To combat the issue of bacterial resistance from long term antibiotic use, dermatologists are recommending a 'step down' approach to acne therapy. This means taking an oral antibiotic in conjunction with a topical retinoid for a short period of time to kick start the treatment, and then stopping the antibiotic and continuing using just the topical retinoid. This process has had excellent results, and clinical studies have shown that in most cases acne continues to improve after the antibiotic course has been discontinued.
Especially woman with long hair which hangs in their faces, directly deposits bacterium on your skin and causes blemishes to occur. Tie back your hair or go baldy for a while ha ha. Hair gel certainly accelerates this process as it traps more bacteria than normal. Most men are also very sensitive to shaving, I myself am. Try to shave every 3 to 4 days until the acne clears, and then shave normally. If the acne returns this could very well be your problem. Use a good face wash after shaving, the results are quite significant.
It has been found that many women respond well to an acne medication formulated from a combination of an anti-androgen such as spironolactone or cyproterone acetate, and an oral contraceptive containing an estrogen and progestin. This results in a reduction in breakouts due to a reduction in the production of sebum. There may be side-effects such as breast tenderness or nausea, but these normally last for only the first month or so of acne treatment.
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