Acne problem? You are at right place...

If you haven't been able to control your acne adequately, you may want to consult a primary care physician or dermatologist. Here are some of the things they can assist with:

• Topical (externally applied) antibiotics and antibacterials: These include erythromycin, clindamycin (Benzaclin), sulfacetamide (Klaron), and azelaic acid (Azelex).
• Retinoids: Retin-A (tretinoin) has been around for years, and has become milder and gentler while still maintaining its effectiveness. Newer retinoids include adapalene (Differin) and tazarotene (Tazorac). These medications are especially helpful for unclogging pores. Side effects may include irritation and mild increase in sensitivity to the sun. Wit proper sun protection, however, they can be used even during sunny periods. For more, please read the Sunburn and Sun-Sensitizing Drugs article.
• Oral antibiotics: Most doctors start treatment with tetracycline or one of the related "cyclines," such as doxycycline and minocycline. Other oral antibiotics that are useful for treating acne are cefadroxil, amoxicillin, and the sulfa drugs.

• Problems with these drugs can include allergic reactions (especially sulfa), gastrointestinal upset, and increased sun sensitivity. Doxycycline, in particular, is generally safe but can sometime cause esophagitis (irritation of the esophagus, producing discomfort when swallowing) and an increased tendency to sunburn.
• Despite many people's concerns about using oral antibiotics for several months or longer, such use does not “weaken the immune system” and make them more susceptible to infections, or unable to use other antibiotics when necessary.
• Recently published reports that long-term antibiotic use may increase the risk of breast cancer will require further study, but at present are not substantiated. In general, doctors prescribe oral antibiotic therapy for acne only when necessary and for as short a time as possible.
• Oral contraceptives: Oral contraceptives, which are low in estrogen to promote safety, have little effect on acne one way or the other. Some contraceptive pills have been to shown to have modest effectiveness in treating acne.
• Cortisone Injections: To make large pimples and cysts flatten out fast, doctors inject them with a form of cortisone.
• Laser treatments: Recent years have brought reports of success in treating acne using lasers and similar devices, alone or in conjunction with photosensitizing dyes. It appears that these treatments are safe and can be effective. However, what isn't clear at this time, is how long the effects will last. In addition, health insurers do not generally reimburse for these procedures, so they can be costly. At this point they are best thought of as adjuncts to conventional therapy, rather than as substitutes.
• Chemical peels: Whether the superficial peels (like glycolic acid) performed by Estheticians, or deeper ones performed in the doctor's office, chemical peels are of modest, supportive benefit only, and in general do not substitute for regular therapy.