Retinoids are medications which reduce inflammation, normalize the follicle cell life cycle, and reduce sebum production.[45][83] They are structurally related to vitamin A.[83] Studies show they are underprescribed by primary care doctors and dermatologists.[15] The retinoids appear to influence the cell life cycle in the follicle lining. This helps prevent the accumulation of skin cells within the hair follicle that can create a blockage. They are a first-line acne treatment,[1] especially for people with dark-colored skin, and are known to lead to faster improvement of postinflammatory hyperpigmentation.[36]
Oral isotretinoin is very effective. But because of its potential side effects, doctors need to closely monitor anyone they treat with this drug. Potential side effects include ulcerative colitis, an increased risk of depression and suicide, and severe birth defects. In fact, isotretinoin carries such serious risk of side effects that all people receiving isotretinoin must participate in a Food and Drug Administration-approved risk management program.

When we sleep, healing happens, and at the same time, it’s a great time to apply a home remedy and let it get it to work on eliminating toxins that can cause acne. The Psychiatric Clinics of North America reports that stress is a factor affecting all organs. Though it’s easy to forget, the skin is an organ. In fact, it’s your largest organ! Getting plenty of rest can help reduce acne-associated stress. (9) 


This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
Coconut oil is all the rage, with uses ranging from hair conditioning to cooking. But some swear by it as a natural acne treatment. To use coconut oil as an acne treatment, you can include it as part of a healthy diet. The fatty acids like lauric acid and caprylic acid are metabolized into antibacterial agents in the body. Or, you can apply a very small amount and rub directly onto your skin after cleansing for an extra hydrating boost.
If you’re experiencing hormonal acne, acne vulgaris, cystic acne or acne inversa, you should learn the potential sources of your problem. By understanding the cause of your acne, you’ll be better equipped to proactively prevent its formation, rather than just treating it ex posto facto. Watch out for these key acne-inducing factors and their relationship to skin:

The use of antimicrobial peptides against C. acnes is under investigation as a treatment for acne to overcoming antibiotic resistance.[10] In 2007, the first genome sequencing of a C. acnes bacteriophage (PA6) was reported. The authors proposed applying this research toward development of bacteriophage therapy as an acne treatment in order to overcome the problems associated with long-term antibiotic therapy such as bacterial resistance.[179] Oral and topical probiotics are also being evaluated as treatments for acne.[180] Probiotics have been hypothesized to have therapeutic effects for those affected by acne due to their ability to decrease skin inflammation and improve skin moisture by increasing the skin's ceramide content.[180] As of 2014, studies examining the effects of probiotics on acne in humans were limited.[180]
Acne is different for everyone, but there may be some simple solutions to having clear skin. From the foods you eat to the stress in your life and the products you use, it may take a little time to find what works for you, but positive changes can greatly affect your life and the life of your children that may be affected by acne. If using essential oils, make sure to use pure oils and take it slow. Check with your doctor before using anything new.
Antibiotics. These work by killing excess skin bacteria and reducing redness. For the first few months of treatment, you may use both a retinoid and an antibiotic, with the antibiotic applied in the morning and the retinoid in the evening. The antibiotics are often combined with benzoyl peroxide to reduce the likelihood of developing antibiotic resistance. Examples include clindamycin with benzoyl peroxide (Benzaclin, Duac, Acanya) and erythromycin with benzoyl peroxide (Benzamycin). Topical antibiotics alone aren't recommended.
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