Acne Creams FAQs
My acne creams work well on the spots I can find but I keep getting new ones in other spots. Do I need to start having other acne treatments?
Not necessarily. The acne process affects large areas of your skin and not just the spots you see at any one time. You must know that the early damage and blocking of the pores is under the skin and not apparent.
Always apply the acne products to the entire area that can be affected, and you will prevent the spots at an early stage from possibly becoming a problem in addition to treating spots that you can see.
Does it matter when I use my creams?
It doesn't actually matter, so, if there is a regular time that is convenient for you, use that. Just consider how you will manage some of the side-effects - such as staining of your clothing or bed linen by benzoyl peroxide. An unusual side-effect with topical tetracyclines is that they fluoresce (gleam) under ultraviolet (UV) light - so putting them on just before going clubbing is not a great idea.
If you are in any doubt on when to apply your acne creams, discuss it with your pharmacist.
The doctor has recommended Dianette as the best acne treatment for my particular type of skin problem, but I am only 15 and my mum will go mental if she knows I am on the drug. I don't even have a boyfriend, so why am I on a contraceptive?
Dianette is not just a contraceptive pill. It was actually designed to treat bad skin, so the contraception is really a side-effect! Acne is due to an over-sensitivity of your skin to average levels of male-type hormones called androgens. Even girls have a little of these.
Dianette contains a drug called cyproterone, which blocks the function of androgens, and this is why it can be functional with acne. It also contains estrogen, one of the female hormones, which adds to its effect and makes it a contraceptive. Only girls can have it, because boys would have lots of problems if their naturally much higher levels of testosterone were hindered and they were taking female hormones.
Share your concern with your mum so that she can understand why you are using something that also acts as a contraceptive. If you have been getting lots of spots ahead of your periods, you can tell her about the reaction hormones have on your skin.
I have done really well with Dianette and want to keep taking it. My doctor says I must put off now that my skin is clear, as it has more of a risk than other contraceptive pills. Can I press for staying on it?
This is a problem that lots of people with acne come up against. Though Dianette is also a good contraceptive, it is designed to treat acne and the manufacturers suggest that it is stopped once it has worked. It may have a rather higher risk of producing clots or raised blood pressure than some of the ordinary contraceptive pills but is usually safe to carry on with if you are otherwise fit and well and don't smoke. You have to realize, though, that this would be against the manufacturer's recommendation, and your GP is quite right to suggest a change.
A recently formulated contraceptive pill called Yasmin contains a substance that seems to act in in the same way that the anti-androgen bit of Dianette works; it would make an excellent alternative if you are worried that your acne might recur if you stop taking the Dianette.
What Are The Solutions For Your Specific Type Of Skin Problems
The doctor has prescribed Dianette as the best acne treatment for my particular type of acne, but I am only 15 and my mum will go mental if she thinks I am on the pill. I don't even have a boyfriend, so why am I on a contraceptive?
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