Topical antibiotics include erythromycin (1 2%) clindamycin (1 2%) and benzyl peroxide (5 10%). Benzyl peroxide has bacterio static properties in addition to its action as a peeling agent. Come¬dones may be expressed with a comedo extractor and cyst should be drained and injected with corticosteroids.
Although benzoyl peroxide works well, it is possible you may have a reaction, it is suggested that any benzoyl peroxide skin care product should not contain the active ingredient at more than 5.5 percent. Because we all have different types of skin, more than one type of acne skin care product may need to be tried. This is quite normal, however, if it is proving to be a problem then consult with your doctor, or skin care specialist.
An alternative treatment is injecting some cortisone into the cysts that helps decreasing the inflammatory conditions. Accutane is another treatment that is used by many dermatologists because of its severe nature of the acne. It is the teratogenic effects of Accutane that is a major caution as its use in pregnant women is not well established. Women should therefore go for some appropriate birth control methods at least a month prior to the therapy, during the therapy, and for one month after therapy has been stopped. It is better for the women to consult doctor about when it is okay to conceive after the therapy Accutane is over. This is problematical as many women develop cystic acne due to bodily hormonal imbalance. Moreover, Accutane is far-familiar to have some depressive effects on young males.
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