Patient discussion about acne vulgaris

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Q. what is the best treatment for acne vulgaris

A1The best treatment is what helps the SPECIFIC patients - never forget that treatments have their own side effect, so it's not necessarily the best to start with the strongest (but difficult to tolerate) option.

Generally, the widely used treatment for acne that doesn't respond to local treatment is retinoid, which are different forms of Vitamin A. There are several products, and they should require prescription by a doctor. They have side effects, some of them more problematic, and they require the use of contraceptives, but they are very efficient.

You can read more about it here: http://www.nlm.nih.gov/medlineplus/acne.html#cat3 and here: http://www.skincarephysicians.com/acnenet/treatingmoderatesevereacne.html)
A2Treatment should be directed toward the known pathogenic factors involved in acne. These include follicular hyperproliferation, excess sebum, P acnes, and inflammation. The grade and the severity of the acne help in determining which of the following treatments, alone or in combination, is most appropriate. When a topical or systemic antibiotic is used, it should be used in conjunction with benzoyl peroxide to reduce the emergence of resistance. For the rest of this article:http://www.emedicine.com/derm/topic2.htm

Another helpfu article:
http://en.wikipedia.org/wiki/Acne_vulgaris

Hope this helps.
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