Proactive Acne Treatment

Despite the thousands of products available for acne treatment today, the most proactive thing you can do is take good care of your skin – first.

Acne control is a goal for every adolescent or adult that has suffered from the ravages of this unsightly, stressful and physically painful condition. When the first signs of acne appear, take action to fight the malady right from the beginning. Early and proactive treatment stands a better chance of being successful.  Often, early action means the difference between scarring and additional mental distress and a successful alleviation of the acne symptoms with no sign of scarring.

Understand the cause

Successful acne control is a matter of working with known causes of the condition and changing the dynamics to reduce the negative impact of the acne. Beginning the process early is more likely to be successful in reducing the breakouts. For example, it is now known that acne symptoms appear when there is a malfunction of the oil-producing glands at the base of the hair follicles. The cause is probably related to hormonal production, so treatment that begins early can focus on these two aspects. Hormone treatment takes time to work so early treatment is better than delaying.

Reduce physical scarring

Extensive scarring can be the result of acne pimples or inflammation coupled with the high chance of infection from the break in the skin surface. Obviously, acne control that actively fights the conditions that lead to physical scarring has a better chance of preventing such scars. The successful key is early intervention, before there is time to build up pockets of infection under the skin. Since it is now known that acne is not the result of unclean skin, depending upon cleansing for prevention of scarring may not be enough.

Prevent emotional turmoil

The impact of disfiguring and painful outbreaks of acne symptoms on the precarious emotional outlook of an adolescent is easy to remember even if you are long out of your teens. There can be almost irreparable damage done to the self esteem of the teenager. Early and emphatic acne control recognizes that dealing with the symptoms early provides less opportunity for the negative personal view to take hold in the mind of the individual with acne. Being told simply that he or she will outgrow acne symptoms does not solve the immediate drain on confidence.

Reduce the outbreaks

Early and active treatment of the acne symptoms is more likely to be successful in reducing the permanent impact of the condition. Acne control consists of treating the physical and emotional symptoms effectively so that they do not continue. This can consist of basic maintenance; getting proper rest, drinking lots of water, eating healthy clean food and cleansing your face each night and morning.

Modern 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.

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 pssible 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