It is recommended that you avoid oral antibiotics when your acne is already manageable. Some oral antibiotics for acne may be intended for daily uses and a long period of time, often for four months or more. Eventually, your doctor will reduce the dosage and then discontinue it completely once your acne significantly improves. A good long-term goal is to completely stop oral antibiotics while relying solely on topical therapy. There are a few ways your doctor reduces the total antibiotic dosage when treating acne. If necessary, you need to take antibiotics at a minimal effective dose for an extended period of time, especially if the acne is persistent. Even so, this practice may lead to antibiotic resistance.
You should always discuss any option available with your doctor. It is a bad idea to change the doses on your own. The doctor knows a lot more about your skin condition and he will find appropriate treatments for your acne. Some doctors use fluctuating dosages to reduce potential side effects while lessening the total dosages you take, as an added bonus, you can bring the medication cost down.
For example, a typical treatment with fluctuating can take form as 50-mg capsules taken twice a day, which equals to 100 milligrams per day. And because you can take a maximum of 200 milligrams of minocycline in one day, the doctor may recommend an additional 50 milligrams if your situation gets worse. However, if you experience some improvements on the follow-up visit, the doctor may return the dosage to 100 milligrams a day. Women who have premenstrual flares may need to increase the dosage about one week before the next menstrual period and then lower the dosage after the period is over. Other ways to lower the amount of antibiotics is by pulsing with Accutane or any oral isotretinoin.
A quick, relatively pain-free procedure is the intralesional steroid (cortisone) injection, it is extremely reliable in reducing the redness, swelling, and inflammation of acne papules or cysts (nodules). These shots are especially effective for the bigger and long-lasting lesions.
Each nodule or papule is given a dilute steroid solution with an ultra-thin needle. The injection may be painful; however, within just a couple of days, the lesions will soften, and after one week they become relatively flat. Sometimes, the injections are repeated in one month (or more) if there are no improvements.
Many people are needle-shy; but, after the first successful treatment, they often come back for more. In general, on bigger cysts, you will feel less pain.
If too much cortisone is used, you may get depressed scars that dent your skin. These dents can improve after a few months, but sometimes they are permanent. Some dents may actually “normal” healing response which will happen on inflamed lesion, if it isn’t injected. The intralesional injections can avoid or reduce antibiotic uses. If you have less than five lesions, these injections may effectively replace oral antibiotics completely.
How should I apply the cream? Do those pills have side effects? Should I take it with food or on an empty stomach? These are common questions when you are taking any type of antibiotics. If you are like many people, you maybe don’t remember even half of what was said by the healthcare provider or dermatologist.
Make sure to ask for written subject about common acne problems and also make sure you get written instructions on how you should use the prescribed drugs. If you have the time, completely read the material to understand the likely side effects, proper dosage, and other things you should know. If you have some important questions, immediately call your healthcare provider or dermatologist rather than waiting too long for the next office visit. The pharmacist should be a wonderful resource for you, which provide information about any prescribed drug, and also on any of the OTC drug that are available without a prescription. If possible, ask the pharmacist for a print-out that explains all of the actions and likely reactions you may get with prescription drugs. Always read the “package insert” that can be found inside the box, which explains everything that can happen after you take the drug. It has a lot more information than you will ever need about the prescribed drugs and if you feel that you experience the symptoms, call your doctor immediately. You should ask your dermatologist or healthcare provider whether you can choose a generic substitute instead. In the package insert examine the “adverse reactions” section more closely to know all possible side effects that can happen. Before the antibiotic is released into the market, it is tested on animals and then people. Some of the side effects can appear frightening because the insert needs to explain everything, starting from light symptoms like nausea to serious symptoms like severe breathing problem. You should understand that the section includes everything that happened to so many volunteers during the testing phase and some of those symptoms may not be related to the antibiotics. It can be difficult to determine which one of those side effects that you should really worry about. A side effect can be classified as infrequent or rare, if they are not repeated in the “warning” section. However, although a side effect is listed as being very rare, remember that, every person is unique and it is difficult to tell in advance whether you won’t get it.