PakMediNet Discussion Forum : Medicine : Treatment of Acne
Treatment of Acne
25 Year old unmarried female with moderately severe acne on the face, regular periods. Now getting some scarring. She is very concerned. Not had any treatment of acne in the past except over the counter face washes.
What should we give her?
Posted by: memon Posts: 28 :: 10-10-2002 :: | Reply to this Message
Re: Treatment of Acne
If the cause of her acne is the hormonal irregularity then I think her hormonal levels should be done first before the start of treatment.
Otherwise, topical antibacterial creams would help ?
Posted by: docosama Posts: 333 :: 11-10-2002 :: | Reply to this Message
Re: Treatment of Acne
Well, acne is a common skin disorder, so I wouldnt suspect hormonal abnormality with normal periods and no h/o hirsuitism.
Treatment of acne depends on the severity. For moderately severe acne one should try oral antibiotics such as Oxytetracycline 1 gm per day for 4-6 months. The other alternative antibiotics which can be used are Minocin or erythromycin. But patient should be warned not expect improvement for first 4 to 6 weeks.
If this fails than consider Ro-Accutane orally 1mg/kg for 16 weeks.
[Edited by memon on 10-13-2002 at 05:31 AM GMT]
Posted by: memon Posts: 28 :: 13-10-2002 :: | Reply to this Message
Re: Treatment of Acne
hello Dr.memon
i am joinig this forum after lot of days
may i ask you is their any role of local creams for acne as these are widely used in our setup
Posted by: drabidrana Posts: 3 :: 16-11-2002 :: | Reply to this Message
Re: Re: Treatment of Acne
quote:
drabidrana wrote:
hello Dr.memon
i am joinig this forum after lot of days
may i ask you is their any role of local creams for acne as these are widely used in our setup
Posted by: memon Posts: 28 :: 07-12-2002 :: | Reply to this Message
Re: Re: Re: Treatment of Acne
quote:
memon wrote:
quote:
drabidrana wrote:
hello Dr.memon
i am joinig this forum after lot of days
may i ask you is their any role of local creams for acne as these are widely used in our setup
Dear Rana Sahib
Topical preparation have an important role to play in the management of Acne. For mild acne I would recommend simple Benzylperoxide based creams. For moderate acne it is always best to try topical antibiotic preparations first such as Dalacin T and Zineryt lotions. For acne with blackheads and comedones, topical Retin A based creams are very usefull.
Best wishes Dr. Rana and Eid Mubarak.
Posted by: Allegra Posts: 2 :: 03-05-2003 :: | Reply to this Message
Re: Re: Re: Re: Treatment of Acne
Dear Dr. Khan.
Yes one can give Tetracycline/Oxytetracycline with Benzacline Gel. However, I dont think one need to recommend contraception for topical Retin-A. It should, however, be stopped immediately if pregenancy is detected. I am attaching U.K. data sheet for reference.
Retin-A
Ingredients
tretinoin
Uses
Acne vulgaris
Action Groups
Topical retinoids and related preparations for acne
Dosage
ADULTS: Apply lightly using fingertips to affected area once or twice daily avoiding over-saturation that may run to non-affected areas. May cause a transient feeling of warmth or slight stinging on application. Therapeutic effects should be expected after 6 to 8 weeks of treatment and excessive use in the meantime will not hasten action. Some worsening of condition may occur in the early weeks of treatment. It is possible to maintain recovery with fewer applications.The physician should raise or lower the strength of tretinoin depending on patient tolerance and severity. Patients may apply cosmetics but the areas to be treated should be thoroughly cleansed before the medication is applied. CHILDREN: Not recommended.
Mandatory Instructions
For external use only
Avoid washing treated area too frequently. Use only mild soap
Do not allow to come into contact with eyes, mouth or mucous membranes
Contraindications
Hypersensitivity to ingredients or related compounds
Pregnancy - all trimesters
Family history of cutaneous epithelioma
History of cutaneous epithelioma
Precautions
In eczematous dermatitis use with care
Safety in lactation not established; use only with caution
Concomitant use with other skin medications especially exfoliating agents
Warnings
Advise patient to discontinue use if severe or persistent irritation occurs
Extremes of weather may cause irritation
Advise patient to minimise exposure of treated areas to sunlight/sunlamps
Avoid contact with nostrils or mouth
Avoid contact with mucous membranes
Do not commence or re-initiate therapy until skin irritation resolved
Reduce application frequency/temporarily discontinue if irritation occurs
Avoid contact with eyes
Interactions
No interactions listed
Side Effects
Photosensitivity
Pruritus
Erythema
Irritation (localised)
Dry skin
Burning sensation (local)
Stinging
Skin peeling
Skin pigmentation changes
Swelling
Packs
60 gram(s) £6.03
Equivalent Products
ACTICIN cream 0.025%, [STRAKAN]
tretinoin cream 0.025%
[Edited by memon on 05-10-2003 at 08:14 AM GMT]
Posted by: memon Posts: 28 :: 10-05-2003 :: | Reply to this Message
Re: Treatment of Acne
quote:
memon wrote:
25 Year old unmarried female with moderately severe acne on the face, regular periods. Now getting some scarring. She is very concerned. Not had any treatment of acne in the past except over the counter face washes.
What should we give her?
Posted by: Alamchik Posts: 4 :: 13-10-2003 :: | Reply to this Message
Re: Treatment of Acne
And Dr. Alam your point is..........?
Aamir Memon
Posted by: memon Posts: 28 :: 22-10-2003 :: | Reply to this Message
Re: Treatment of Acne
Surprised and pleased to see that this is most read subject/topic in this forum.
Posted by: memon Posts: 28 :: 29-08-2004 :: | Reply to this Message
Re: Treatment of Acne
Check hormonal levels, acne is a common skin disorder and curable one. Clindamycin is a topical antibiotic gel that is used to treat bacterial infections such as acne. It prevents the growth of bacteria on the
skin. You can get Clindamycin 1% GEL 10GM at International Drug Mart at discount price. This will surely help.
Posted by: Ammycin Posts: 2 :: 13-10-2010 :: | Reply to this Message
Re: Treatment of Acne
Mild Acne: BPO + Topical antibiotic
Moderate Acne: BPO + Topical antibiotic + Topical isotrenitoin
Severe Acne with Comedons: Oral Isotrenitoin
This is first line treatment, incase of failure second and third line treatment also available.(Rook's Text Book of Dermatology, 8th Edition)
Posted by: dr_purple Posts: 2 :: 23-08-2011 :: | Reply to this Message