Oral antibiotics (such as minocycline, erythromycin and tetracycline) can circulate around the body and eventually work on the sebaceous glands. They are often prescribed for more severe acne cases. Oral antibiotics should only be used as a temporary measure in order to reduce the inflammation caused by acne bacteria. Longer use of antibiotics and steroids destroy the immune system of our skin. Oral antibiotics have been one of the widely used treatments for acne after over-the-counter treatments don’t work well for ones acne problem. There are two things that oral antibiotics do against acne.
Tetracycline is the most widely prescribed antibiotic for acne. The usual starting dose is 500 mg twice a day continued until a significant decrease in acne lesions is seen. Tetracycline should never be given to pregnant women or children under nine. It sometimes causes photosensitivity, like doxycycline. Tetracycline is not given to pregnant women or children under 12 years of age because it can discolor developing teeth. Lastly (and least common), because doxycycline is also the treatment of choice for Lyme disease, there is the theoretical possibility that a patient who takes this medication for a long period of time would build a resistance, and therefore be unable to fight Lyme.
Tetracyclines, including doxycycline and minocycline, are the most common antibiotics used in the treatment of acne. Usually these are once or twice daily and are taken on an empty stomach for improved absorption. Tetracycline is known since 1950, and in case the results are not shown after a period of two to three months of medication, then it is better for this acne treatment to be interrupted.
Oral antibiotics have been used for countless years in curing acne. Antibiotics work by a lot of several mechanisms. The greatest benefit is being decreasing the amount of bacteria in and near the follicle. Oral antibiotics treatment generally starts out with a high dosage that is slowly reduced as the acne clears up. This form of treatment must always be closely monitored by a doctor so that it can provide optimum results.
Tetracycline, erythromycin, doxycycline are acne antibiotics that work best. Tetracycline is typically the first used antibiotic when treating acne. It is also the least expensive antibiotic with few side effects and most people tolerate it very well. Tetracycline and their derivatives are effective against inflammations on papulae and pustules. They must not be prescribed to children and pregnant women or those who are breast-feeding.
Oral contraceptives are prescribed as a combination of norgestimate and ethinyl estradiol, and are specially meant for women. Oral antibiotics are prescribed for treating more severe acne and sometimes they are used in combination with acne treatments. Oral antibiotics and medications such as Accutane, may be used at this stage as well as drainage techniques and surgical incision, also known as Acne Surgery. Other acne treatments such as injections of corticosteroids can be used. Oral contraceptives containing estrogen (such as Estrostep and Ortho Tri-Cyclen 28) are very effective treatments for acne. The maximum benefit of oral contraceptives on acne occurs in three to four months.
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