Treatment of Acne
Acne can recur during adolescence, especially when it worsens or decreases with the physiological cycle. Treatment is a constant battle and cannot be expected to subside with a few days of medication! In principle, for acne-based acne, use topical retinoic acid such as Adapalene (Daphne) gel or retinoic acid ointment; for inflammation-based acne, use anti-inflammatory drugs such as peroxide benzoyl ointment or clindamycin solution; for oiliness, use oil control, sulfur soap, and topical sulfur applications. For delicate skin, use medical skin care products. Severe cases need to take internal medicine.
Q: How to splendidly taste the deserted wood
A: Acne is a chronic skin problem, itself has a certain recurring nature, sometimes light and sometimes heavy. For people with acne genetics and in the prime of life, it is impossible to cure acne completely due to a combination of internal and external factors. During adolescence, most young people experience acne, but most acne will subside naturally as they grow older, especially after the age of 25.
Therefore, the first thing to do is to have a proper mindset when dealing with acne! Young people must understand that with acne, treatment can only alleviate, but not cure, the root cause! In addition, look for causes from yourself and avoid those factors that may trigger or aggravate acne, such as a diet that reduces the intake of high-fat, sweet and spicy foods; mental tension and staying up late. For women, acne tends to increase before menstruation, and it is even more important to avoid the above factors during this period. Even if you have a pimple, you should be careful not to squeeze or pick it with your hands to avoid leaving pimple marks or scars!
As for specific treatments, there are many, depending on the rash, the characteristics of the skin, etc.!
Q: What are the topical treatments for acne?
A: There are many topical treatments for acne. For oil control, there are sulfur applications (compound sulfur lotion); for acne, there are vitamin A acid creams such as Adapalene cream (Daphne), vitamin A acid ointment (Dewi cream), and isotretinoin ointment. The anti-inflammatory ones are peroxybenzoyl ointment (Bansai), mupirocin ointment (Bactrim), compound polymyxin ointment, chloramphenicol application, lincomycin application, etc. There are also many skin care products sold in pharmacies for oil control and acne relief.
Q: I used 0.025% Dewey cream topically on my face last night, and this morning my face is all red with a burning sensation, is it an allergy?
A: The most common adverse reactions to topical medications such as Dewey cream (0.025 and 0.1%) and Daphne (Adapalene) gel after topical application are local irritation: redness and a burning sensation. Generally after a few days will gradually adapt and reduce. The initial topical amount should be small and applied thinly. If the reaction persists and gradually worsens, the use should be discontinued. In addition, topical retinoids should not be used on the eyelids and vulva. Hands should be washed after using the medication.
Q: Are there any internal medications for acne?
A: For patients with moderate to severe acne, medications can be taken internally, but should be taken under the guidance of a doctor! There are antibiotics, commonly used such as Maimycin, Doxycycline, etc., for patients with acne with obvious infection. For heavy acne, i.e., nodular and cystic acne, the first three times a day, one tablet each time; after improvement, reduce to two times a day, or even once a day, one tablet each time! For men who have a lot of oil, take small amounts! For women, you can take Danshinone or Angelica Bitter Ginseng Pills.
Q: Can women take isotretinoin?
A: Isotretinoin capsules have a teratogenic effect! Women should never get pregnant while taking the medication and should stop taking it for three months before they can get pregnant! There is also a vitamin A acid-based internal medicine, called Avia, the trade name “Fang Xi” (generally not used in the treatment of acne!) If you are pregnant, you need to stop taking it for three years before you can get pregnant! Therefore, women of child-bearing age should not use internal retinoids lightly! For acne patients in general, it is not necessary to take internal retinoids!
Q: I am a girl, 20 years old. I have had acne vulgaris for many years, can I take Tylenol? Are the side effects of this medicine particularly terrible? Do you recommend that I take it?
A: Isotretinoin (Tylenol) capsules are suitable for nodular and cystic acne. However, there are many side effects, including teratogenic effects in women. When taking any medication, you must weigh the pros and cons, the pros outweigh the cons: take it; the cons outweigh the pros: don’t take it. For women in their childbearing years, it is even more important to be cautious.
Q: Isotretinoin (Tylenol) dry skin and lips after taking it orally, is this related to the drug?
A: Yes. Isotretinoin is very effective in the treatment of nodular and cystic acne, and also has good oil control. However, there are many side effects. In addition to the teratogenic effects mentioned above, there is also liver toxicity, which can raise blood lipids. Long-term use should be careful to check liver function and blood lipids. The adverse skin reaction is to make the skin dry and the mouth and lips dry and peeling.
Q: In winter, I get pimples on my back and chest, what’s wrong? Does it have anything to do with endocrine? How to cure?
A: It is related to endocrine, but there is no endocrine disorder! Because of the increased secretion of sex hormones during puberty, the sebaceous glands in the skin secrete more and produce more oil, especially on the face, forehead and middle of the back, which are also the areas where acne occurs! Women’s acne often worsens before menstruation, which actually reflects the changes in cyclical hormone levels. Since it is less convenient to use topical medication on the front and back, for heavier cases you can take oral anti-inflammatory medication, and for lighter cases you can use a body wash containing sulfur or ketoconazole. Combined with topical anti-inflammatory drops.
Q: Female, 21 years old, recently grew a lot of fat particles on the face, how to remove ah?
A: What you call facial “fat grains”, is likely to be acne, can be used externally vitamin A acid cream, such as Dewi cream (0.025% and 0.1% two concentrations, from 0.0% to start with) or Adapalene (Daphne) gel. You can also go to the hospital and use an acne squeezer to remove them. But do not squeeze it yourself, otherwise it will easily become inflamed and leave pigmentation or small scars! Use sulfur lotion topically to control oil, etc.
Q: I am 23 years old and I keep getting pimples on my face a few days before my period, and they are red and big. When my period is almost over the pimples go down again, but there are pimple marks. How can I avoid acne during my period?
A: Acne aggravation before menstruation is a normal physiological phenomenon, and I do not advocate disturbing it. You can take Dain 35, which was approved for the indication of acne when it entered the Chinese market more than a decade ago. In recent years, another indication has been approved upon application:birth control pills! This makes some girls reluctant to take it. In fact, the drug is still effective in treating female acne! Be sure to read the instructions carefully before taking the drug! If you have breast enlargement, you should not take it! Of course, if you have irregular menstruation, you should consult a gynecologist.
Q: I have a lot of acne and pimples on my face. A friend recommended me to take a Chocola BB Plus VB to clear acne and beauty. But I am afraid that it will get worse when I stop taking it. Or I may have dependence. What do you think I should take it?
A: Chocola BB Plus VB acne medication, which is not a state-approved drug! The medicine taken internally, must be clear what the ingredients are! The name of this strange, not Chinese not Western medicine, must be careful, do not give fooled! Otherwise, the problem regrets are too late!
Q: I’m 22q this year, on the acne is also almost 7 years, but has been bad, many pods ^ up. All anti anti}. I am very sleepy_.
A: From the photos, it looks like you don’t have heavy acne! But the problem is not being able to control your own hands, you have to use your hands to squeeze and pick at almost every pimple that comes out, hoping to remove it, but the result is counterproductive and contrary to your wishes! Not only does it not go away, but it leaves acne marks! I always warn patients: don’t “abuse” acne in front of the mirror!