Saturday, March 16, 2013

Treatment for Severe Nodular or Cystic Acne

Individuals suffering nodules or cysts should seek advice and help from a dermatologist for treatment. Individuals who have intense inflammatory acne that does not go away with medication, might need to have their doctor write them a prescription for isotretinoin (or Accutane), which is a retinoid (or Vitamin A derivative). An oral drug called isotretinoin can be taken for fifteen to twenty weeks just once or twice per day. It greatly lessens the size of the oil glands so that less oil is generated. This results in a decreased amount of bacteria growth.

Benefits of Isotretinoin (Accutane)

A very effective medication, isotretinoin can aid in the avoidance of scarring. Acne is almost completely gone in all patients after fifteen to twenty weeks of treatment with isotretinoin. Doctors may repeat a course of isotretinoin in case there is a relapse of acne, or the Doctor may opt for a different line of medication.

Disadvantages of Isotretinoin (Accutane)

Birth defects for those who are pregnant are a disadvantage of isotretinoin. While on this drug, females must not already be carrying a child or become pregnant. Females have to use two different types of birth control simultaneously for a month before treatment starts, while going through treatment, and continue for a month after they quit taking the medicine. Upon ceasing to take isotretinoin, you should consult a doctor to determine when pregnancy is safe.

Due to the appearance of their skin, some people become depressed. Certain medicines like isotretinoin may cause intense mood swings during treatment or immediately after the treatment. Although there exists no direct proof of isotretinoin as a cause for depression or suicide, multiple instances of suicides and suicide attempts have been reported among those who take this drug. However, if you or another person you know is very sad or has additional signs of depression, like a decrease in appetite, are not as interested in former activities that were once enjoyed, or have concentration problems, it is necessary to see your doctor.

Additional Isotretinoin side effects include:

? dry skin (most common), mouth, nose, eyes, and lips

? itchiness

? bloody noses

? aching muscles

? sunlight sensitivity

? lack of vision at night

? blood chemistry changes like too much fat in the blood (cholesterol and triglycerides)

? liver function changes.

A doctor may need to resort to blood-tests not only before the treatment but during the treatment as well at regular intervals so as to decide on the termination of the treatment in case of side effects. Once the medicine has stopped, the side effects typically disappear.

Treatments for Women Who Have Hormonally Caused Acne

Sometimes certain women get acne that is a result of excessive androgen (or male) hormones. There are clues that suggest this might be the case like the excessive growth of hair over the face and body (hirsutism), acne breakouts during premenstrual cycle, menstrual cycles that are irregular, and elevated levels of certain androgens in the blood.

For women suffering from this type of acne, several drugs may be prescribed by the doctor as treatment:

? Birth control pills - these prevent excess androgen production in the ovaries

? Antiandrogen drugs - these drugs (like spironalactone or Aldactone) prevent too much oil from being produced

? Low-dose corticosteroid drugs - these drugs (like prednisone or Deltasone and demaxethasone or Decadron or Hexadrol) prevent the adrenal glands from producing androgen.

Antiandrogen medicines' side effects may consist of irregular menstruation, sensitive breasts, headaches, and tiredness.

Other Treatments for Acne

Besides drug therapy, physicians may employ other kinds of treatment procedures for acne sufferers. For instance, the doctor might remove the patient's blackheads during the office appointment. Occasionally the physician will give cortiscosteroid injections into bumps to decrease the size and discomfort of swollen cysts and nodules.

Prevention of acne scars is best accomplished by receiving treatment early. In case of scarring, both medical treatment as well as surgery may serve as options according to the doctor. Scars of an irregular nature can be treated with a laser topically. Occasionally, dermabrasion (or microdermabrasion), a type of "sanding down" of scars, is employed. Deep scars left behind by cystic acne may also be treated by a process that involves the transfer of fat to the scar from some other part of the body. The scar may also be treated by an injection of artificial filling with an aim to make it look better.








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