Retinoids: Retin-A (tretinoin) has been in use for years, and preparations have 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 a mild increase in sensitivity to the sun. Adapalene 0.1% is now available without a prescription. With proper sun protection, however, they can be used even during sunny periods. The combination medication known as Epiduo gel -- which contains the retinoid, adapalene, along with the antibacterial, benzoyl peroxide -- is applied once a day.
Lastly, one of the best preventative steps is to drink water everything all day. When you play properly hydrated, your body is able to process all the toxins that go in it a lot more efficiently. It is no surprise that one of the main ways your body gets rid of toxins is through the pores in your skin. If you don't regularly flush out your system, then you are paving the way to allowing a backup of gunk to clog your pores. Once your pores are clogged, you are one step closer to getting an acne breakout. Of course, you can help to avoid all this by staying properly hydrated.
There’s evidence that eating a low glycemic diet, meaning one that doesn’t include lots of processed grains/flour products and added sugar, is one the best home remedies for acne because it can help prevent it.  Glycemic index measures how quickly foods raise blood sugar. Processed and refined foods, like those common in the Western diet, are high-glycemic, while meats and whole plant foods are low on the glycemic scale.

Natural treatments are usually free of the side effects sometimes caused by prescription options. But they may not be as effective. Research on natural options is lacking, and at this time nothing has been proven to produce results. Talk with your doctor about potential risks and to ensure the treatment won’t interact with any medications you’re taking.
Other points in your life that can cause an influx of hormonal changes include pregnancy. During pregnancy, you may find that your face will break out in intense ways. This again is due to the influx of hormones that are ranging through your body. Lastly, many women will tell you that one of the telltale signs that their menstrual cycle is about to begin is because of the influx of acne on their face.

There’s another downside to isotretinoin: It requires a lot of paperwork and office visits. Since isotretinoin can cause birth defects, you have to come into the dermatologist once a month to get a pregnancy test and take a lengthy survey with questions about your sex life to prove that you are using sufficient birth control. These precautions are intense, but dermatologists agree that the final results for isotretinoin are like no other. “This is one of the few medicines that I can look [patients] in the eye and guarantee them it will work,” Dr. Friedman says.

-Worst comes to worse. your acne could be caused by hormones, which means no matter what you do physically, it won’t go away. If your acne is causing you a lot of trouble, just go get it professionally checked out, and find a dermatologist you trust. They’ll be able to point you in the right direction to finding methods to fix it from the inside out.

Retinoids: Retin-A (tretinoin) has been in use for years, and preparations have 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 a mild increase in sensitivity to the sun. Adapalene 0.1% is now available without a prescription. With proper sun protection, however, they can be used even during sunny periods. The combination medication known as Epiduo gel -- which contains the retinoid, adapalene, along with the antibacterial, benzoyl peroxide -- is applied once a day.
There are two big guns used to take down acne, and they're both great at doing entirely different things. Salicylic acid is a beta hydroxy acid that comes from willow bark and works primarily as an exfoliator, breaking down fatty acids like sebum so your pores don’t clog. (Glycolic acid works similarly but is less effective.) These acids are effective on comedones — whiteheads, blackheads, and other non-red bumps.
Cortisone is a quick fix for acne emergencies. We mean got a big board meeting tomorrow kind of quick. Go into the dermatologist’s office for a shot of this corticosteroid, and acne will disappear in 24 to 48 hours. The treatment works to curb inflammation, which makes it best for cystic breakouts and can be really good at combating hormonal flare-ups. If done incorrectly, a cortisone shot can leave a small depression in the skin that lasts about eight weeks. “It’s a rare side effect that happens if dosage of cortisone is too high,” Dr. Linkner explains. “You want to go to someone who knows what they’re doing.”
“We’ve seen it work against a wide range of organisms, including 27 of the 32 strains of acne-causing bacteria,” says Michael Murray, ND, a naturopath and coauthor of The Encyclopedia of Natural Medicine. Multiple studies, including a review of research in the International Journal of Dermatology, back the plant’s power. You can find tea tree oil in a wide variety of soaps, skin washes, and topical solutions. Look for a minimum concentration of 5 percent of the oil to test how your skin reacts. If you find it is too irritating as an all-over treatment, you can use tea tree as a simple spot treatment for more stubborn pimples.

Apple cider vinegar is a very good solution for the treatment of acne. It helps in balancing the pH of the skin. Apple cider vinegar is rich in malic and lactic acids. It acts as an exfoliator and softener for the skin. Add vinegar in water in the ratio of 1:3. With the help of a cotton ball, apply the solution on the infected area. Leave it for ten minutes. Rinse the face thoroughly. For best results, practice the method for several times a day.
Applying lotion should never be an afterthought or something you only do when your face feels dry. According to dermatologist Fayne L. Frey, M.D., FAAD, "studies show that well-hydrated skin is less likely to break out." And if you have oily skin, don't let moisturizer scare you, says Dr. Frey, claiming "even individuals with 'oily skin' can benefit from daily moisturizing." Neelam A. Vashi, MD, an assistant professor of dermatology and director of research in cosmetic and laser medicine at the Boston University School of Medicine, suggests oily skin types try out "liquids, gels, and serums" instead of thicker, creamy lotions.

Genetics play a big part in who gets acne and how severely, but each blemish can be blamed on some combination of sebum production, a bacteria called Propionibacterium acnes (P. acnes), plugged follicles, and inflammation. Finding a good treatment is really about finding the right combination of ingredients to troubleshoot each of those issues. Some factors that might worsen acne include hormones, certain medications, diet and stress.
Oral medications: Doctors may start antibiotic treatment with tetracycline (Sumycin) or one of the related "cyclines," such as doxycycline (Vibramycin, Oracea, Adoxa, Atridox, and others) and minocycline (Dynacin, Minocin). Other oral antibiotics that are useful for treating acne are cefadroxil (Duricef), amoxicillin (Amoxil, DisperMox, Trimox), and the sulfa drugs.

If you have acne that's not responding to self-care and over-the-counter treatments, make an appointment with your doctor. Early, effective treatment of acne reduces the risk of scarring and of lasting damage to your self-esteem. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).
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