Selecting Regimens for Inflammatory AcneDr Millikan's first line of therapy for mild inflammatory acne is a combination of benzoyl peroxide and adapalene.For grade 2 acne, he might use adapalene with a benzoyl peroxide topical antibiotic combination.Patients with grade 3 or 4 acne will probably do well on adapalene combined with an oral antibiotic.Those whose acne is severe enough may need to be upgraded to a course of oral isotretinoin, followed by a maintenance regimen of adapalene.
Also, it is best to wash the skin with mild soap. A misconceived notion is that it is best to wash as often as possible. This may not be true. Too much washing can cause even more irritation. It is best to stick to washing twice per day, unless you are advised by a medical professional or has a specific reason to do so.
The best treatment for acne is preventative as well as pro-active. A good, regular cleansing routine will treat existing acne and prevent most outbreaks by keeping pores clear of dirt, grime and oils that clog them and cause acne infections. Astringents are also good cleansers but should be used with care. Because they dry up the oil on your face, you use them more sparingly than a good cleanser. If used too frequently, astringents can cause your skin to signal for more oil production and result in even oiler skin and more acne. One of the best astringents you can use is witch hazel. It's a natural plant-based substance and costs a fraction of commercially manufactured astringents.
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