From my experiences
so far, I have found that most of the commercial products are
not the most effective products available.
I find it very interesting that some of the local dermatologists
have very little faith in very popular products such as Benzac
that has been around for years, due to factors such as resistance.
It is some of the more simple preparations without extra additives
that seem to have a greater chance of being effective.
For instance, some of the creams available have are quite thick
with various chemicals contained in them, with a higher probability
of clogging up pores, which could result in the acne getting worse.
Thats why, I believe some of the simple products have more
chance of being effective because there is less chance the skin
will become irritated.
For example, even using a simple moisturiser such as plain sorbolene
cream (or something similar) can be a great option.
One of the
first line treatments applied by one local dermatologist is Chlorhexidine
with Salicylic acid in an alcohol base which can be given out
without a prescription.
This aims to kill off any bacteria, and clear out the pores.
If this is shown not to be extremely effective, Clindamycin solution
can be quite effective as a local antibiotic treatment.
Again, this is done in an alcohol base because this can help clear
out the pores further, where a cream can clog up pores.
Clindamycin appears to have less resistance than standard preparations
on the market such as Erycane.
To help rejuvenate
the skin, Glycolic Acid in many different strengths can be used.
This can be put in many different bases such as aqueous cream
or cetaphil lotion.
This works by bringing the lower layers of skin to the surface
to help minimise any scarring from acne
For more
serious treatment, Tretinoin can be a very effective treatment.
This can be made into a gel or cream in several strengths.
It has many benefits to Roacutane because there are minimal systemic
side effects, although care must be taken for the face.
The compounded forms have many benefits to the manufactured forms
because they can be made to any strength, so if a stronger dose
is needed, it can be easily made.
Also, unlike Isotrex gel (with the active ingredient Isotretinoin),
compounding chemists can use Tretinoin, which has been shown to
be more effective.
Various plans
have been formulated, and one of the most effective treatment
plans that I have witnessed would include using Tretinoin gel
from 0.025%-0.05% at night to the affected areas, then Glycolic
Acid 5-10% in Cetaphil in the morning.
Initially, the glycolic acid should be applied at a lower strength
and washed off after ten to fifteen minutes otherwise the skin
can burn.
After a while, it can be left on all day.
There is a chance that the skin can become quite dry, and plain
sorbolene cream would definitely be sufficient to keep the skin
looking respectable.
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