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Acne treatment has two pillars: the topic, ie based treatments of creams, gels or solutions, and oral treatment, including antibiotics and isotretinoin. A dermatologist, depending on the degree of acne, I recommend one or the other. It is common to start with one type of treatment, and if no adequate response or relapses occur, change of treatment.

As I tell all my patients in the consultation, ‘all treatments have potential side effects. ” It is important to good communication between doctor and patient, and, of course, there is trust and ask me your questions. All this comes to snacks, because the forum has raised some fears of a patient about oral isotretinoin …

Treatment includes topical acne antibiotics such as erythromycin and clindamycin, alone or associated with benzoyl peroxide. They are also used topical retinoids are derivatives of vitamin A, and include retinoic acid, adapalene, tazarotene and isotretinoin. Retinoids are highly effective in acne, as well mixed or microcystic comedoniano (to be clear, the black spots and / or small quistecitos) but its irritating effect, especially at first, discouraged some patients to continue their use. Currently there are less irritating formula, and partnerships with antibiotics in the same product. Remember that topical treatments, we must be consistent and wait a while, 4 to 6 weeks to see results. And of course, apply olividéis not properly clean the skin.

As oral treatments, is often begun with oral antibiotics such as doxycycline or minocycline, which act as anti-inflammatory and should be kept months: 2 to 6, depending on the patient and the degree of acne. The average is usually three months, and as topical treatments, are beginning to see results from the month. You must always follow the directions of your dermatologist about the dosage schedule (number of doses per day dose) and administration (with or without food) and reports of other diseases and / or medications you to take.

Concerning isotretinoin, noted that treatment is more definitive results in acne. It is also particularly suitable acnes prone to scarring. Periodic analytical control required, and in women due to risk of teratogenicity or fetal malformations, it is necessary to use double contraception to prevent pregnancy. When you take antibiotics for acne such as doxycycline or minocycline, should also be avoided in pregnancy and should take into account the possible interactions of the antibiotic with oral contraception.

The duration of treatment with isotretinoin is established based on the total dose per kilo of weight, and should always be prescribed by a dermatologist. As I told you both the peels and laser hair removal should be delayed 6 months and in the case of most abrasive lasers must wait 12 months. We must also warn you’ll go to undergo laser surgery for myopia, or if you have submitted, to assess the times before starting isotretinoin treatment and delay the healing.Finally, perhaps the ultimate in acne treatment and photodynamic therapy would be lasers or other light sources.

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