Mike Walden review author of acne no more program-me have anti-inflammatory properties and thus help in inflammatory forms of the disease. indicative examples: tretinoin, isotretinoin, antapaleni, tazarotene, retinaldefdi. The tretinoin is the most irritant, especially at higher densities. If irritation makes unauthorized use of, it can be used antapaleni or isotretinoin.
The tazarotene quite irritating, but this problem can be overcome by brief application of the substance for 30;; to 5 minutes per day. The azelaic acid at a density of 20% may also be used in particular in patients who do not tolerate retinoids. Useful considered and a and b hydroxyacids having keratolytic properties and may be administered additionally. Mild papulopustular acne For this form of acne may be used topically in combination with retinoids local antibacterial.
The topical antibacterials include benzoyl peroxide, azelaic acid and the local klyndamykini antibiotics and erythromycin. Benzoyl peroxide is highly effective against Propionobacterium acnes and helps reduce the development of resistance against propionovaktiridiou. However, it is an irritant, xefavei clothes and can cause allergic on; contact dermatitis. Topical antibiotics should not be used as monotherapy and easily create resistant strains of Propionobacterium acnes and it is advisable to combine local zinc and benzoyl peroxide. moderately severe acne For this form of acne to systemic drugs are an integral part of treatment.
The systemic therapy should always be considered a candidate for disease carries the risk of scarring, post inflammatory hyperpigmentation or trauma, and extensive disease that affects the shoulders, the back and the chest and disease refractory to topical treatment. The doctor has to choose between antibiotics such as erythromycin and tetracyclines (doxycycline and minocycline) in hormonal preparations and systemic retinoids. Systemic administered antibiotics except that suppress the growth of Propionobacterium acnes exercise and anti-inflammatory action.