Medical knowledge | Dermatology » Dimitar Vassilev Georgiev - Treatment of Acne

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Treatment of acne Dimitar Vassilev Georgiev, Plovdiv, d georgieff@yahoo.couk Successful treatment of acne is ensured by combined and simultaneous external and internal treatment of the disease, which ensures the destruction of bacterial nests in the follicles. The successful outcome in the treatment of acne depends mainly on the patients cooperation and performance, the change in his established eating habits, the correct sequence of individual medications from the individuals hygiene habits and his correct approach to the rash. To this is added the right choice of drugs, their sequence, as well as the complexity and aggressiveness of the medication therapy. The main cleansing and healing effect on skin lesions is the intake of standardized extract of Aloe vera, Glycirhiza glabra and Alchemilla spp. Dermatix ®, Madecassol ®, Contratubex ®, Cicaplast ® and other medications from this group should be applied to Acne complicata, Acne conglobosa, Acne conglomerata, Acne keloides in

parallel with antibiotic treatment. The combined external and internal use of acne medications and the parallel use of externally and internally applied antibiotics in combination with herbal preparations ensures double success in the overall treatment of acne. Elements of therapy: 1. Antibiotics for external use for treatment of superficial skin lesions - Davercin® gel and Chlorocid® (chlornitromycin - do not treat the mouth because of its bitter taste) dissolved in salicylic alcohol. Transparent antibiotic gels are useful for treating deep skin lesions that do not create a cosmetic defect in application. 2. Antibiotic lotions and solutions for the treatment of deep skin lesions - Acne out ® Antibiotics with immunomodulatory internal activity are useful. 3. Prior to external drug applications, areas affected by acne are washed with neutral pH detergents and dried with a soft towel, then topped with medication for external use. 4. Activation of the dermis exchange - the patient uses

the external and internal application of the following herbs - Alfalfa, Viola tricolor L., Herniaria spp, Agrimonia eupatoria L, burdock, Betula spp., Rubus idaeus L, licorice (Glycirhiza glabra ), oats, Alchemilla spp, Rhamnus cathartica L, Ribes spp., Aloe vera and others 5. Plant phytohormones for the correction of hormonal imbalance and the relatively higher levels of testosterone, - standard red clover extract (Feminorm Duo ®) are used. 6. Oral dosing of Doxycycline in a 15-day course of 2 x 100 mg at 12 hours or Augmentin 875mg/125 mg 2-3x 1 tabl. Augmentin is effective in treating MSSA infection, but is not effective against MRSA. 7. Vitamin B12 as sublingual tablets 8. For the reduction of peri-follicular erythema and edema, oral zinc supplementation with evening primrose oil is appropriate, resulting in a faster onset of anti-inflammatory effects of the therapy. Oral zinc is not taken in conjunction with antibiotic intake. 9. Intake of immunostimulant preparations such as

Isoprinosine®, Samento®, Pau Darco® and others to support the bodys natural resistive forces. 10. Instructions to the patient not to use foods and fruits rich in simple sugars and also to use a diet rich in vitamins. Effective treatment of acne is not possible without concurrent external and internal treatment. Difficulties in achieving effective treatment are found in the deliberate avoidance of herbal remedies and stigmatizing them as ineffective by the therapist. The main principle in the successful treatment of acne is the careful combination of doses and combinations of medications for the same reason as for the treatment of furunculosis. The fear of adequately dosing antibiotics or spitting them into minimal therapeutic doses does not meet the real objectivity of high antibiotic resistance and again fails successful attempts to treat acne. It is not uncommon to use multiple oral antibiotics or the combination of two or more parenteral antibiotics for complicated acne,

which responds to the furunulosis approach. Literature: Lambev, I. SELECTA MEDICAMENTORUM: 2005, 2015, 2017: http://www.medpharm-sofiaeu/files/DIR%204/Selecta%20medicamentorumpdf http://www.clspectrumcom/supplements/2010/february-2010/methicillin-resistant-istaphylococcus-aureus-i/overview-of-methicillin-resistant-i-staphylococcu Sanjay Bhambri, DO and Grace Kim.Use of Oral Doxycycline for Community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA) Infections. In: J Clin Aesthet Dermatol 2009 Apr; 2(4): 45–50