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Remedies arise as a solution to treat more severe acne

Remedies arise as a solution to treat more severe acne

Isotretinoin

Isotretinoin is one of the most common medications in the treatment of acne. Known by Roacutan, this oral retinoid appears as an alternative mainly in cases where there is no response to oral antibiotics. This substance acts directly on the sebaceous gland, decreasing its size and secretion of sebum and, consequently, consistently reducing the colonization of bacteria on the skin.

Medications - photo: Getty Images

Treatment lasts for months and medical follow-up should be made monthly, since the medication can cause liver changes, since its metabolization is done in the liver, and elevation of cholesterol, because there is a change in the metabolization of fats, raising LDL (bad cholesterol) cholesterol. Dietary caution is a key part of Roacutan treatment, and alcohol is prohibited because it can overwhelm the liver. "It is also important to use sunscreen daily on the whole body and not just on the face, since the medication leaves the skin of the whole body more sensitive to the sun's rays and can appear spots," says dermatologist Marcela Studart of the Brazilian Society of Dermatology. She still remembers that in the early months, feel a rebound effect on the use of medication, worsening the appearance of acne. "In this case the doctor may associate the use of an antibiotic to improve the situation, but it is important to remember that it is a transient situation and, if possible, it is worth waiting a while instead of associating two formulas simultaneously."

Pill A woman who has Polycystic Ovarian Syndrome (a problem characterized by an imbalance in the female sex hormones) suffers from changes in the menstrual cycle and in the oiliness of the skin, which can give rise to a lot of acne. "As the source of the problem, in this case, is linked to a hormonal dysfunction, the use of the pill serves as an alternative," says dermatologist Adilson Costa. The contraceptive pill helps regulate the hormone testosterone, which causes acne and enlargement of the hair, and thus also keeps the disease under control. But nothing to buy the same card that your friend uses without first consulting a doctor (dermatologist or gynecologist) and ask what the best hormonal composition for your case. By choosing the ideal formula, you avoid problems like weight gain and bloating. Not only the pill, but other hormonally based contraceptives can be effective in combating pimples as long as they bring ethinyl estradiol into the formula - this compound lowers in the bloodstream the amount of the enzyme that performs the transformation of free testosterone into dihitestosterone, which gives rise to acne.

Oral antibiotics

The antibiotics most used in the fight against acne are tetracycline, azithromycin and linecicline both in oral formulas (common prescription in adolescence) and in creams or ointments. "The use of oral antibiotics is recommended in cases of very inflammatory acne, that is, in more advanced stages," says dermatologist Marcela Studart.

Severe Acne - photo: Getty Images

Oral antibiotic treatment can be made in interval periods or last up to six months. In cases of prolonged treatment, the organism can complain presenting gastric irritation and resistance to the antibiotic substance, that is to say, ceasing to have effect. There are topical medications, commonly in gel, with the same purpose, but they are only more effective in cases of milder acne. May cause irritation or contact dermatitis at the site of use.

Corticosteroids

They are little used in the treatment of acne, because one of its effects is to cause pimples. But when the inflammations form cured and inflamed cysts, the application with a needle and syringe of this anti-inflammatory directly into the lesion may help. But the recommendation is only indicated in extreme cases because of the side effects of the steroid-based formulas: elevated cholesterol, diabetes, pancreatitis, hypertension and accumulation of fat in the liver. The prescription of corticoid tablets is not recommended, precisely to avoid more acne.


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