Acne is caused by a bacterium called Propinobacterium acne. Usually most people with acne have already tried over the counter creams. Most people with mild acne improve with this treatment and people with more severe condition are treated with systemic drugs. Benzoyl peroxide (Panoxyl, Acnecide, Brevoxyl) cream or gel are given for mild cases. They are given for local appliance twice a day. They can cause irritation and contact dermatitis in some people. These creams act by reducing the number of Propianobacterium acnes.
If you have more comedons(black heads) tretinoin is used. This is available as cream or gel. It also produces irritation as a side effect. Antibiotics like clindamycine and erythromycin is also given along or with zink or benzoyl peroxide for mild to moderate acne.
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