DOES SKIN CREAMS BLEACH THE SKIN, AND WHAT WOULD YOU RECOMMEND FOR ACNE SCARS ON THE FACE AND CHEST?

A question from one of my Patients.


Does Skin Cream (e.g Duac) bleach the skin, and what would you recommend for acne scars on the face and chest?

    Q: Over a month ago, I started having acne for the first time. The doctor prescribed Duac, but for some reason, my face is getting much lighter and the scars more visible. I just wanted to know if Duac bleaches the skin, and what's the best cream or soap to use on acne scars on the face and chest.
    A: Duac is a combination of benzoyl peroxide and clindamycin. Benzoyl peroxide has a drying effect to help remove excess oil and dirt and it has an antibacterial effect. Clindamycin is an antibiotic. Benzoyl peroxide and clindamycin can make your skin more sensitive to sunlight, resulting in sunburn. Be sure to use a sunscreen and wear protective clothing if you must be out in the sun. The most common side effects of Duac are mild burning or stinging, itching or tingly feeling, dryness, and redness. Acne is a common skin problem that occurs when glands in the skin produce and secrete too much sebum (the skin's natural oil), which clogs pores in the skin, resulting in a pimple. Sometimes the pimples can become infected with bacteria, making them inflamed and red. Acne typically appears on the face, but breakouts can occur on the back, chest, shoulders, and neck. There are a number of treatment options for acne depending on the severity of the breakouts. The first step is to develop a good skin care routine, including washing with a gentle cleanser and lukewarm water. Overwashing or vigorous scrubbing can make acne worse. Over-the-counter treatments come in a variety of forms, including washing pads, creams, foams, and gels. The most common ingredients in over-the-counter acne medications are benzoyl peroxide and salicylic acid, which work to reduce excess oil and eliminate bacteria. The side effects of these treatments include dry skin, skin redness, and irritated skin. In addition to the over-the-counter treatments, there are a number of prescription drugs that doctors use to help control acne. Topical prescription products are made from vitamin A and work to promote skin cells to turnover and prevent clogging of hair follicles. Examples include tretinoin (Avita, Retin-A, Renova), adapalene (Differin) and tazarotene (Tazorac, Avage). Antibiotics are also used to help control acne and can be used as a cream or ointment or they can be taken orally. In addition, some oral contraceptives (or birth control pills), such as Ortho Tri-Cyclen and YAZ, are approved to treat acne. Oral contraceptives are associated with some side effects, including headaches, breast tenderness, nausea, emotional changes, and blood clots. Isotretinoin (Accutane) is used for severe cystic acne that can leave scars and doesn't respond to other treatments. Dermatologists can also offer various procedures to help with acne treatment. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. 0762511952

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