Archive for the ‘tretinoin’ Category

Acne Medication Pregnancy Safe

Tuesday, August 5th, 2008

Safe Acne Medication During Pregnancy for Healthy Skin

Pregnant women do not have to suffer from acne. With care and research, and the help of your doctor, you CAN take steps to clear your skin.

The best time to research safe acne medication during pregnancy is before you’re pregnant or thinking about getting pregnant. Obviously, you can’t control the unexpected and planning isn’t always exact. But it helps to be prepared so you can avoid using harmful medications.

Some medications still linger in the body even after prescriptions have ended. This is important for expecting mothers to know since the greatest risk to a baby is during the first month or two. This is the stage when his or her organs are still forming.

Many women are uncertain what acne treatments are pregnancy safe. Make sure you discuss all medications with your doctor before using anything.

Safe Medication During Pregnancy for Acne

Acne medications considered safe for expecting mothers include erythromiycin, clindamycin, azelaic acid, and oral contraceptive pills.

Erythromycin and clindamycin can be used in both topical creams and oral prescriptives. The oral forms of these are antibiotics for severe acne. Since bacteria are able to build resistance to antibiotics, however, erythromycin and clindamycin, though safe, may not be very effective.

Azelaic Acid (Azelex, Finacea, Finevin) is a topical cream for moderate acne with antibacterial properties. There is little risk to the fetus, but there haven’t been any human studies to provide any useful information.

Despite general belief that oral contraceptive pills for acne will harm the baby if continued, there is no evidence showing women to be at a higher risk for defects.

Unsafe Medication During Pregnancy for Acne

Acne medications to avoid during pregnancy include topical and oral retinoids, various antibiotics, and other prescription medicines.

Topical Retinoids like tretinoin and adapalene are derived from Vitamin A and should be avoided during pregnancy. Tretinoin is related to isotretinoin (accutane). There is risk of these ingredients being absorbed into the skin and bloodstream and causing birth defects.

Oral retinoinds like isotretinoin (accutane, roaccutane) are extremely dangerous and should be avoided like the plague during pregnancy. Isotretinoin is commonly used to treat cystic acne. It is banned during pregnancy because it causes malformations to the fetus. Besides a slew of fetal defects, this drug increases the chance of miscarriage and infant death.

If you find out you are pregnant and on this drug, stop taking the drug immediately. If you’re trying to get pregnant, you should stop the drug a month before you start, as recommended by the Organization of Teratology Information Services (OTIS).

Oral Antibiotics

As a general rule of thumb, oral antibiotics are generally not safe medication during pregnancy, with the exception of oral erythromycin.

Both tetracycline (Sumycin, Achromycin V) and Doxycycline and Minocycline are oral antibiotics for acne that are frequently prescribed for acne. However, they should be avoided during pregnancy and breastfeeding because of the risk of interfering with bone growth in fetuses.

Other Prescription Medication

Sodium Sulfacetamide is a topical anti-infective medication used to treat acne and seborrheic skin conditions. If taken orally it can affect the fetus. Topically, it likely won’t harm the fetus, but its risk in pregnancy is unknown.

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Retin A For Sebaceous Cysts

Wednesday, July 9th, 2008

Retin-A, or Tretinoin, is a topical acne treatment that is used to treat severe breakouts, fine wrinkles, dark spots, and rough skin. Available by prescription, Retin-A® is a vitamin, a derivative that accelerates skin cell production. New skin cells replace the cells of existing pimples, and the accelerated turnover prevents new pimples from forming. To learn more about Retin-A, its uses, as well as the benefits and risks of treatment, please read the sections below

Retin-A Benefits

Retin-A is useful in the treatment of mild to moderate acne. Patients with congested pores, whiteheads, blackheads, pimples, pustules, or cysts (deep pimples) may benefit from Retin-A treatment. Retin-A can also improve the appearance of dark spots, wrinkles, rough skin, and skin damaged by overexposure to the sun.

Acne Causes

Pimple. Blemish. Zit. Blackhead. Breakout. Acne. Whatever you call them, you want them gone. And whether you have one or 10 you feel like everyone is looking at your pimples instead of you. So, what causes acne to occur?

Acne—called acne vulgaris in the medical community—is a disorder of the oil glands and pores in the skin. That’s why it shows up where you have the most oil glands—the face, chest and upper back.

The main causes of acne are:

1. Hormones—especially androgens, hormones that stimulate sebaceous (oil-producing) glands.
2. Clogged pores from the abnormal shedding of skin cells.
3. Excess sebum (oil) production from the sebaceous glands.
4. Bacterial build-up in the sebaceous glands.

Sebaceous glands are attached to hair follicles, tiny shafts in the skin where hair grows. Normally, oil spreads from a follicle to the skin’s surface to lubricate skin. Follicles shed skin cells from their lining. When the body produces excess oil and dead skin cells stick together in the follicle—as often happens during adolescence—you get acne. The cells stick together with excess oil to form a hard plug that blocks the pore. The plugged follicle is called a comedo. Whiteheads and blackheads are comedones.

The oil becomes a breeding ground for bacteria, especially Propionibacterium acnes. But in the process, the follicle wall can burst, sending its contents into surrounding tissues. The body’s response is to send in white blood cells to clean things up. This causes swelling, inflammation, pain and pus. In other words, you’ve got a pimple. Papules, pustules and cysts are types of pimples.

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