Saturday, August 22, 2020

Which Acne treatment is right for you?

Which treatment is right for you?

Over-the-counter acne medications

Basiron contains benzoyl peroxide and has a proven and well-documented effect against pimples. Benzoyl peroxide works by opening the pores of the skin while reducing the number of bacteria (P. Acnes). Basiron is alcohol and perfume free. Benzoyl peroxide is classified as a medicine and can therefore only be bought without a prescription at a pharmacy.



Prescription drugs for acne

If your skin does not get better with the over-the-counter remedies, you should contact your school nurse or health center and ask for an appointment with a district nurse or doctor. Based on your ailments, they can help you by prescribing a stronger, prescription gel or cream - but also antibiotic tablets, which can give an even more powerful effect. The more of the factors that cause acne the treatment is effective against the better. Below you can read more about some of the substances included in this category of treatments and how they work.


The basis of all acne treatment

Prescription creams and gels that contain retinoids / vitamin A (adapalene, tretinoin) treat pimples in two ways; partly by reducing the inflammation in the skin and thereby treating the pimples and partly preventively by preventing clot formation that can give you new pimples. Retinoids are the basis of all acne treatment and are important to prevent you from getting new pimples and blackheads. Adapalene is available as a gel together with benzoyl peroxide for increased effect. Tretinoin is available in combination with clindamyxin (antibiotics).

Antibiotics

Topical antibiotics (clindamycin) work by reducing inflammation and reducing the amount of bacteria (P. Acnes). Clindamycin is available as a gel in combination with benzoyl peroxide or tretinoin.

If you have a little more pimples, you can for a while get antibiotics in the form of tablets or capsules. The tablet treatment should always be combined with an topical agent (such as a gel) to reduce the risk of antibiotic resistance. You can continue with the gel when the tablet regimen is completed.


Other treatment

Girls can sometimes get rid of their pimples by using birth control pills (not mini-pills) which help by affecting the hormone balance in the body.

Azelaic acid is another substance found in gels and creams that has some effect on inflammation and the amount of bacteria.

Gollnick H. et al. Management of Acne. A Report From a Global Alliance to Improve Outcomes in Acne. Supplement to J Am AcadDermatol. Vol 49 No 1, 2003.

Isotretinoin - when nothing else helps
In some cases, it is best to consult a dermatologist. This may be when regular prescription treatments have not yielded any results and the symptoms are still extensive. Then you can treat with tablets that contain isotretinoin - the only substance that acts on all the causes that cause you to get pimples. The tablets are effective but give some side effects, so they should be used with caution. Tablets containing isotretinoin should only be prescribed by dermatologists (dermatologists).

Skin irritation is a common sign that the medicine has an effect

All medicines give more or less side effects and it can also differ between tablet treatment and creams / gels. The most common drug treatment for acne is in the form of a gel or cream that you can apply to the affected skin area.

Talk to your doctor about how to do it and what you can expect from the treatment. It's nice to be prepared!

If you become red and / or irritated at the beginning of the treatment at the beginning of the treatment, it is often a sign that the medicine has an effect. The irritation usually subsides after 1-2 weeks of treatment. Be patient with the treatment! Already after a couple of weeks you can see visible effect, ie the pimples become less red and irritated and decrease in size. It usually takes at least 10-12 weeks before they disappear completely. If you have any questions or concerns about your treatment, you should always contact your doctor.

** 1st Gollnick H. et al. Management of Acne. A Report From a Global Alliance to Improve Outcomes in Acne. Supplement to J Am AcadDermatol. Vol 49 No 1, 2003

Basiron AC gel (benzoyl peroxide) is an over-the-counter acne treatment. Basiron AC gel should not be used on damaged skin. Read the package leaflet carefully. Galderma Nordic AB, www.galderma.se, 2017-07-28.

Cleaning and moisturizing

Both in pharmacies, in stores and on the Internet, there are many products that can feel fresh to use for cleansing or moisturizing the skin. Here you will also find remedies that can help you hide pimples and dry out oily skin. Basiderm, Clearasil, Proactive, Neutrogena, ACO Spotless, Normaderm, Demons & Angels and Acnicyl Cleanser are all well-known brands in this category but so far there is no medically documented evidence that they have any effect on what actually causes pimples.

When using acne medications, it is important to have a functioning skin care routine. Wash your skin with a mild face wash before applying your acne medicine and moisturize the skin after treatment

ACO Acne Solution, ACO Acnegel and Acnicyl Cream are agents that have limited documentation of the effect on the bacteria that cause pimples. *

* Classified according to the Medical Products Agency as VUM (certain external agents) or has CE marking (medical device).

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