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Which prescription topical would be best for my cystic acne?
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TOGirl75
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Sun Oct 15, 2006 5:51 pm      Reply with quote
Differin, Acnederm (azelaic acid), Benzaclin, or RAM?

I have cystic acne (mainly on cheeks and some on chin), lots of red marks and scars from previous acne too. Which of the above would be best?

I'm oily and acne-prone with large pores so need something to improve skin texture too.

Appreciate any info./comparisons anyone can offer.
carmenlu
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Sun Oct 15, 2006 6:32 pm      Reply with quote
I started to have really bad break out several years ago. I tried all kind of treatments, and finally, my acne is under control now. Hope you find the following info useful.
Topical treatments, including over the counter and prescriptions: Over the counter products are not effective at all for adult acnes. Prescriptions are stronger and are more effective only on the small pimples, and they made my skin very itchy and rough.
Oral antibiotics: not working too well, and I heard that they have bad side effects.
Birth control pills (Diane 35): very effective, it made my skin smooth and silky. But it only works if you keep taking it. It doesn't cure and it made me gain more than 10 pounds after one years.
Accutane: This is the one treatment that cured my acne after 4 dreadful years. My skin is clear after 4 months. However, this prescription has many side effects. I think most ppl have heard about the suicidal cases linked to it. Although I felt the mood change while taking the drugs,but I think it was worth it.
After five years of battle with my acne, I think oral prescription is preferrable than topical treatment if you already have very serious acne. topical treatments are only useful for mild acne.
Hope my experience can help you out and your acne can be cured soon Smile
alexthegirl
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Sun Oct 15, 2006 7:28 pm      Reply with quote
If you have acne on your cheeks and chin area, these could be diet and/or stress related. Stree & hormonal breakouts usually occur around the chin area and diet related acne shows up a lot on cheeks.

If you eat a lot of dairy or wheat based products (baked goods, breads, cereals etc), this could be contributing to it.

Before you take any oral antibiotics which are so hard on your system, you might want to look into your diet, look to a nutritionist or allergist instead.

As for topical antibiotics, Tazorac gives really great results.
dollbird
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Sun Oct 15, 2006 7:54 pm      Reply with quote
alexthegirl wrote:


As for topical antibiotics, Tazorac gives really great results.


Actually, Tazorac is a retinoid, not a topical antibiotic. It helps acne by keeping pores clear.
StaceyA
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Sun Oct 15, 2006 8:31 pm      Reply with quote
When I was in my early 20's - fresh out of college and starting out, I too developed cystic acne (chin, cheeks and neck!). My derm told me to eliminate a bunch of foods and then gradually add them back in once I was sure they weren't an issue for me. Some of those foods included dairy, shell fish and anything that might contain iodine (salts), and chocolate. I'm sure there were more, but its been a few years! I found my problems became worse with the iodine/salt foods - processed foods, chips, canned veggies, shrimp, crab, lobster, table salt w/iodine, etc. Remember not to pick your face!!! The scaring can be horrible - not to mention making things much worse!
Yen
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Sun Oct 15, 2006 8:42 pm      Reply with quote
I agree with alexthegirl and StaceyA. Good skin care and diet goes hand in hand. Diet does play a big factor in the number of breakouts. I recently did a Brown Rice Cleanse which involved cutting out caffeine, refined/processed, wheat/gluten, dairy, shellfish, pickled or fermented foods, vinegars, citrus, jams/jellies, peanuts and alcohol. I'm slowly re-introducing certain foods back into my diet. So far, diary is a problem for me.

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