Talk:Acne vulgaris

Backne

I was suprised to see that this common portmanteau for acne occuring on ones back was left out of a discussion about acne. I thought it would have its own article.

#13

what the #13 has to do with benzoyl peroxide? the whole text just talk about it and then slap Isotretinoin references(and bad ones) out of nonwhere

Herbal Acne Skin-Care

There are some herbal skin care remedies which would obviously work for some and not work for others at the following link :

http://www.citras.com.my/community/discussion/forum_posts.asp?TID=103&PN=1

More on the Indian herbal uses and the remedies. Could be useful for those not wanting to use the over-the counter drugs and such prescriptions.

Microdermabrasion

I've tagged the section using the {{peacock}} template, which apparently isn't available for only a section, because I believe it to be the most appropriate tag here. It sounds pretty biased and has no references, and the microdermabrasion article also has related problems. I doubt there's much science to back the process up or even to distinguish it from dermabrasion, and personally I believe it needs to be deleted, along with its parent article. --SweetNightmares (awaken) 18:49, 27 July 2011 (UTC)

Already covered

===Recommendations=== In the UK the National Health Service offers detailed justified recommendations. A summary follows. Note that benzoyl peroxide is the only medication of those listed that is available over the counter in the UK.

Mild Acne

"Mild acne" consists of blackheads and whiteheads - and will often not be described as acne, as there are few if any "zits". Topical retinoid (tretinoin, isotretinoin, or adapalene) or benzoyl peroxide as first-line treatment. Topical antibiotic or azelaic acid if both topical retinoids and benzoyl peroxide are poorly tolerated. Consider prescribing a standard combined oral contraceptive in women who require contraception.

Moderate acne (papules and pustules)

Limited acne which is unlikely to scar:

• Prescribe benzoyl peroxide or a topical retinoid first-line. Azelaic acid is an option if other drugs are poorly tolerated.

Combined treatment should be considered in all people with moderate acne:

• Benzoyl peroxide combined with a topical antibiotic is the usual preferred regimen.
• Other options include a topical retinoid combined with benzoyl peroxide (but this may be poorly tolerated) or a topical retinoid combined with a topical antibiotic (but this may promote bacterial resistance).
• Consider prescribing an oral antibiotic (tetracycline, oxytetracycline, doxycycline, lymecycline, or erythromycin) if topical treatment cannot be tolerated, if there is moderate acne on the back or shoulders (where it may be particularly extensive or difficult to reach), or if there is a significant risk of scarring or substantial pigment change.

Consider prescribing a standard combined oral contraceptive in women who require contraception.

Severe Acne (nodules and cysts, as well as papules and pustules)

There is a high risk of scarring. Refer all people with severe acne for specialist assessment and treatment (for example with oral isotretinoin), and consider prescribing an oral antibiotic in combination with a topical drug whilst waiting for an appointment. Oral tetracycline, oxytetracycline, doxycycline, or lymecycline are first-line options. Erythromycin is an alternative if tetracyclines are poorly tolerated or contraindicated (such as in pregnancy). Minocycline is not recommended. Benzoyl peroxide or a topical retinoid are recommended as adjunctive treatment for most people. Azelaic acid is an alternative, but avoid the use of topical antibiotics with oral antibiotics. Consider prescribing a combined oral contraceptive in women who require contraception.

This ref could be used to support some of the content already here but no reason to duplicate it.Doc James (talk · contribs · email) 18:17, 7 January 2012 (UTC)

Lancet

Seminar doi:10.1016/S0140-6736(11)60321-8 JFW | T@lk 23:17, 28 January 2012 (UTC)