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Acne Treatment

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Dalacin-T Solution
Pack Size: 50mL
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  • Dalacin-T solution should be applied to the affected areas twice daily, after washing with a mild cleanser.
  • Gently dab the pad dispenser on all areas of affected skin, not just the individual spots.
  • To get the best effects from Dalacin-T solution it is important that it is used regularly for a number of continuous months. Continue to use Dalacin T for ONE to TWO months after acne has cleared. Improvement should be seen after a few weeks.

Dalacin-T solution is available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Dalacin T topical solution is an antibiotic acne treatment that contains the active ingredient clindamycin phosphate. Clindamycin is an antibiotic medicine used to treat bacterial infections. Dalacin T topical solution is mainly used in the treatment of acne vulgaris and is available in a 50ml bottle. The solution itself is a clear, colourless, aqueous solution. Dalacin T topical solution is manufactured by Pharmacia, who are part of the Pfizer group.

Dalacin-T topical solution works by inhibiting acne-causing bacteria from producing proteins that are essential to them. Without these proteins the bacteria are unable to replicate and increase in numbers. After treating the affected skin topically with clindamycin, any remaining bacteria will eventually die out or be destroyed by the body’s natural immune system.

The bacteria associated with causing acne is called Propionibacterium. This is a very common type of bacteria that can be found naturally on a person’s skin. Propionibacterium feeds on sebum, which is a natural oil produced by the sebaceous glands. When propionibacterium feeds on sebum it produces waste products and fatty acids. These waste products can irritate the sebaceous glands, causing them to become inflamed. This inflammation can cause spots to appear. Dalacin-T topical solution works by preventing propionibacterium from producing proteins that are essential to them. Without these proteins the bacteria are unable to replicate and increase in numbers. Treating this type of acne with Dalacin-T solution will result in the reduction of propionibacterium, bringing any inflammation under control and allowing the skin to heal naturally. After treating the affected skin topically with Clindamycin, any remaining bacteria will eventually die out or be destroyed by the body’s natural immune system.

Dalacin-T solution can dry the skin so it is particularly good to treat acne where the skin is also greasy. It is applied directly to the affected areas twice daily via the pad dispenser provided with each bottle. It will usually requires a few weeks of treatment before the condition of the skin noticeably improves.

Dalacin-T can cause some side effects in a small number of people. These are most likely to occur as your skin is getting used to the treatment. They can include skin irritation, itching or drying. You may wish to skip the treatment for a day if you experience these side effects to give your skin time to recover.

Like all topical preparations there is the potential that you may be allergic to Dalacin T solution. We recommend you do a spot test before commencing treatment.

Dalacin T solution should not cause a harmful interaction with any of your other current medicines. Dalacin T should not be used with other acne treatments containing benzoyl peroxide as they can have additive drying effects. Please read the Patient Information Leaflet enclosed with your medicines for further information.

Dalacin T has drying effect on the skin so it is important to try to ensure that any toiletries containing alcohol or other skin-drying ingredients are not used.

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Differin 0.1% Cream
Pack Size: 45g
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  • Differin cream should be applied to the affected areas once daily in the evening, after washing with a mild cleanser.
  • Apply a small amount to cover the affected areas using clean fingertips and rub in lightly.
  • At the start of treatment with Differin, if it is used correctly it will produce effects similar to that of mild sunburn including mild itching, redness and warmth. This is normal and should subside.

To get the best effects from Differin cream it is important that it is for up to THREE months continuously depending on response. Improvement should be seen after a few weeks.

You may use cosmetics and moisturisers whilst you are using Differin cream however you should wait for it to be fully absorbed into the skin before applying anything else.

Differin cream has drying effect on the skin so it is important to try to ensure that any toiletries containing alcohol or other skin-drying ingredients are not used.

Differin 0.1% cream is available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Differin cream contains the active ingredient adapalene and is used in the treatment of acne. Differin is a retinoid-like compound that is manufactured by Galderma UK Limited. The active ingredient in Differin, Adapalene, is a form of vitamin A. It works to reduce the growth of keratin surface skin cells that can block pores.

Sebum is produced by glands just under the surface of the skin called sebaceous glands. Sebum is a natural, oily substance needed to keep the skin smooth and supple. However, sufferers of acne often produce too much sebum, which can mix with the dead keratin skin cells and cause the pores to become blocked. Blocked pores can then lead to the formation of spots, blackheads (comedones) and whiteheads. Applying Differin 0.1% Cream to the affected areas will help reduce the amount of keratin skin cells and unblock the pores and sebaceous glands, allowing the sebum to escape. This will result in a reduction of inflammation, whiteheads, comedones and spots.

Differin 0.1% cream is also beneficial as it increases the natural turnover of the skin cells. This aids the natural exfoliation of the skin’s outer layers. This action will help keep pores unblocked, thus reducing the formation of spots and blackheads.

Differin 0.1% cream is for external use only and is designed to treat mild to moderate acne symptoms. Currently, Differin is the only licensed medicine in the UK to contain the active ingredient Adapalene.

Pharmacist tip: Differin cream should be applied once daily, in the evening. It should be applied to the affected areas after they have been washed and patted dry. You can use cosmetics and moisturisers whilst using Differin cream, however you should let it absorb into your skin fully before applying them.

Like all creams there is the potential that you may be allergic to Differin cream. We recommend you do a spot test before commencing treatment.

If you do experience side effects from Differin cream, they can include a burning, stinging or tingling feeling, dry skin, itching, redness, or a rash. Differin can also cause your skin to be more sensitive to sunlight meaning you may burn in the sun more easily than normal. You should take action to reduce this risk such as wearing protective clothing or using sunscreen. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects. 

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Differin cream should not cause a harmful interaction with any of your other current medicines. Differin cream should not be used with other acne treatments containing benzoyl peroxide as they can have additive drying effects. Please read the Patient Information Leaflet enclosed with your medicines for further information.

During treatment with Differin cream if you experience severe itching, redness, blistering, peeling or swelling of the skin you should stop using it temporarily. If the symptoms persist stop using Differin cream and consult your doctor.

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Duac 5% Gel
Pack Size: 30g
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  • Use DUAC ONCE DAILY GEL once a day in the evening.

  • It may take 2 to 5 weeks before you see the effect of DUAC ONCE DAILY GEL.

  • Do not use for more than 12 weeks at one time. Your doctor will tell you how long your treatment will last

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Epiduo 0.1%/2.5% Gel
Pack Size: 45g
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Apply a thin layer of Epiduo gel to the affected area once daily in the evening. You should apply gel to the whole affected area, not just the spots themselves. Use continuously for up to THREE months.

You should wash your face using warm water and a mild cleanser or soap before use. Pat it dry, rubbing can irritate the skin and cause redness.

If dry skin or irritation occurs at the start of treatment, try applying Epiduo every other day and slowly work up to daily applications.  

Epiduo 0.1%/2.5% gel is available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Epiduo is a topical gel used to treat acne. It is manufactured by Galderma UK Ltd and comes in a 45g pump dispenser. Epiduo gel contains two active ingredients, Adapalene 0.1% and Benzoyl Peroxide 2.5%. These two ingredients will help significantly reduce acne breakouts, as well as preventing or reducing future acne occurrences.

Epiduo gel contains Adapalene, which is a synthetic retinoid. It works to reduce the growth of keratin surface skin cells that can block pores. When Adapalene is applied to an affected area, it will help unblock the pores and sebaceous glands, allowing the sebum to escape. This will decrease the redness, swelling and inflammation associated with acne. 

Epiduo gel also contains Benzoyl peroxide, an antimicrobial medicine designed to kill the bacteria that can lead to acne symptoms. It also helps promote skin turnover, which will further help clear blocked pores and reduce the bacterial count on the skin’s surface. It is effective at treating blackheads, whiteheads and inflamed red spots.

Combining both these ingredients in a single treatment will help provide an effective means of treating and controlling mild to moderate symptoms of acne. Epiduo has been clinically tested and approved for both short and long-term acne treatment.  

Sebum is produced by glands just under the surface of the skin called sebaceous glands. Sebum is a natural, oily substance needed to keep the skin smooth and supple. However, sufferers of acne often produce too much sebum, which can cause the pores to become blocked and infected. Blocked pores can then lead to the formation of spots, blackheads and whiteheads.

Early signs of improvement in acne symtpoms usually appear after 1 to 4 weeks of treatment. 

Epiduo gel can cause side effects in a small number of people who use it. Side effects are most common at the start of treatment as your skin gets used to Epiduo.

Common (affect between 1 in 10 and 1 in 100 people)

  • Dry skin: If this occurs you can used a non-comedogenic moisturiser (like Cetaphil) to remoisturise the skin.

  • Irritant contact dermatitis.

  • Skin irritation and burning: You should reduce the frquency of application or disontinue use until your skin is better then slowly reintorduce treatment.

Uncommon (affect between 1 in 100 and 1 in 1000 people)

  • Itching (pruritus).

  • Sunburn.

Epiduo Gel should not be applied to skin that is broken or has eczema.

Epiduo should not come into contact with the eyes, mouth, nostrils or mucous membranes. If product enters the eye, wash immediately with warm water.

This product contains propylene glycol (E1520) that may cause skin irritation.

If a reaction suggesting sensitivity to any component of Epiduo occurs, use should be discontinued.

Excessive exposure to sunlight or UV light (including sun beds) should be avoided.

Epiduo should not come into contact with any coloured material including hair and dyed fabrics as this may result in bleaching and discoloration.

Epiduo should not be used during pregnancy. 

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Isotrex Gel 0.05%
Pack Size: 30g
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Isotrex gel should be used once or twice daily, depending on response. Most people should start using Isotrex once daily and then slowly try to increase this to twice daily, if necessary, after around one week of treatment if there have been no side effects. Use continuously for up to THREE months.

How to apply Isotrex

  1. Wash your hands to remove any oil, dirt or bacteria before applying the cream.
  2. Completely remove any make-up, cosmetics or other creams.
  3. Wash the treatment area with a mild soap or cleanser and warm (not hot) water.
  4. Pat the area dry.
  5. Apply a thin layer of Isotrex over all of the affected area (not just to the spots) using a clean fingertip and smooth into the skin.
  6. Wash your hands to remove any excess gel.

Isotrex gel is available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Isotrex gel contains the active ingredient Isotretinoin and is used in the topical treatment of acne vulgaris. Isotretinoin belongs to a category of medicines known as retinoids, which are derivatives of vitamin A. Isotrex gel is manufactured by Stiefel Laboratories.

The exact mechanism of action of isotretinoin isn’t fully understood. It is thought to:

  • Make your skin less oily (due to a reduction in sebum production).
  • Loosen the surface cells of the skin

These actions result in:

  • A reduction in the number of existing blackheads and whiteheads (due to unblocking of the pores).
  • A reduction in the number of newly forming blackheads and whiteheads.
  • A reduction in the number of red, inflamed spots.

These effects are because the sebaceous glands in the skin are allowed to function normally. The skin cell loosening action will also promote skin cell turnover. This turnover will provide a natural exfoliation of the skin’s outer layers. This exfoliation will also help to unblock pores, reducing redness, inflammation and the formation of blackheads and spots.

Isotrex gel can take six to eight weeks before the beneficial effects become visible. Isotrex is for external use only and is suitable for treating mild to moderate acne symptoms.  

Like all medicines, Isotrex gel can cause side effects. however not everybody that uses it will get them. Side effects are most common at the start of treatment as your skin gets used to your new medicine.

  • Local skin reaction, eg stinging, burning, redness, irritation or peeling at site of application.
  • Increased sensitivity of skin to sunlight.
  • Dry skin at where Isotrex has been applied.
If you experience any of the above side effects when using Isotrex gel, you should try cutting down the frequency of application or not using it for a few days to allow your skin to recover. You can then slowly start to increase the use of Isotrex back to the prescribed amount.

Please see the maunfacturers patient information leaflet for a comprehensive list of side effects.

  • This preparation is for external use only.
  • Avoid contact of this medicine with the eyes, mouth, mucous membranes (eg linings of the nose) and broken areas of skin or areas affected by eczema. Take care to avoid the gel building up in skin creases or the angles of the nose.
  • If your skin is sunburnt you should not use this medicine until your skin is fully recovered, as it may potentially cause severe irritation to the skin.
  • You should avoid exposing treated areas of skin to sunlight or sunlamps while using this medicine, as it increases the sensitivity of your skin. If exposure to sunlight cannot be avoided, use protective measures such as sun-creams or protective clothing.

If you experience severe redness, peeling, or severe irritation of the skin you should stop using Isotrex. If the irritation persists you should consult your doctor.

Isotrex should be used with caution in:

  • Eczema (avoid getting the gel on areas of skin affected by eczema).
  • People with a personal or family history of growths on the skin, eg skin cancer.
  • Sensitive areas of skin such as the neck.

Isotrex should not to be used in:

  • Sunburnt skin, broken skin or skin affected by eczema.
  • Pregnancy.
  • Breastfeeding.
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Minocin MR Capsules 100mg
Pack Size: 56 capsules
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  • You should take one Minocin MR capsule daily, at the same time each day. 

  • Minocin MR capsules should always be taken with a full glass of water.
  • Minocin MR should be taken on an empty stomach, this is usually one hour before food or two hours after food.
  • Minocin MR capsules should not be taken at the same time as indigestion remedies. A gap of 2 -3 hours should be left between taking each treatment.
  • For treating acne, you will normally need to take Minocin MR capsules for at least 8 weeks. Treatment should be assessed after 3 months to determine whether it has been effective. If your treatment has been effective, you can continue to take Minocin MR if necessary. If there has been no improvement in your acne, you should stop taking Minocin MR and consider a different acne treatment. Minocin can be taken continuously for up to SIX months.

Minocin 100mg MR capsules are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Minocin MR capsules are used to treat symptoms of acne vulgaris. The active ingredient, minocycline belongs to the group of medicines known as tetracycline antibiotics. Minocycline is effective at treating infections caused by bacteria. The brand Minocin MR are manufactured by Meda Pharmaceuticals and are specifically designed to treat acne.  Each capsule contains 100mg of minocycline in a modified-release formulation. The modified-release formulation means that they only need to be taken once daily.

Minocin MR caspules kill the bacteria that infect the skin and lead to acne. These bacteria are known as propionbacterium. In acne, there is usually excess sebum and dead skin cells present on the skin. These feed bacteria living on the skin causing them to flourish. The waste products produced by the bacteria can block pores and irritate the skin leading to acne. By killing these bacteria, Minocin MR capsules help to reduce the build up of bacterial byproducts and clear up acne. You should also wash your face with a mild cleanser to help keep it clear of excess sebum and keratin skin cells.

Minocin MR capsules are suitable for treating mild to moderate acne where there is an active infection and visible inflammation. The duration of treatment will depend on how quickly your condition improves. For acne, Minocin MR capsules will normally be taken for at least eight weeks. 

Minocin MR capsules are also available as the generic treatment Minocycline 100mg MR capsules at a significant saving.

The most common side effects that occur when taking Minocin MR capsules are:

  • Stomach upsets, diarrhoea, sickness, loss of appetite or sore mouth. If you take a contraceptive pill and get diarrhoea or sickness or bleed when you don’t expect to, your “pill” may not work. You should use a different or additional means of birth control (e.g. a condom or diaphragm/cap) to ensure you are protected. Read the leaflet that came with your “pill”;
  • Headache, dizziness, hearing problems such as ringing in the ears, light-headedness, or unsteadiness. Make sure you know how you react to this medicine before you drive, use machines or do anything else that could be dangerous if you are dizzy or not alert;

  • Skin problems such as rashes most commonly due to increased sensitivity of the skin to sunlight, itching, redness, scaling or blistering. You should avoid direct exposure to sunlight or artificial light. If you experience skin discomfort then stop taking your tablets and seek advice from your doctor;

  • Cough;

  • Loss of hair.

Not everyone who takes Minocin MR capsules will experience side effects. They are most common at the start of treatment as your body gets used to your new medicine. If any of your side effects are severe you should stop taking Minocin and see your doctor. Please see the manufacturers information leaflet for a comprenhensive list of side effects.

You should not take Minocin MR 100mg capsules if you:

  • have had an allergic reaction to tetracycline antibiotics.
  • are pregnant, breastfedding or trying for a baby.
  • have kidney or liver disease.
  • have lupus or myasthenia gravis.
  • you take any of the following medicines; anticoagulants (e.g. warfarin), penicillin antibiotics, isotretinoin or other retinoids, quinapril, ergotamine, methylsergide, diruetics. 
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Minocycline MR Capsules 100mg
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  • You should take one Minocycline MR capsule daily, at the same time each day.

  • Minocycline MR capsules should always be taken with a full glass of water.
  • Minocycline MR should be taken on an empty stomach, this is usually one hour before food or two hours after food.
  • Minocycline MR capsules should not be taken at the same time as indigestion remedies. A gap of 2 -3 hours should be left between taking each treatment.
  • For treating acne, you will normally need to take Minocycline MR capsules for at least 8 weeks. Treatment should be assessed after 3 months to determine whether it has been effective. If your treatment has been effective, you can continue to take Minocycline MR if necessary. If there has been no improvement in your acne, you should stop taking Minocycline MR and consider a different acne treatment. Minocycline can be taken continuously for up to SIX months depending on response.

Minocycline MR 100mg capsules are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Minocycline MR 100mg capsules are used to treat symptoms of acne. The active ingredient, minocycline hydrocholride,  belongs to the group of medicines known as tetracycline antibiotics. Minocycline is effective at treating infections caused by bacteria. Each capsule contains 100mg of minocycline in a modified-release formulation. The modified-release formulation means that they only need to be taken once daily.

Minocycline MR 100mg caspules kill the bacteria that infect the skin and lead to acne. These bacteria are known as propionbacterium. In acne, there is usually excess sebum and dead skin cells present on the skin. These feed bacteria living on the skin causing them to flourish. The waste products produced by the bacteria can block pores and irritate the skin leading to acne. By killing these bacteria, Minocycline 100mg MR capsules help to reduce the build up of bacterial byproducts and clear up acne. You should also wash your face with a mild cleanser to help keep it clear of excess sebum and keratin skin cells.

Minocycline capsules are suitable for treating mild to moderate acne where there is an active infection and visible inflammation. The duration of treatment will depend on how quickly your condition improves. For acne, Minocycline MR capsules will normally be taken for at least eight weeks. 

Minocycline MR capsules are also available as a branded treatment, Minocin MR capsules. 

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with Minocycline MR 100mg capsules. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.

  • Dizziness.
  • Spinning sensation (vertigo).
  • Headache.
  • Loss of appetite.
  • Nausea and vomiting.
  • Diarrhoea.
  • Pins and needles or numb sensations.
  • Sensation of ringing, or other noise in the ears (tinnitus).
  • Difficulty or pain when swallowing (dysphagia).
  • Inflammation or ulceration of the foodpipe (tablets or capsules should be swallowed whole with plenty of fluid while sitting or standing to avoid this).
  • Skin reactions such as rash and itch.
  • Hair loss.
  • Abnormal reaction of the skin to light, usually a rash (photosensitivity).
  • Staining of skin, nails, teeth, sweat, tears, eyes, breast milk (see warning section above).
  • Discolouration of teeth.
  • Overgrowth of the yeast Candida, which may cause infection such as thrush (see warning section above).
  • Inflammation of the bowel (colitis) - see warning section above.
  • Inflammation of the pancreas (pancreatitis).
  • Raised pressure within the skull (consult your doctor if you get a severe persistant headache, or double or blurred vision while taking this medicine).
  • Liver disorders (consult your doctor if you experience yellowing of your skin or eyes (jaundice) while taking this medicine).
  • Blood disorders (consult your doctor if you experience bruising, sore throat, fever or infections while taking this medicine).

The side effects listed above may not include all of the side effects reported by the medicine's manufacturer. For more information about any other possible risks associated with Mincycline, please read the information provided with the medicine or consult your doctor or pharmacist.

  • Minocycline may reduce your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
  • In some people Minocycline can cause the skin to become more sensitive to sunlight and UV light. For this reason you should avoid excessive exposure to strong sunlight, and avoid using sunbeds and sunlamps while you are taking this medicine.
  • Slight blue/black/grey staining of the skin, teeth, nails, inside of mouth, eyes, tears, breast milk or sweat has sometimes been reported with this medicine. This can occur at any time but is more common during long-term treatment. Any skin or mouth staining usually disappears a few months after stopping treatment, but staining in other parts of the body, although less common, may persist. A persistent muddy-brown skin stain has also been reported, particularly in sun-exposed areas of skin. Consult your doctor without delay if you notice any staining so your treatment can be reviewed.
  • Prolonged treatment with antibiotics can sometimes cause overgrowth of other organisms that are not susceptible to the antibiotic, for example fungi or yeasts such as Candida. This may sometimes cause infections such as thrush. Tell your doctor if you think you have developed a new infection during or after taking this antibiotic.
  • Broad-spectrum antibiotics can sometimes cause inflammation of the bowel (colitis). For this reason, if you get diarrhoea that becomes severe or persistent or contains blood or mucus, either during or after taking this medicine, you should consult your doctor immediately.
  • If treatment with this medicine is continued for longer than six months, then your doctor should ask to see you regularly, usually every three months, to monitor for any possible side effects of the medicine.
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Oxytetracycline Tablets 250mg
Pack Size: 112 tablets
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  • You should take two Oxytetracycline tablets twice daily, preferably in the morning and evening.

  • Oxytetracycline tablets should always be taken with a full glass of water.
  • Oxytetracycline should be taken on an empty stomach, this is usually one hour before food or two hours after food.
  • Oxytetracycline should not be taken at the same time as indigestion remedies. A gap of 2 -3 hours should be left between taking each treatment.
  • For treating acne, you will normally need to take Oxytetracycline for at least 8 weeks. Treatment should be assessed after 3 months to determine whether it has been effective. If your treatment has been effective, you can continue to take Oxytetracycline for another 3 months where you should see more improvement. If there has been no improvement in your acne, you should stop taking Oxytetracycline and consider a different acne treatment. 

Oxytetracycline 250mg tablets are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Oxytetracycline 250mg tablets is an oral antibiotic used to treat acne and other bacterial infections. Acne symptoms will present as blackheads and whiteheads, which are often referred to as spots or pimples.

The active ingredient, Oxytetracycline belongs to a group of medicines called tetracycline antibiotics. Oxytetracycline is a broad spectrum antibiotic that is effective against a wide variety of bacteria. It can also be used to treat other bacterial infections, such as chest infections, urine infections, skin infections, genital infections and mouth infections. 

For treating acne, Oxytetracycline helps to kill the bacteria associated with causing spots (Propionibacterium). This common type of bacteria feeds on the sebum that is naturally produced by the skin in the sebaceous glands. This feeding causes propionibacterium to produce waste products and fatty acids, which can irritate the sebaceous glands. This irritation will cause the glands to become infected and inflamed, resulting in spots and other acne symptoms. Oxytetracycline 250mg tablets works by interfering with propionibacterium’s ability to produce the proteins that are essential for their reproduction. This action stops the spread of the infection, reducing the inflammation of the sebaceous glands and allowing the skin to heal naturally. The remaining bacteria is killed off by the immune system or will eventually die out.

Oxytetracycline tablets should be used alongside a good skincare regime where you wash the affected areas with a mild soap or cleanser once or twice daily to remove excess bacterial waste and sebum. You should use warm, not hot, water and pat the areas dry with a towel.

Oxytetracycline 250mg tablets are suitable for treating mild to moderate acne where there is an active infection and visible inflammation. The duration of treatment will depend on how quickly your condition improves. 

Like all medicines, Oxytetracycline 250mg tablets can cause side effects. Not all people who take this medicine will experience side effects although if you do they may include:

  • Nausea or abdominal pain
  • Diarrhoea
  • Headache
  • Sensitivity of the skin to sunlight
Occasionally Oxytetracycline can cause allergic reactions in a small minority of patients. It should not be taken if you know you are allergic to it or tetracycline antibiotics. If you experience a skin rash or swelling of the lips, face or tongue, you should see your doctor immediately. 

You should not take Oxytetracycline tablets if you:

  • are allergic or sensitive to or have had a bad reaction to tetracyclines or other medicines similar to Oxytetracycline dihydrate in the past. 
  • are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine.
  • are pregnant or breast-feeding.
  • are elderly.
  • have diabetes.
  • have had a hypersensitivity or photosensitivity reaction.
  • have kidney problems.
  • have liver problems.
  • have lupus or a lupus-like problem.
  • have myasthenia gravis.
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Skinoren 20% Cream
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  • Skinoren cream should be rubbed into the affected areas twice daily, after washing.
  • Those with sensitive skin may wish to apply Skinoren cream once daily in the evening for the first week of treatment.
  • Skinoren cream should not be used for more than 6 months continuously. 

When using Skinoren cream, about 2.5cm (roughly 1 inch or 0.5g) should be enough to cover the entire facial area. If other areas are affected the amount used should be judged accordingly depending on the size of area affected.

To get the best effects from Skinoren cream it is important that it is used regularly for a number of continuous months. Improvement should be seen after around 4 weeks.

Skinoren cream is available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Skinoren 20% Cream is a prescription only medicine (POM) used to help reduce the symptoms of acne. Acne symptoms will present as blackheads and whiteheads, which are often referred to as spots or pimples. Skinoren cream contains the active ingredient azelaic Acid and is manufactured by Bayer Plc.

In the treatment of acne, azelaic acid works in two ways. It acts to reduce the growth of keratin surface skin cells. These surface cells can mix with sebum, which is a natural oily substance produced by the skin in the sebaceous glands. When keratin skin cells mix with sebum they can form a plug, blocking the pores on the skin. This can lead to blackheads and spots developing. By reducing the growth of keratin skin cells, Skinoren reduces the chances of pore-blocking plugs from forming.

Skinoren cream also kills the bacteria associated with acne (Propionibacterium). This common bacteria feeds on the sebum produced by the skin. This feeding causes propionibacterium to produce waste products and fatty acids that irritate the sebaceous glands, causing them to become infected and inflamed and resulting in acne symptoms. Azelaic acid works to decrease the number of propionibacterium by reducing the sebum on which they feed. This reduction in bacterial numbers reduces the irritation and inflammation of the sebaceous glands, allowing the skin to heal naturally.

Skinoren cream is suitable for the treatment of mild to moderate acne. To obtain the best results it is recommended the cream be applied over a period of several months, but for no longer than six months.  

Pharmacist tip: Skinoren cream should be applied twice daily, in the morning and evening. It should be applied to the affected areas after they have been washed and patted dry. People with sensitive skin may wish to begin using the cream once daily in the evening and increase to twice daily after around a week, as tolerated.

Like all creams there is the potential that you may be allergic to Skinoren cream. We recommend you do a spot test before commencing treatment.

If you do experience side effects from Skinoren cream, they can include a burning, stinging or tingling feeling, dry skin, itching, redness, a rash or skin sensitivity to light. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

 

Skinoren cream should not cause a harmful interaction with any of your other current medicines. Please read the Patient Information Leaflet enclosed with your medicines for further information.

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Tetralysal 300 (Lymecycline) Capsules
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  • You should take one Tetralysal capsule daily, preferably in the morning.

  • Tetralysal capsules should always be taken with a full glass of water.

  • For treating acne, you will normally need to take Tetralysal for at least 8 weeks. Treatment should be assessed after 3 months to determine whether it has been effective. If your treatment has been effective, you can continue to take Tetralysal for another 3 months where you should see further improvement. If there has been no improvement in your acne, you should stop taking Tetralysal and consider a different acne treatment.

Tetralysal 300 capsules are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Tetralysal 300 is an oral medication used to treat acne. Acne symptoms will present as blackheads and whiteheads, which are often referred to as spots or pimples. Tetralysal is often prescribed when over-the-counter acne treatments have proven ineffective or where moderately severe acne is present that requires prescription treatment.

Tetralysal 300 capsules are manufactured by Galderma. The active ingredient, Lymecycline belongs to a group of medicines called tetracycline antibiotics. Lymecycline is a broad spectrum antibiotic that’s effective against a wide variety of bacteria. Tetralysal is predominantly prescribed for the treatment of acne. However, your GP may also use it to treat other bacterial infections, such as chest infections, urine infections, skin infections and mouth infections. 

Tetralysal 300 hard capsules contain the active ingredient Lymecycline, an antibiotic. For treating acne, Tetralysal works to inhibit the bacteria associated with causing acne, Propionibacterium. This common type of bacteria feeds on sebum produced by the sebaceous glands in the skin. This causes propionibacterium to produce waste products and fatty acids that can irritate the sebaceous glands. This irritation will cause the sebaceous glands to become inflamed, causing spots to develop. Lymecycline interferes with this bacteria’s ability to produce proteins that are essential for their production. This action stops the spread of the infection, reducing the inflammation of the sebaceous glands and allowing the skin to heal. Any remaining bacteria are killed by the immune system or eventually die.

Tetralysal 300 hard capsules are suitable for treating mild to moderate acne where there is an active infection and visible inflammation. The duration of treatment will depend on how quickly your condition improves. For acne, Lymecycline will normally be taken for at least eight weeks. If you have seen no improvement in your acne after 3 months you may wish to discontinue Tetralysal and try a different acne treatment.

Tetralysal capsules can also be used with other topical acne treatments such as creams containing benzoyl peroxide (Epiduo, Quinoderm & Panoxyl) or azelaic acid (Skinoren) that help to dry out the skin, reducing the amount of sebum present.

Tetralysal capsules do not contain penicillin and are not related to penicillin.   

Like all medicines, Tetralysal capsules can cause side effects including nausea & vomiting, diarrhoea, stomach ache, visual disturbances and dizziness. In rare cases Tetralysal can also cause fungal infections such as thrush, skin reactions, photosensitivity, colitis and pancreatitis. 

If you experience any adverse effects from taking Tetralysal it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Tetralysal can interact with certain medicines. These include medicines used to thin your blood (e.g. warfarin) & diuretics (used to treat kidney disease, heart disease or high blood pressure). It can also interact with other acne antibiotic medicines. If any of the above interactions apply to you please notify us immediately.

Do not take following medicines at the same time as Tetralysal as they can affect how well your acne medicine works. Wait at least two hours after taking Tetralysal before you take these types of products:

  • Indigestion remedies

  • Ulcer healing drugs

  • Quinapril (for high blood pressure)

  • Supplements containing calcium, aluminium, magnesium, zinc or iron.


You should contact your doctor immediately if you experience any of the following symptoms whilst taking Tetralysal:

  • Severe, persistent headache
  • Double or blurred vision
  • Yellowing or the skin or eyes (jaundice)
  • Unexplained bruising
  • Persistent sore throat
  • Fever 
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Zineryt Lotion
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Zineryt lotion should be applied all over the affected area, not just to the individual spots. It should be applied twice a day (morning and evening), unless side effects are experienced at the beginning of treatment where it can be reduced to once daily and increased after a week. Treatment with Zineryt is normally around 10 - 12 weeks.

Zineryt needs to be mixed prior to use. The contents of the packet will include a white crystalline powder and a clear colourless liquid for cutaneous solution. It will also include a dabbing applicator cap that will need to be fitted after the solution is mixed. To prepare:

  • Remove the caps from both the powder and the solution bottles, retaining the cap of the larger powder bottle.
  • Pour the contents of the solution bottle into the powder bottle. 
  • Recap the bottle using the retained powder bottle cap.
  • Immediately shake the mixture vigorously for one minute.
  • Remove and retain the cap from the thoroughly mixed solution.
  • Open the plastic holder containing the dabbing applicator cap assembly.  Use the plastic holder to position the applicator cap over the neck of the freshly mixed bottle. Firmly push the applicator assembly into the neck of the bottle, ensuring the dabbing applicator fits firmly into the neck of the bottle.
  • Replace the retained powder cap over the dabbing applicator on the now constituted solution.
  • Add the “Use Before” date to the bottle label; this date will be 8 weeks from the date of preparation.
  • Ensure you read the patient information leaflet prior to use.

If you forget to use Zineryt you should use it as soon as you remember as a missed application can slow down your acne healing. If your next application is due soon, leave at least 3 hours before you re-apply it. If you apply too much Zineryt, blot the excess off wiht some tissue paper.

If you need to apply make up when using Zineryt, ensure the application has completely dried before you apply any cosmetics. Remember that make up can contribute to clogged pores and therefore help to cause acne so it should be avoided where possible. 

Zineryt lotion is available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help to treat acne. To find out more about acne and see all the available treatments, see our Online Doctor Acne page.

Zineryt solution is a prescription only medicine (POM) used to treat the symptoms of acne vulgaris. Acne symptoms will present as blackheads and whiteheads, which are often referred to as spots or pimples. Zineryt solution contains two active ingredients, erythromycin and zinc acetate. Zineryt is manufactured by Astellas Pharma. Once the solution has been prepared, it can be applied using the pad dispenser provided.

Zineryt solution attacks the bacteria associated with acne (Propionibacterium). This common bacteria feeds on the sebum produced by the skin in the sebaceous glands. This feeding causes the bacteria to produce waste products and fatty acids that irritate the sebaceous glands, causing them to become infected and inflamed. This results in acne.

Erythromycin contained in Zineryt solution is an antibiotic and works to inhibit propionibacterium’s ability to produce proteins that are essential for their production. This action stops the spread of the infection, reducing the inflammation of the sebaceous glands and allowing the skin to heal naturally. Any remaining bacteria are killed by the immune system or eventually die.

Zineryt solution also contain zinc acetate. Zinc is renowned for having skin healing properties and in an acetate form it effectively combines with erythromycin to form a chemical complex. This chemical complex is designed to be efficiently absorbed by the skin.

Zineryt solution is for external use only and is suitable for the treatment of mild to moderate acne. To obtain the best results it is recommended the solution be applied over a period of 10-12 weeks.

Zineryt lotion can cause some mild side effects in some poeple. They do not affect everyone and occur most frequently at the start of treatment as your skin adapts. The most common side effects are temporary stinging or redness in the area where treatment is applied.

It is possible for Zineryt lotion to cause allergic reactions in very rare cases. If an allergic reaction occurs, you will experience symptoms including rash, itching, swelling of the face, mouth, tongue or lips, and difficulty breathing. In the case of any of these symptoms you should see you doctor immediately.

You should not use Zineryt lotion if you:

  • are allergic to erythromycin or any of the macrolide antibiotics.
  • are allergic to any of the other ingredients in Zineryt.

About Acne

Acne Background

The Independent Pharmacy Online Doctor service allows anyone over the age of 18 suffering with acne to have a private consultation with a doctor and receive the prescription treatment they require in a safe and discreet manner.

Acne is a skin condition that causes spots or pimples to develop on the skin. The types of spots can include blackheads, whiteheads, pus-filled pustules and cysts. The sufferer will usually find these spots will develop primarily on the face, neck, chest and back. Acne is a common skin complaint and will affect most of us at some point in our lives, usually during puberty.

Acne occurs when your skin begins to produce too much sebum. Sebum is an oily substance produced naturally in the skin that stops it from drying out. When too much sebum is produced the excess mixes with dead skin cells and forms a plug. This plug blocks the tiny hair follicles found on the skin. These plugged follicles can produce black/whiteheads dependent on whether the follicle is open or closed to the skin. Open follicles will create blackheads and closed follicles will produce whiteheads. If these plugged follicles mix with the bacteria living on the skin, the contaminated follicle can become infected. This will cause papules, pustules, nodules or cysts to form.

Acne is usually triggered by changes in the body’s hormone levels. This is why acne is very prevalent amongst pubescent teenagers (around 80%) as the hormonal levels are in a constant state of flux. These hormonal fluctuations can result in the over-production of sebum, which is the main cause of acne. Other factors that can alter hormone levels and lead to acne include; menstruation, pregnancy and episodes of stress. It is also thought that acne runs in families, therefore of one or both of your parents suffered from acne then you are more likely to also experience it.

Acne is not caused by having a poor diet, being dirty or having poor hygiene, or sexual activity.

Acne Symptoms

The primary symptoms of acne are spots and oily skin. Acne, for almost everyone, will occur on the face and neck with half of those sufferers presenting with acne on the back. It is estimated that only 15% of acne sufferers will experience symptoms on the chest. There are six main types of spot caused by acne. These spots are:

 

  • Blackheads: The black or sometimes yellowish appearance of blackheads isn’t due to dirt but rather pigmentation produced by the blocked hair follicle. They will present as small bumps on the skin
  • Whiteheads: Are very similar to blackheads, however, they are firmer and will not empty when squeezed
  • Papules: These are red bumps that can feel sore or tender to touch
  • Pustules: These are similar to papules, however they will have a white centre due to a build-up of puss
  • Nodules: These are large, hard and sometimes painful lumps that develop beneath the skin’s surface
  • Cysts resemble boils and are large pus-filled protrusions. This is the most severe spot caused by acne and carries the greatest risk of permanent scarring.

Acne Diagnosis

Most case of acne can be managed without the need to consult a doctor. However, even milder cases of acne can lead to emotional distress. If this is the case and you’re finding over-the-counter products ineffective, then it is recommended to consult a GP. Should your acne present with cysts and/or deep nodules, it is advised to consult a doctor, as these types of spots can potentially lead to permanent scarring if not managed correctly.

A GP will be able to perform a diagnosis through a simple visual examination. He or she will inspect the skin of the face, chest and back and identify the different types of spots present. From this examination the doctor will be able to judge how severe your acne is. Identifying the acne’s severity is important for determining the most appropriate treatment. The severity of acne can be classified thusly:

 

  • Mild acne – Grade 1: This will present with mostly blackheads and whiteheads, perhaps with a few pustules and papule
  • Moderate acne – Grade 2: This will include multiple pustules and papules, which will be confined mostly to the far
  • Moderate to severe acne – Grade 3: This will present with high numbers of pustules and papules, affecting the face, back and chest. Grade 3 acne will also include the presence of inflamed nodules
  • Severe acne – Grade 4: This will include high numbers of pustules and nodules that are both large and painful

 

If you’re a women and have suddenly developed acne as an adult, the doctor may wish to perform an ultrasound or blood test, especially if other symptoms that suggest a hormonal imbalance are presenting. These symptoms may include irregular or lighter periods or an increase in growth of body hair. All these symptoms could point towards polycystic ovary syndrome (PCOS), which is the most common cause of hormonal imbalance in women.

The Independent Pharmacy Online Doctor can diagnose and treat acne by submitting an online consultation with the option to attach photos of your acne to allow accurate diagnosis & treatment.

Acne Treatment

If your acne is mild it can be successfully managed using topical treatments available over-the-counter. These will usually include the ingredient Benzoyl Peroxide. Benzoyl Peroxide works by helping to prevent dead skin cells from clogging up the hair follicles. It also eliminates the bacteria responsible for causing infection to these plugged follicles. Benzoyl peroxide is usually applied to the affected areas 20 minutes after washing with a mild soap or cleanser. Examples of available products containing Benzoyl Peroxide include:

  • Quinoderm 10 Cream (benzoyl peroxide 10%)
  • Quinoderm 5 Cream (benzoyl peroxide 5%)
  • Panoxyl Aquagel 10 (benzoyl peroxide 10%)

If your acne is moderate to severe or widespread then it may be deemed necessary to treat using prescription medication. Available treatments on prescription include:

  • Topical retinoids (Differin)
  • Oral antibiotics (Tetralysal/lymecycline)
  • Azelaic acid cream (Skinoren)

Topical retinoids work by reducing the amount of sebum produced while preventing dead skin cells from clogging up the hair follicles. An example of a topical retinoid is Adapalene, which is also known as Differin Cream 0.1%.

Oral antibiotics are usually used in combination with a topical gel treatment. They are usually reserved for more moderate to severe bouts of acne. In the majority of cases the preferred choice is a class of antibiotic called Tetracyclines. An example of a tetracycline antibiotic is Tetralysal 300mg Capsules, containing lymecycline. Tetracyclines, such as Tetralysal 300, work by killing the bacteria that cause acne.

Azelaic acid is usually used as an alternative treatment to benzoyl peroxide or retinoid cream, if these have proved ineffective. It works in a similar way to benzoyl peroxide by killing bacteria and eliminating the dead skin cells that can plug the hair follicles. An example of an Azelaic acid preparation is Skinoren 20% Cream.

All acne treatments need to be used regularly for a number of months to build up an effect and successfully treat acne.

Acne Prevention

Anyone who has ever had acne dreads breakouts; and for good reason too, because sometimes it takes weeks to clear up, not to mention the risk of scarring. Prevention is the best bet - with a few simple precautions you may be able to fend off breakouts.

Acne can be very hard to prevent. Some inducing factors, such as puberty can’t be helped. However, there are ways to reduce your risk of developing acne and for improving your symptoms if it’s unavoidable. These include:

  • Wash using a mild soap or cleanser. Avoid using very hot or very cold water as this can make acne worse. Avoid scrubbing harshly or using abrasive washcloths as this can irritate the skin. Use a very soft cloth, rinse well with warm water and pat dry using a clean towel.
  • Don’t wash the affected area more than twice a day. Washing too frequently can irritate the skin and make the acne worse
  • Avoid touching your face. This can spread bacteria from the hands to the face
  • Avoid the temptation to pick at or squeeze your spots, this can lead to permanent scarring
  • Ensure hair is regularly washed and try not to let it fall across the face
  • Avoid using oils, fragrances, gels or pomades on your hair. If any of these products gets onto your face they can block pores and causes acne
  • Avoid using excessive amounts of cosmetics and makeup. Try to only use products labelled as ‘non-comedogenic’. Non-comedogenic products are water-based and are less likely to clog-up the pores on your skin
  • Always remove makeup before going to bed
  • If your skin is dry and flaky, try using a fragrance-free water-based emollient

For more details on how to prevent acne, see below:

Keep your hands off the face

Our hands may look very clean, but they carry all kinds of germs. They are constantly gathering dust and grime as we touch different surfaces, including our hair. They secrete quite a bit of sweat too. Touching a clean mirror with your fingers should demonstrate it all too well. Unconsciously rubbing or scratching the skin may cause abrasions, or even break a zit, which in turn will set off a reaction that may culminate in a full blown breakout. Avoid touching the face except to gently wash it occasionally.

Wash your face frequently

Keeping the skin free of germs and dirt will reduce the chances of acne breakouts. You don’t have to use soap or other cleansing products every time. Deep cleaning once a day may be beneficial, but always apply a neutral moisturiser afterwards, as dry skin triggers excessive production of skin oils.

Follow a healthy diet

We are what we eat. Greasy and spicy food is thought to promote breakouts. Food allergies, however mild they may be, are also potential triggers. Dairy products, nuts, chocolate and soda are some of the common allergenic foods. So are alcohol and certain additives in fast foods. Eating plenty of fruits and vegetables will ensure healthy skin.

Stay hydrated

Drinking plenty of fluids is thought to reduce acne risk considerably. Besides flushing out toxins from the body, water can keep the skin moisturised from the inside.

Keep a tab on the products you use

Reduce your exposure to potential allergens by choosing everyday cleaning products like soaps, shampoos and detergents carefully. Note adverse reactions whenever you try a new product and check out the ingredients. Avoid other products that contain them.

Cut down cosmetics use

These well-known culprits can trigger acne in several ways. They clog up the skin pores and literally suffocate the skin, creating an ideal environment for bacterial growth. Cosmetic products typically contain a number of chemicals, any of which can cause an allergic reaction. The very action of applying make-up can irritate sensitive skin.

If you find it hard to completely abstain from cosmetics, stick to specific products that you have personally found to be least offensive. Leave the make-up on for the minimum amount of time. Never go to sleep with it. Avoid vigorous rubbing while applying and removing make-up.

Avoid stress

Most people experience breakouts during periods of stress. The hormonal changes could be the reason. Stress is part of life, but it is essential to keep the mind and body healthy through regular exercise and relaxation techniques. Get good sleep too.

Sleep in clean beds

Since we spend one third of our day in bed, sweat, dead skin cells and dandruff accumulate in our bedding. They can irritate the skin and cause acne. Change pillowcases and bedcovers every week.

Get treatment

There are many treatments available over the counter to treat acne from well-known brands such as Clearasil, Clean & Clear and Freederm. These aim to reduce redness, help to dry out the skin and unblock pores. They are usually successful in treating minor cases of acne.

For moderate to severe cases of acne, prescription treatments containing antibiotics or drying agents are available. These treatments can be harsher, but when used following a doctor’s instruction, they can be very effective at controlling troublesome acne.

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Acne Treatment FAQ's

 

 

 

What is acne and what causes it?

Acne is caused by the production of excess sebum - the greasy substance that moisturises the hair follicle and the skin. Dead skin cells can mix with excess sebum and block the pores causing spots. The normal bacteria that live on the surface of your skin can multiply inside the blocked pores leading to pus filled papules.

Acne mainly affects the face, but can also affect the neck, back and chest. It is very common amongst teenagers and usually resolves by itself over a few years, however it can persist on into later life in a small minority of people. As acne is visible to others, it can be very distressing and have a negative impact on you quality of life.

 

What are the best ways to treat acne?

Acne can be separated in to 4 categories, minimal, mild, moderate & severe acne. The treatment that is most appropriate for your acne will vary dependent on the severity of the acne. 

Minimal to Mild Acne

Minimal acne is mainly greasy skin with a few black or white heads on the forehead, nose and/or chin. There may also be the occasional papule.

Treatment should be started with benzoyl peroxide, which can be bought over the counter. Panoxyl, Quinoderm or Acnecide all can be used for minimal acne. They need to be used for a minimum of 6-8 weeks and for the full effect it can take 4-6 months of use.

If benzyl peroxide has no effect after 6-8 weeks, or if you have many blackheads or whiteheads but they are not red and inflamed then trying a prescription strength retinoid would be useful. Differin or Isotrex would be appropriate to start with.

An antibiotic preparation is recommended if you have angry red spots or papules rather than just whiteheads and blackheads. Antibiotics for acne can be topical (applied to the skin), for example Zineryt or Dalacin T, or oral (taken by mouth), for example Tetralysal (lymecycline).

Other effective options are combination products, which contain benzoyl peroxide and either an antibiotic or a retinoid, such as Duac gel (benzoyl peroxide 5% and clindamycin 1%) or Epiduo (benzoyl peroxide 2.5% and adapalene 0.1%).

Moderate Acne

When you have more than 30 spots, a oral antibiotic acne treatment is required. Antibiotics like lymecycline, erythromycin or minocycline should be considered for the greatest effect.

Severe Acne

If you have more than 125 spots, cysts or any scarring then it is recommended you see a doctor in a face-to-face consultation. They may refer you to a specialist for further treatment.

 

I am using a topical acne application but it doesn’t seem to stop new spots from appearing. Why is it not working?

Firstly, you should ensure that you treat the whole area where the acne occurs, not just the spots themselves. Secondly, it can take approximately 4 months for acne treatments to be fully effective so you may not see see immediate improvement in your condition, especially within the first 4 weeks.

Topical treatment is preventative in that it helps to stop lesions developing rather than getting rid of the spots you already have. You should treat the whole acne prone area, not just individual spots to get the most out of your treatment.

 

Does acne run in the family?

Like many medical conditions, acne can run in families. If your parents had acne, it increases the chance that you will.  However, acne also occurs sporadically for no obvious reason, usually around puberty.

 

Can acne persist into your 30’s?

Acne is most common in teenagers around the age of puberty, due to hormonal changes. However it can also be caused by the different stages of the menstrual cycle, polycystic ovary syndrome and even pregnancy. For this reason, acne is more common in women. Acne can also be side effect from taking certain medicines like steroids, lithium or ciclosporin.

No matter when you get acne, in your teens through to your 30’s, the treatment regime is exactly the same, it is treated depending on the severity.

 

Can acne be caught from close contact, kissing or touching?

You cannot transmit acne from one person to another. Although the redness associated with acne is caused by bacteria, it's naturally present on everyone’s skin.

 

I have been told to stop smoking. Will this help my acne?

Stopping smoking has many health benefits. As well as improving our breathing, lowering your heart risk and improve your senses of taste and smell, it will also help to improve your complexion because nicotine promotes the production of white and blackheads.

 

Can eating certain foods, like chocolate, give you acne? 

There is still no definite answer for this question. The original studies were done in the 1960's and compared patients to those eating sugar sweets. However, they didn’t compare high GI foods to lower ones. There is a mounting evidence to suggest that a lower GI diet has acne benefits. 

This is further supported by the reduced occurrence/lack of acne in teenagers in non-developed countries. A low GI and high protein diet has been shown to be beneficial to acne suffers as they have fewer incidents of outbursts.

 

I am due to sit my exams and have more spots than usual. Can this be stress related?

Certain medications, like steroids, can cause acne as a side effect and we also know that the body produces cortisol, a natural steroid during periods of stress.  This can lead to breakouts of acne.

However, there is still only limited evidence to support the theory. Reducing your body’s stress levels is difficult but will always have a positive result on your health.

 

I have just been on holiday and my acne got better. Shall I start using a sun bed to improve my acne?

Acne is caused blocked pores becoming aggravated by bacteria found naturally on the surface of the skin. In warmer climates where sunlight is stronger, the light can kill off the bacteria and improve your complexion.

UV light was used to treat acne but this practice has reduced due the worries over skin cancer. It would therefore not be advisable to use sunbeds as a method to treat acne.

Some acne preparations, like Differin, Adapalene, and Epiduo, make your skin more sensitive to light. During treatment, exposure to strong sunlight should be avoided to prevent burning and skin damage.

 

I wash my face religiously but my acne is not getting any better. Why?

Acne isn't caused by dirt, and excessive washing will strip natural oils from your skin.  This causes your skin to dry out as the natural oils help to protect the skin from moisture loss. As a result your skin will overcompensate and produce more oil, eventually leading to clogged pores and acne. Excessive washing may also irritate you skin.

You should wash your face once daily using a mild soap or cleanser with warm, not hot, water.

 

How can I prevent my acne from scarring?

Popping, picking or squeezing spots can cause scarring. Prevention is better than cure so treat spots early. You can use Bio Oil, Kelo-Cote or Cica-Care on scars to help them fade and lessen their appearance. Some markings will also fade with time.

 

Should I squeeze my spots?

You should not squeeze spots as this can cause scarring.

Is it safe to buy acne antibiotics & creams online?

Yes, as long as you are buying from a website that is a legally operating and regulated pharmacy it is perfectly safe to buy acne antibiotics or creams online. The Independent Pharmacy is an NHS Online Pharmacy based in Bristol and has all the necessary regulation to be able to safely provide convenient access to genuine prescription acne treatments through our Online Doctor.

How do I buy acne treatments online?

It simple! If you know acne treatment you need, just select your chosen treatment above and the quantity you require, you will need to fill in a simple health questionnaire so we can ensure the acne treatment you have chosen will be safe and effective for you.It all takes less than 5 minutes and they can be delivered to your door.

If you don't know which malaria tablets you need, you can read more about each antibiotic or cream by click on their name. Once you have decided on the right acne treatment then proceed to purchase the correct treatment as above. If you need help selecting your treatment, you can speak to one of our pharmacists by calling 0117 971 1603.

What are the advantages of buying acne antibiotics & cream online?

There are many advantages to buying your acne treatment online, some include:

  • It's quick & easy - there is no need to spend time at the doctor.
  • It's discreet - there is no need for a face-to-face consultation and your treatment arrives in plain packaging.
  • Great prices - we are able to offer very competitive prices on all acne treatments.
  • Tons of information - we provide all the information you could need on acne, antibiotic treatments and creams, in easy to digest formats, at a time to suit you.

 

The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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