How Cleansers Work

Cleansers interact with the skin’s moisture barrier as well as the skin’s pH to emulsify dirt and oil for easy removal. As dirt or debris is usually embedded in the barrier’s outer layer of oil, removing this dirt can disrupt this naturally protective surface.

The health of the skin’s moisture barrier is important as this barrier preserves water and natural oils to moisturize and maintain the smoothness and flexibility of the skin. It also serves as your skin’s protection against injury from chemicals or bacteria. Harsher cleansers can disrupt this barrier, as well as irritate the skin and affect the skin surface pH, which scientists believe plays a role in regulating how this barrier functions and protects us from bacteria. Studies show that the barrier’s regeneration and repair happens more slowly at a neutral pH than at the skin’s natural acidic pH. Changing the skin surface’s pH balance can increase the skin’s sensitivity to potential irritants.

Cleansing with water, soap or a liquid cleanser will affect the skin’s moisture barrier, although soap will have the most impact and will make the skin’s pH more alkaline. Liquid facial cleansers clean more gently, with less disruption of the barrier and have a smaller effect on the skin pH. Some of the new synthetic detergents will remove dirt and disrupt the outer layer of oil, but then work to ensure the skin barrier is left intact by restoring the oil.

Under Eye Dark Circles and Treatments

Dark under eye circles are more common than one might think. Though dark circles are usually temporary and not a medical concern, they can be a personal concern, especially when one’s appearance is affected.

Dermatologists know, not all skin is created equal. The same is true not only for facial complexions but for the skin on your body. As holistic dermatologist Dr. Adhami explains it, “One part can be dramatically different from the next, with varying levels of texture, thickness and even color. The skin around your eyes is a key example; it tends to be thin and is the most delicate of all. This skin is particularly vulnerable to stress, time and the harmful effects of the environment and requires special care if it is to look and function its best.”

While fatigue is commonly assumed to be the cause of dark under eye circles – surprisingly the correct culprit is nasal congestion. According to medical experts, when your nose is congested, veins that normally drain from your eyes into your nose become widened (dilated) and darker. Dark circles can also result from chronic skin conditions such as eczema or be hereditary.

Another cause of under eye circles is due to swelling while you sleep. When you lie down, gravity allows fluid to collect in your lower eyelids. Sometimes, this swelling may create the appearance of shadows below your eyes.

Over the counter products may help diminish dark circles under eyes. Look for skin creams that contain vitamin C or K, alpha hydroxy acid or kinetin. If you suffer from chronic or severe under eye circles medical treatment may be required. Treatment will include examining the underlying causes and may involve bleaching agents or laser therapy.

Natural eye creams may include exotic herbs, plants, minerals and a variety of vitamins such as vitamins A and E to help protect, hydrate, repair and dramatically reduce the appearance of fine lines and wrinkles. Under eye cream should deliver a boost of moisture to the delicate skin around the eyes and prevent future wrinkles or “crows feet”

Other ingredients are equally cutting-edge. Some new eye creams contain peptides, which are basically complex molecules created in the laboratory. They are synthetic analogues of collagen, which, unlike the large collagen molecule itself, are small enough to penetrate into the deep layers of the skin. Once there, peptides stimulate the body to create new collagen and accelerate skin repair.

Whatever your choice, the options today are far-reaching. If using only natural, sustainable products are important to you, try to find under eye cream comprised of herbal extracts, vitamins or other organic natural ingredients to reduce those wrinkles and remove the dark circles. Eye cream packed with antioxidants like vitamin E to fight skin-damaging free radicals and Vitamin A to help diminish the appearance of fine lines and wrinkles. Unique herbal extracts help reduce the appearance of dark circles and reduce puffiness.

Home Toner Recipes

Blueberry Toner
Make this the day you plan to use it, and do not store.

3 tablespoons steamed, crushed blueberries
1/2 C. sour cream or plain yogurt
Purée ingredients in a blender at low speed until well mixed and fluffy. Apply to face and neck. Let penetrate for 15-20 minutes. Rinse off with tepid water. If you find the mask is too runny after blending, you should refrigerate for one hour or until of the consistency you desire.

ALMOND FACIAL MILK
The herbal waters are antiseptic and toning. Grapefruit seed extract is available in health food stores, and is included in the recipe as a preservative.
• 1/2 cup rose, lavender, or distilled water
• 1 teaspoon pure vegetable glycerin
• 1/4 to 1 teaspoon cold pressed organic almond oil
• 12 drops grapefruit seed extract
Make the rose or lavender water by placing a small handful of dried organic rose petals or lavender in a pint mason jar and adding boiling water to cover. Let steep overnight, then thoroughly strain. Combine the remaining ingredients in a glass jar and shake to blend. Dab some on your fingers or a cotton ball and massage into your skin. Rinse with warm water. Keep stored in the refrigerator for no more than a month or so. Discard at the first sign of mold.

Apple Face & Neck Gelee

Yield: Approx. 2 applications
Ingredients:
4 teaspoons hot distilled water
1 teaspoon freshly juiced apple juice
1 teaspoon aloe vera gel
4 teaspoons vegetable glycerin
1 heaping teaspoon powdered pectin

Add the glycerin to the water/juice/gel combination and stir to fully incorporate. Add the pectin while the liquid remains quite warm (if it cools, place it in the microwave or a double boiler to raise the temperature) and use a hand held electric mixer to blend, or stir vigorously to dissolve the pectin. Once the pectin has fully dissolved, a light gel will begin to form. This may take from 15 minutes to 1/2 hour. Once the gel sets, Apple Face & Neck Gelee is ready to use. Apply the gel in a layer to your clean, damp face and neck. Rest for 15 minutes. Rinse with warm water and follow with a light moisturizer if desired. Leftover product can be stored in the refrigerator for about a week. Enjoy!! The shelf life of this product is necessarily limited by the fresh apple juice. It should be used within a few days after it is made.

APPLE SKIN TONER

Intended for slightly oily skins, we’re told by our skincare team that Apple Toner is an excellent substitute for rubbing alcohol (a real no-no, as it actually stimulates the oil glands to produce more oil).
Combine 2/3 cup witch hazel,
1/3 cup of apple cider vinegar,
and several drops of Lavender Essential Oil (or essential oil of your choice).

Mix, and add to clean bottle. Shake bottle well before using, and then dampen a cotton ball or pad saturated with your toner, and swab over face. Witch hazel is a gentle astringent, apple cider vinegar will help restore your skin’s natural ph balance, and lavender soothes sensitive skin.

BASIL ACNE TONIC

Basil is known for its “soothing and toning” properties.
2 to 3 teaspoons dried basil leaves
1 C. boiling water
Steep basil leaves in water for 10 to 20 minutes. Cool, then apply to face with a white cotton ball. Keep tonic refrigerated. Recommended shelf life: 90 days.

Your Organic Skin

Skin is the armor of the body. It is the outside waterproofing, element-fighting surface that protects our internal organs and skeletal structure from the harsh outside elements. Yet skin, overall is ignored most of the time. Healthy skin is important for a glowing completion of course, but if your body is unhealthy – your skin will be also.

The toxic world of industrialization has finally caught up with us. Producing toxic waste disasters, disease and tons of garbage buried so deep it can never breakdown. All these “modern advancements” have left our food supply as little more than a chemical compound in itself. If you can do ONE thing to give your skin and your body a fighting chance, you would be wise to choose as organic a diet as possible. To maintain a healthy skin, organically grown food is must.

In light of recent organic trends in our food, organic skin care products are also gaining popularity. For healthy lifestyle and healthy skin, limiting the amount of toxins and chemicals you put in your body is a must. If the environment or living “green” is important to you, you should also be aware of companies that produce the products you buy and their manufacturing practices.

Organic Skin Care is the most rapidly developing field in the beauty industry. Now what does Organic mean? Organic refers to anything grown or raised naturally. But more specifically, it means plants are grown on certified natural land without the use of synthetic fertilizers, pesticides, genetic modification or irradiation. In many cases, these organic farms are highly regulated by the Federal Food Safety Commission. Organic skin care means protecting your skin from harmful chemicals and using organic products whenever possible.

There are many organic products available on the market today. Most can be found at a local organic specialty stores, food suppliers or a national health food chain like Whole Foods. As organic products become more and more popular, many standard food stores, Like Safeway or Albertsons’ are also providing these products on their shelves. There are also plenty of websites offering organic skin or beauty care products online.

An organic product is preferable for natural skin care balance as it will generally contain far fewer chemical properties then it’s drugstore counterparts and thus have less possibility to cause inflammation or irritation. Of course, even an herbal product can have side effects as they are “chemicals” in their own right, so always be aware of the list if ingredients in the products you buy and the reactions your skin personally has to allergens.

Combination Skin Treatments

Combination skin is characterized by a mixture of oiliness and dryness. Typically, the oily areas tend to be the T-zone, consisting of the forehead, nose and chin. The cheeks are normal to dry. The degrees of oiliness and dryness can vary. Pores may be larger in the oily areas – with pimples, blackheads and breakouts sometimes occurring – and dry areas may feel rough and irritated.

The “tissue test” can help you determine if you have combination skin. Take a tissue and hold/press it against your face. If there’s oil on the tissue where it touched your T-zone, but no oil where the tissue touched your cheeks, you most likely have combination skin.

Causes
Many factors can cause combination skin, including hormones, age, genetics, the way in which lipids are organized in our skin and even the weather. Hormonal changes can lead to changes in skin’s oiliness or dryness. Teens and young adults tend to have oilier skin, especially in the T-zone, but with age, hormones change and the oil production may decrease (but unfortunately, acne is still an issue for many adults). Also, hormones change due to menstruation and the birth control pill, which can make skin oilier in certain areas. Lipids also play a role in combination skin: These proteins affect skin’s softness and feel. When lipids aren’t evenly spread throughout the skin, certain areas will feel drier and rougher, while other areas may feel soft but oily or greasy. The organization of lipids in skin is due to genetics and hormones. Finally, weather can exacerbate combination skin. Dry cold weather can cause skin to dry out and become irritated. Conversely, hot humid weather can increase oil production. This can affect your T-zone as well as your cheeks.

Care Plan
Combination skin requires special care to balance the oily and dry areas of the face. Proper cleansing, treatment, moisturizing and sun protection are all necessary.

• Cleansing: People with combination skin often have difficulty finding a cleanser that works for their unique skin needs. Formulas designed for oily skin may leave combination skin too dry, especially in the cheeks, while formulas designed for dry skin may leave combination skin greasy, especially in the T-zone. It’s best to avoid products that are either too drying or too rich. Instead, use a foaming or gel cleanser to get rid of dirt and oil without causing irritation or dryness. A cleanser to try is one that removes excess oil and impurities while still being gentle and not drying out skin.
You should also exfoliate your skin regularly to remove dry, dead, rough skin cells. These cells may be particularly prominent on your cheeks. They can flake off and block pores, causing blemishes and blackheads. Try a product that might include papaya and pineapple juice, olive derivatives and Ginkgo Biloba

Treatments: Treatment products are another important skincare component, helping to balance your skin. One treatment to try is one which moisturizes dry areas but prevents excess oil, especially in the T-zone. This product also contains antioxidants to prevent aging. Another type of treatment is a mask, and you’ll find an array of products for every skin type. Some experts advise using a hydrating/moisturizing mask on dry areas (cheeks) and a deep-cleaning clay mask on oily areas (T-zone). While using two different masks is certainly an option, you can also use a mask specifically designed for combination skin. If you suffer from breakouts, which may occur around the T-zone, use acne treatment products with salicylic acid. For problem skin, try a blemish serum or a spot treatment.

Moisturize: Combination skin needs balance, and part of that balance means moisturizing your skin. Moisturizing is especially important for drier areas of the face, but your entire face needs moisture. Some experts suggest using separate moisturizers – a lightweight one for the T-zone and a deeper one for cheeks. You may choose to use separate moisturizers, but you can also use a single moisturizer designed for combination skin. Try a lotion which balances skin with witch hazel and aloe extract to help skin stay soft. Pay careful attention to dry areas, as they may require more frequent moisturizing than oily areas. Generally, experts recommend moisturizing dry areas twice a day and moisturizing oily areas once a day. Keep in mind that your individual skin has unique needs, so you might want to adjust your moisturizer – how often you use it, where you need it and how much you need.

Sun Protection: Like all other skin types, combination skin needs protection from the sun. UVA and UVB rays can damage skin, so use oil-free sunblock all over your face daily (and on any other exposed areas). Try an oil-free sunlotion or sunblock because it protects your skin from UV rays and won’t make skin greasy.

Natural Treatments
Natural treatments such as aromatherapy oils, home-made exfoliants and masks may help treat your combination skin. For example, try mixing essential oils like chamomile, lavender and ylang ylang (just a few drops) together with your oil-free moisturizer. These ingredients have antibacterial properties and may help to rid skin of dirt or bacteria. However, if your skin is sensitive or easily irritated, or if you’re pregnant, you shouldn’t use these essential oils.

Exfoliating treatments can be made at home by mixing and grinding nuts, seeds or oatmeal along with water. These will slough off dead, dry skin cells – especially common around the cheeks. You can add citrus peels from fruit – like orange or grapefruit – to the mix and apply it to the oily T-zone.
To make a mask for dry areas, use ingredients like yogurt, mashed bananas or avocados to moisturize. On oilier areas, try pureed strawberries and apples.

Keeping Skin Healthy

The market today is flooded with beauty products. Everywhere you look, another new product is on the shelf (or on the website). So, how does one choose which is the best product for them? If you are inclined to treat your skin naturally-meaning without harsh chemicals-then organic or natural skin care may be the best for you. Not only do these products help your skin in a more balanced, natural way, they are also much less harmful to yourself and the environment.

Below are five basic steps in keeping skin healthy, along with the use of organic skin care products.

Eat and maintain a balanced diet. Fruits and vegetables contain vitamins and minerals that help you maintain a healthy skin the natural way. Avoid processed and greasy foods. Familiarize yourself with healthy, organic food that you enjoy and will promote better health. Supplements will also provide assistance in keeping your whole body healthy. Keeping the entire body healthy is the primary key for healthy cells. This is the most important organic skin care tip. Skin can only look as good as the nutrients you feed your body. The skin is the primary conduit for the liver to process toxins.

1. Drink plenty of water. A huge percentage of the body is composed of water. Water intake will help you clean the body. Water also hydrates the body and helps prevent dry skin. Well-hydrated cells function well. Cells that function well can help maintain youth. The more active a person is, the more water he/she needs. Eight glasses of water a day is the recommended amount of water intake, however, as for athletes and energetic people, more is needed to replace the fluid they excrete through perspiration. There is no replacement to drinking plenty of water and this is not only a great organic skin care rule but a great habit to adopt.

2. Exercise. Aside from a boost in energy, moderate work outs promote blood circulation and increase oxygen in the blood stream. Both help in maintaining the youth of your skin.

3. Wash your face with mild cleansing products. Cleansing products with strong substances can harm cells. Ensure that you use clean water when washing the cleansing products off your skin. Don’t rub your skin vigorously with the towel – it irritates the skin. Wipe gently with soft cloth. Organic skin care products are milder than those with synthesized or processed ingredients and don’t need to be scrubbed off.

4. Use organic skin care products when possible. Products with natural ingredients will clean you r skin just as well as those full of chemicals. The closer the ingredients are to their natural state, the less harmful for your skin. Most organic products work with the body’s natural process in fighting harmful elements and potential diseases as opposed to chemically forcing the skin to respond to treatment.

5. Moisturizers are recommended for all skin types. Even oily skin loses its natural moisture after using harsh cleansing products. If your skin is not properly moisturize, it will dry and age faster. Toners help in cleaning traces of dirt and cosmetics not easily removed with the use of cleansers. Try to use a product containing zinc or a natural sunblocking agent to protect your face from the harmful UVB rays of the sun.

Organic skin care gives you the greatest opportunity to have a healthy skin, without using harmful ingredients. The appearance of your skin indicates the state of your health. If you are suffering from acne or any other skin condition, try treating it from the inside out first. Give your body a chance to balance itself with healthy foods and supplements before you spend hundreds of dollars on topical treatments. Your skin is your body’s armor, protecting your from the elements. Help it do its job.

Natural Skin Care Therapy Tips for Acne

Acne is not a new problem; people have been suffering from it for many thousands of years. In ancient Egypt for instance, oils were often used to soften and smooth the skin. It is only in recent times that people have begun to use acne creams made of chemical ingredients like benzyl peroxide, among others. These can not only have unwanted side effects, like the drying of healthy skin or the bleaching of clothing, but can be very costly.

It’s no mystery that our grandmothers seemed to know best. When it comes to health and skin, the more natural the ingredient, the better. Of course, there are times when natural remedies may not be as effective and that is Ok. However, just be aware of the natural options you have first, before you waste a lot of money on another product that doesn’t work. Many people today discovering the old-world secrets in caring for their bodies more naturally, and are turning to natural and herbal remedies, such as the following simple ‘kitchen cures’.

Acne Remedy #1: Make a paste of nutmeg powder and milk, and apply to your face in a thin layer. Leave on for up to an hour, or even overnight.

Acne Remedy #2: Take an orange peel and leave it to dry, and then grind it to a powder. Mix with water and apply directly to the pimple.

Acne Remedy #3: Applying garlic directly to a pimple can also be a great remedy, as garlic is a natural disinfectant.

Acne Remedy #4: Mix a spoonful each of fresh lemon juice and cinnamon. Apply to the acne overnight for several nights in a row to be effective.

Acne Remedy #5: Take fresh leaves of fenugreek and grind to make an acne remedy that is also said to be effective in reducing wrinkles. It should be left on for only fifteen minutes.

Acne Remedy #6: Papaya juice, which is high in natural enzymes, makes a wonderful acne solution all on its own.

Acne Remedy #7: Boil a cup of milk, and then allow to cool to room temperature, and add a spoonful of limejuice to make a acne face wash.

Acne Remedy #8: Mix rosewater, cucumber juice and lime juice in equal amounts. Apply to clean face and leave on overnight.

Chemical skin care ingredients you should avoid if you are acne-prone or have oily skin in combination with acne:
• Butyl stearate
• Cinnamon Oil
• Isotearyl isostearate
• Cocoa butter
• Jojoba oil
• Coconut oil
• Decyl oleate
• Myristyl myristate
• Myristyl propionate
• Octyl palminate
• Octyl stearate
• Peppermint Oil
• Isopropyl stearate
• Isopropyl, isostearate, myristate or palmitate
Try several of these natural remedies and see which one is best for you, be aware that it can take several days to have an effect. Make sure you use clean spoons and dishes to mix your remedies, and remember to wash your face as usual in between treatments.

Organic Skin Products

Your Organic Skin

Skin is the armor of the body. It is the outside waterproofing, element-fighting surface that protects our internal organs and skeletal structure from the harsh outside elements. Yet skin, overall is ignored most of the time. Healthy skin is important for a glowing completion of course, but if your body is unhealthy – your skin will be also.

The toxic world of industrialization has finally caught up with us. Producing toxic waste disasters, disease and tons of garbage buried so deep it can never breakdown. All these “modern advancements” have left our food supply as little more than a chemical compound in itself. If you can do ONE thing to give your skin and your body a fighting chance, you would be wise to choose as organic a diet as possible. To maintain a healthy skin, organically grown food is must.

In light of recent organic trends in our food, organic skin care products are also gaining popularity. For healthy lifestyle and healthy skin, limiting the amount of toxins and chemicals you put in your body is a must. If the environment or living “green” is important to you, you should also be aware of companies that produce the products you buy and their manufacturing practices.

Organic Skin Care is the most rapidly developing field in the beauty industry. Now what does Organic mean? Organic refers to anything grown or raised naturally. But more specifically, it means plants are grown on certified natural land without the use of synthetic fertilizers, pesticides, genetic modification or irradiation. In many cases, these organic farms are highly regulated by the Federal Food Safety Commission. Organic skin care means protecting your skin from harmful chemicals and using organic products whenever possible.

There are many organic products available on the market today. Most can be found at a local organic specialty stores, food suppliers or a national health food chain like Whole Foods. As organic products become more and more popular, many standard food stores, Like Safeway or Albertsons’ are also providing these products on their shelves. There are also plenty of websites offering organic skin or beauty care products online.

An organic product is preferable for natural skin care balance as it will generally contain far fewer chemical properties then it’s drugstore counterparts and thus have less possibility to cause inflammation or irritation. Of course, even an herbal product can have side effects as they are “chemicals” in their own right, so always be aware of the list if ingredients in the products you buy and the reactions your skin personally has to allergens.

Protecting Your Skin from Harmful Irritants

The skin serves numerous functions – detoxifying, protecting, regulating – but the primary protective or barrier function is the most obvious. The top layer of skin cells has the most important function in maintaining the effectiveness of the barrier. Here the individual cells overlie each other and are tightly packed, preventing bacteria from entering and maintaining the water-holding properties of the skin.
Fatty substances (lipids) are secreted by the cells during the course of their journey from the base layer of the skin to the top. These lipid molecules join up and form a tough connecting network, in effect acting as the mortar between the bricks of a wall.

The cell wall barriers are simply layers of fats that surround the watery contents. Therefore, the communication mechanisms must operate through these fatty cell walls. In fact, many of the substances that are involved in this communication process are various fats since it is easiest for fats to move within the fatty layers that comprise the cell walls. Despite its bad reputation, proper fats and cellular fats are of major importance in our body’s biochemistry and physiology.

Damage to the skin barrier can result from a combination of genetic predisposion and exposure to sensitizing chemicals and other substances. That is why avoiding irritants is as important as using products that help. In skin care, the most common irritants are usually perfumes and preservatives.

Fatty substances control the majority of our body’s physiology through receptors that activate many important genes. Likewise, our skin barrier is comprised of a supporting structure of collagen, a protein that contains fats that serve a critical function. These fats prevent the excess loss of water through our skin and prevent the cells of our body from becoming dehydrated and dying.

A major sign of a defective skin is the dryness that results from excessive water loss. This water can not be applied topically but must be ingested. To prevent the excessive water loss and the resulting dry skin, we must repair the skin barrier. We find that the skin composition in individuals with dry skin is due to an improper mixture of the skin fats. This is commonly due to a deficiency in our diet of the correct fats, those contained in natural olive oils, avocados, and healthy nuts, etc. On a nutritional basis, we can provide these necessary fats through the skin sometimes through topical treatments containing natural butters or oils, like Shea, olive and cocoa butter. The epidermis is not a usual means to acquire nutrition but it can absorb enough fatty substances to correct the fat imbalances that are the cause of the defect in the skin’s barrier function and thus correct the dry, itchy skin or sensitive skin problem. Try to be aware of chemical preservatives in any topical products you do use.

Although many products today are labeled “fragrance free,” that is really a misnomer. Nearly all products contain some fragrance to mask their chemical odor; so-called fragrance-free products may just contain fewer chemicals than others. What’s more, the fragrances used in many products (even pricey perfumes) are commonly synthetic. For sensitive individuals, this chemical brew can be a problem To make matters worse, many natural fragrances are now extracted using harsh solvents rather than old-fashioned distillation methods, in which fewer chemicals come into contact with the essential oil of the flower. Unless you can determine the extraction method used, be cautious. This is one reason many individuals react negatively to the essential oils used in aromatherapy massages and related products – many are of a synthetic, chemical composition.

According to several studies, various preservatives including formaldehyde, parabens, and others commonly used in skin, hair, and beauty products can also provoke allergic reactions. Although the preservatives are needed to maintain product shelf life and only minute amounts are present in any given product, many products contain these same chemicals, including skin care products, makeup, medications, antiperspirants, toothpaste, and foods. Many of these products are used on a daily basis, causing a higher reaction rate. As a result, the overall exposure to these harmful ingredients is higher than would occur if only a single product were used. Studies show that massage therapists have more contact dermatitis – or skin inflammation – due to exposure to these extracts.

Until recently, few studies investigated the cumulative impact of repeated exposures to preservatives in a variety of products and ingredients. For the majority of people, these product preservatives are an additional benefit, not a problem. But, as the chemical compositions increase, so do the allergic reactions.
If you suffer from sensitive, allergic skin or severe dry skin, you may be among those who will have a problem or reaction to these chemical-laden products. In this case, it is your role as an informed consumer to carefully read labels for all products that come into contact with your skin – internally or externally- to assure that they don’t contain the listed ingredients that you must avoid. Your skin barrier does a lot to protect you naturally, help it out when you can and feed it nourishing chemical-free products whenever you can.

Benzoyl Peroxide and Tretinoin

When applying antiacne drugs to the skin, people should be careful not to get the medicine in the eyes, mouth, or inside the nose. They should not put the medicine on skin that is wind burned, sunburned, or irritated, and not apply it to open wounds.

Because antiacne drugs such as benzoyl peroxide and tretinoin irritate the skin slightly, users should avoid doing anything that might cause further irritation. They should wash the face with mild soap and water only two or three times a day, unless the physician says to wash it more often. They should also avoid using abrasive soaps or cleansers and products that might dry the skin or make it peel, such as medicated cosmetics, cleansers that contain alcohol, or other acne products that contain resorcinol, sulfur, or salicylic acid.

If benzoyl peroxide or tretinoin make the skin too red or too dry or cause too much peeling, the user should check with a physician. Using the medicine less often or using a weaker strength may be necessary. Benzoyl peroxide can irritate the skin of people with skin of color and cause darkened spots called hyperpigmentation on the skin. Benzoyl peroxide may discolor hair or colored fabrics.

ORAL DRUGS. Oral antibiotics are taken daily for two to four months. The drugs used include tetracycline, erythromycin, minocycline (Minocin), doxycycline, clindamycin (Cleocin), and trimethoprim-sulfamethoxazole (Bactrim, Septra). Possible side effects include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. One effective treatment is topical tretinoin, used along with a topical or oral antibiotic. A combination of topical benzoyl peroxide and erythromycin is also very effective. Improvement is normally seen within four to six weeks, but treatment is maintained for at least two to four months.

Special Conditions

People who have certain medical conditions or who are taking certain other medicines may have problems if they use antiacne drugs. Before using these products, the physician should be informed about any of the following conditions.

ALLERGIES. Anyone who has had unusual reactions to etretinate, isotretinoin, tretinoin, vitamin A preparations, or benzoyl peroxide in the past should let the physician know before using an antiacne drug. The physician should also be told about any allergies to foods, dyes, preservatives, or other substances.

PREGNANCY. Teens who are pregnant or who may become pregnant should check with a physician before using tretinoin or benzoyl peroxide. Isotretinoin causes birth defects in humans and must not be used during pregnancy.

OTHER MEDICAL CONDITIONS. Before using antiacne drugs applied to the skin, people with any of these medical problems should make sure their physicians are aware of their conditions:
• Eczema. Antiacne drugs that are applied to the skin may make this condition worse.
• Sunburn or raw skin. Antiacne drugs that are applied to the skin may increase the pain and irritation of these conditions.

In people with certain medical conditions, isotretinoin may increase the amount of triglyceride (a fatty-substance) in the blood. This may lead to heart or blood vessel problems. Before using isotretinoin, adolescents with any of the following medical problems should make sure their physicians are aware of their conditions:

• alcoholism or heavy drinking, currently or in the past
• diabetes or family history of diabetes (Isotretinoin may change blood sugar levels.)
• family history of high triglyceride levels in the blood
• severe weight problems

Using antiacne drugs with certain other drugs may affect the way the drugs work or may increase the chance of side effects.

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