What acne medicine works the best?!
Question:
What acne medicine works the best?
i need help. wat one works the best? i have lost of little pimples all over my forehead and they will not go away! i wash my face twice a day but it does not help, it makes my face iritated.
Answers:
Hi,
Most acne can be treated effectively with two drugs, or at most three, at any one time. Failure to respond to a regimen within four to eight weeks should prompt a substantial change in drugs, not merely the addition of another product.
Tretinoin, isotretinoin, adapalene, and tazarotene are topical retinoids which, if applied daily, inhibit formation of comedones and usually clear even severe comedonal acne within a few months. The only major drawback is irritation, which is greatest after a few weeks, but the irritation usually requires no more than simple moisturising. Azelaic acid is a dicarboxylic acid with modest antibacterial and comedolytic effects. It is the least irritating preparation. The side effects: in dark skinned patients, inflammation results in hyperpigmentation, which could otherwise remain for weeks or months.
Usually, two drugs are prescribed an antibacterial and a comedolytic. Benzoyl peroxide 2.5-10% is extremely effective against this type of acnes. Its major disadvantage is irritation, which can be minimised by using lower concentrations in a cream vehicle. Topical erythromycin and clindamycin are available as alcoholic solutions, lotions, creams, and gels, all of which are about equally effective. A combination of clindamycin and benzoyl peroxide in gel form is superior to a topical antibiotic alone. Azelaic acid 20% cream is also an effective alternative. Failure to respond to topical treatment within four to eight weeks should automatically prompt a change in treatment. Other options for resistant P acnes include oral antibiotics and isotretinoin.