Hair regrowth treatments

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Acne vulgaris (commonly called acne) is a skin condition caused by changes in the pilosebaceous units (skin structures consisting of a hair follicle and its associated sebaceous gland). Severe acne is inflammatory, but acne can also manifest in noninflammatory forms.Acne lesions are commonly referred to as pimples, blemishes, spots, zits, or acne.

Acne back is most common during adolescence, affecting more than 85% of teenagers, and frequently continues into adulthood. The cause in adolescence is generally an increase in male sex hormones, which people of both genders accrue during puberty.For most people, acne diminishes over time and tends to disappear—or at the very least decrease—after one reaches one's early twenties. There is, however, no way to predict how long it will take to disappear entirely, and some individuals will continue to suffer well into their thirties, forties and beyond.

The face and upper neck are the most commonly affected, but the chest, back and shoulders may have acne as well. The upper arms can also have acne, but lesions found there are often keratosis pilaris, not acne. Typical acne lesions are comedones, inflammatory papules, pustules and nodules. Some of the large nodules were previously called "cysts" and the term nodulocystic has been used to describe severe cases of inflammatory acne.

Aside from scarring, its main effects are psychological, such as reduced self-esteem[5] and, according to at least one study, depression or suicide.[6] Acne usually appears during adolescence, when people already tend to be most socially insecure. Early and aggressive treatment is therefore advocated by some to lessen the overall impact to individuals.

Acne develops as a result of blockages in follicles. Hyperkeratinization and formation of a plug of keratin and sebum (a microcomedo) is the earliest change. Enlargement of sebaceous glands and an increase in sebum production occur with increased androgen (DHEA-S) production at adrenarche. The microcomedo may enlarge to form an open comedo (blackhead) or closed comedo (whitehead). Whiteheads are the direct result of skin pores becoming clogged with sebum, a naturally occurring oil, and dead skin cells. In these conditions the naturally occurring largely commensal bacteria Propionibacterium acnes can cause inflammation, leading to inflammatory lesions (papules, infected pustules, or nodules) in the dermis around the microcomedo or comedo, which results in redness and may result in scarring or hyperpigmentation.

Acne Antibiotics work by killing bacteria that contribute to the cause of acne. They also have a direct effect of reducing inflammation. Acne Antibiotics usually work well to clear inflamed acne spots, and any surrounding skin inflammation. However, they have little effect on unplugging blocked pores (which you can see as blackheads and whiteheads). So, if you only have mild acne with just blackheads and whiteheads, you are better off using a topical treatment that unblocks pores. If you have a lot of blackheads and whiteheads as well as inflamed acne spots, you may be advised to use a topical treatment such as benzoyl peroxide in addition to taking an antibiotic tablet.

Always read the leaflet that is in the packet of antibiotics. Things such as precautions and possible side-effects vary between different antibiotics. The following are some general points.

Tetracycline based antibiotics

These are the most commonly used antibiotics to treat acne. They include: oxytetracycline, tetracycline, doxycycline, lymecycline and minocycline.

* Children under 12 years should not take tetracycline based antibiotics.
* Do not take tetracycline based antibiotics if you are pregnant, breastfeeding, or intend to become pregnant. Discuss contraception with your doctor if necessary.
* Food and milk affects the absorption of oxytetracycline or tetracycline. Therefore, take these tablets on an 'empty stomach', between meals, with a glass of water, (not milk). Doxycycline, lymecycline and minocycline can be taken with food.
* Women taking 'the pill' should use additional contraceptive precautions (such as condoms) during the first three weeks of taking antibiotics.

Other antibiotics

Other antibitoics that are sometimes used include erythromycin and trimethoprim. You may be advised to take one of these if one of the above has not worked well, or is unsuitable.

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