General Practice 2022

Top remedies to treat pimples (acne)

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Top remedies to treat pimples (acne)
Top remedies to treat pimples (acne)
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Remedies to treat pimples, or acne, help to control the excessive production of sebum by the skin, prevent the development of bacteria or reduce inflammation, directly contributing to the reduction of the number of pimples.

Pimples are inflammations that happen in the glands and follicles of the skin, being caused by excess oil, the presence of bacteria and hormonal dysregulation, for example. Find out what the causes are and how to prevent pimples.

Medicines to treat pimples can cause side effects and therefore should only be used with the guidance and prescription of a dermatologist.

Remedies to treat pimples can be used orally or topically, depending on the degree of injury:

Oral Remedies

Medicines for oral use can be prescribed in tablet or capsule form and are usually:

1. Isotretinoin

Isotretinoin, or retinoic acid, is one of the most effective treatments to combat severe acne with scars and cases of acne that have not improved with other treatments. This substance reduces the production of sebum, reducing the proliferation of bacteria and inflammation of the skin. This medicine can be found in pharmacies or drugstores and is sold only with a doctor's prescription and withholding of prescription by the pharmacy. Understand better what it's like to use isotretinoin to treat pimples.

How to use: Generally, treatment starts with 0.5 to 1 mg per kg of body weight per day, which can be increased to up to 2 mg per kg of body weight per day, and the capsules should be taken after meals, at the times established by the dermatologist.The duration of treatment varies depending on the daily dose and the complete improvement of acne, which usually occurs in 16 to 24 weeks of treatment.

Possible side effects: The most common side effects are tenderness, itching and dryness of the skin, lips and eyes, muscle pain and joint pain. The drug can also cause conjunctivitis. In addition, there may be worsening of pimples at the beginning of treatment. See the main precautions during treatment with isotretinoin.

2. Antibiotics

Antibiotics, such as tetracycline and minocycline, work by reducing inflammation and the presence of bacteria in the skin, being prescribed in cases of more severe acne, with many lesions and inflammations. Another antibiotic that can also be used to treat pimples is doxycycline.

Antibiotics are sold in pharmacies or drugstores only with a medical prescription.

How to use: In the initial phase of treatment, the recommended daily dose of tetracycline is 500 mg to 2 g orally in divided doses throughout the day, once hour before or two hours after meals, and should be taken with a glass of water. In the case of minocycline, the dose usually prescribed is 100 mg per day, which can be taken with meals.

Possible side effects: Ingesting antibiotics can cause some side effects such as dizziness, nausea, vomiting, diarrhea or skin rashes. Tetracyclines can also cause discolored teeth and minocycline can cause, in rare cases, systemic lupus erythematosus.

3. Oral contraceptives

Acne treatment in adolescent and adult women can be done with the use of oral contraceptives, such as drospirenone or cyproterone, which help in the control of hormones, such as androgens, reducing skin oiliness and the formation of pimples.See other types of contraceptives and when they should not be used.

How to use: contraceptive pill dosages vary in each case, but you should take 1 pill every day, always at the same time, or according to the guidance of the doctor.

Possible side effects: side effects depend on the type of pill prescribed and dosage, but generally include nausea, abdominal pain, breast pain, headache, increased weight or mood changes.

Topical Pimple Remedies

Topical use remedies for pimples are usually prescribed in the form of gels, solutions or creams, and it is important to avoid sunbathing and use sunscreen while using these medications.

1. Azelaic acid

Azelaic acid is an antibiotic that also has anti-inflammatory and antioxidant action, preventing the production of the bacterium Propionibacterium acnes, responsible for the appearance of acne.

This remedy can be found in pharmacies or drugstores in the form of a cream or dermatological gel, sold with a doctor's prescription.

How to use: Before application, it is important to wash your hands and the area with water and appropriate soap. The gel or cream containing 150 mg/g to 200 mg/g of azelaic acid can be applied twice a day to all areas with pimples. As an antibiotic, azelaic acid should not be used for more than 6 weeks in a row.

2. Glycolic Acid

Glycolic acid is an anti-inflammatory and antimicrobial that helps in exfoliating the skin, being used in peelings that must be applied by a dermatologist.

How to use: the concentration of glycolic acid in peels is between 5% and 10%, which must be applied in a doctor's office in sessions with a minimum interval of 15 days.

3. Salicylic acid

Salicylic acid is an anti-inflammatory and bactericidal exfoliant that helps in the treatment of pimples, as it controls the oiliness of the skin and prevents contamination by fungi and bacteria.

How to use: can be used in peeling applications made by a dermatologist, but it is also possible to find cream or gel for daily use and should be used as directed by the dermatologist. It is important to remember that before application, wash your hands and the area with soap and water and dry the skin well.

4. Benzoyl Peroxide

Benzoyl peroxide helps in the treatment of light to moderate pimples, as it has a high bactericidal and anti-inflammatory power, fighting bacteria on the skin. Learn more about using benzoyl peroxide on pimples.

How to use: It is recommended to use benzoyl peroxide in concentrations ranging from 2.5% to 10% in creams or gels that can be applied once or twice a day. day and for a period of 8 to 12 weeks, according to medical advice. Before application, it is important to wash your hands and the area with soap and water.

5. Clindamycin

Clindamycin is an antibiotic that is normally indicated for topical use and must be associated with benzoyl peroxide or retinoids. This remedy inhibits the action of bacteria on the skin, promoting the improvement of lesions and inflammation.

How to use: in the form of solutions or gels, clindamycin should be applied 2 times a day and for a maximum period of 6 weeks.

6. Retinoids

Retinoids, derived from vitamin A, can also be used to treat pimples, as is the case with adapalene or tretinoin. These retinoids are anti-inflammatory drugs that act on the sebaceous gland, decreasing sebum production, stimulating cell regeneration and improving wound healing. Discover all the benefits of tretinoin in the treatment of pimples.

How to use: after washing your hands and the area with soap and water, the cream or gel with retinoids should be applied to dry skin, at night and throughout the region with pimples, according to medical advice.

Side effects of topical medications

The most common side effects that can happen with the use of topical remedies are dry skin, irritation, sensitivity to the sun, redness and burning sensation of the skin. Therefore, it is important to use sunscreen to avoid damage to the skin.

Pregnancy Pimples Remedy

Some drugs should not be used by pregnant women, such as clindamycin and retinoid drugs, such as tretinoin or isotretinoin, which are contraindicated in pregnancy because they can cause defects in the fetus and during breastfeeding, as they can pass to baby through breast milk.

An acne remedy that can be used during pregnancy is azelaic acid. However, a pregnant woman should consult her dermatologist and obstetrician before using any acne medication during pregnancy, as some can be harmful to the baby.

Other options for treating pimples

In addition to conventional remedies, there are some homemade recipes that also contribute to good results in the treatment of pimples, such as baking soda and even peppermint tea. See how to prepare home remedies for pimples.

In addition, during treatment it is important to drink 2 to 2.5 liters of water a day to keep the skin hydrated and to have a balanced diet, with whole grains, fresh fruits and vegetables, which help to reduce the skin inflammation. Know which foods to prioritize and which to avoid to treat pimples.

Pimples usually generate some spots on the skin that can take a long time to disappear. Some homemade mask options can reduce skin blemishes, such as clay and yogurt-based masks. See easy recipes for homemade masks to reduce blemishes on the skin.

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