic (internal), and topical (external). Topical medicine is nearly always attempted before systemic, which is usually reserved for the most severe cases.
Topical Medicine
Topical creams are used to target a specific bacteria called P. acnes, which is responsible for the majority of acne cases. Applied directly to the lesions, topical creams are generally used for mild and moderate cases of acne. However, for severe cases, topical cream may be used in conjunction with systemic medicine.
The most common acne medications are:
Benzoyl Peroxide: A bleaching agent that kills bacteria and ranges in strength from mild to strong. It comes in various prescription and over the counter creams, gels, lotions, and washes. Benzoyl peroxide has no anti inflammatory properties. While effective in healing acne, if used incorrectly, it an lead to skin burns and bleached hair.
Azelaic acid: This acid naturally occurs in the body and is used to treat both inflamed and non-inflammatory conditions. It has few side effects, the most common being skin irritation. Azelaic acid is used to kill P. acnes, the bacteria that causes acne. It also reduces peeling and inflammation.
Clindamycin: Much like azelaic acid, clindamycin is effective because it kills P. acnes and reduces inflammation. It is usually side effect free, but has been shown to cause skin dryness and irritation in some people.
Systemic medicine, like topical medicine, is used to treat acne. However, it given internally, usually through oral medication. Reserved for the more severe cases of acne, systemic medicine is usually reserved for persistent pustules, nodules, and cysts. There are many forms for systemic acne medicine, with a few being the most common.
Oral Antibiotics: Because acne is the result of a bacterial inflection, oral antibiotics are usually prescribed to people suffering from large patches of pustules, or from nodules or cysts. Oral antibiotics are usually taken in 6-week periods, starting with a large dosage and reducing towards the end of the cycle.
Isotretinoin: This is a very potent retinoid that is used for severe cases of cysts and nodules. Because cysts and nodules are so deep in the tissue and inflamed, isotretinoin is usually the only option for treatment.
Intersional Corticosteroid Injection: Corticosteroids have a long history of reducing inflammation in a wide array of problems. If severe acne, such as a nodule of cyst, progresses to a point that a rupture is suspected, a dermatologist may apply a diluted shot of corticosteroid in hopes of preventing rupture and the resulting scarring.
Type of acne
Mild to Moderate acne vulgaris consists of the following types of acne spots:
Whiteheads: Whiteheads result when a pore is completely blocked, trapping sebum (oil), bacteria, and dead skin cells, causing a white appearance on the surface. Whiteheads are normally quicker in life cycle than blackheads.
Blackheads: Blackhead result when a pore is only partially blocked, allowing some of the trapped sebum (oil), bacteria, and dead skin cells to slowly drain to the surface. The black color is not caused by dirt. Rather, it is the skin's own pigment, melanin, reacting with the oxygen in the air. A blackhead tends to be a stable structure, and can often take a long time to clear.
Papules: Papules are inflamed, red, tender bumps with no head. Do not squeeze a papule. It will do no good, and may exacerbate scarring.
Pustules: A pustule is inflamed, and appears as a red circle with a white or yellow center. Pustules are your garden variety zit. What is Acne?
Acne is the term for plugged pores (blackheads and whiteheads), pimples, and even deeper lumps (cysts or nodules) that occur on the face, neck, chest, back, shoulders and even the upper arms. Acne affects most teenagers to some extent. However, the disease is not restricted to any age group; adults in their 20s - even into their 40s - can get acne. While not a life threatening condition, acne can be upsetting and disfiguring. When severe, acne can lead to serious and permanent scarring. Even less severe cases can lead to scarring.
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