Benzoyl peroxide and Isotretinoin

Benzoyl peroxide is found in many over-the-counter acne products that are applied to the skin, such as Benoxyl, Neutrogena Acne, PanOxyl, and some formulations of Clean & Clear, Clearasil, and Oxy. Some benzoyl peroxide products are available without a physician’s prescription; others require a prescription. Acne treatments that can dry the skin should be used with caution by people with skin of color.
Tretinoin (Retin-A) is available only with a physician’s prescription. It comes in liquid, cream, and gel forms, which are applied to the skin. Isotretinoin (Accutane), which is taken by mouth in capsule form, is available only with a physician’s prescription. Only physicians experienced in diagnosing and treating severe acne, such as dermatologists, should prescribe isotretinoin.
Recommended Dosages

The recommended dosage depends on the type of antiacne drug. These drugs usually come with written directions for patients and should be used only as directed by the prescribing physician. Teens who have questions about how to use the medicine should check with their physician or pharmacist.

Patients who use isotretinoin usually take the medicine for a few months, then stop for at least two months. Their acne may continue to improve even after they stop taking the medicine. If the condition is still severe after several months of treatment and a two-month break, the physician may prescribe a second course of treatment.
Precautions

Isotretinoin

Isotretinoin can cause serious birth defects, including mental retardation and physical deformities. This medicine should not be used during pregnancy. Females who are able to bear children should not use isotretinoin unless they have very severe acne that has not cleared up with the use of other antiacne drugs. In that case, a woman who uses this drug must have a pregnancy test two weeks before beginning treatment and each month she is taking the drug. Another pregnancy test must be done one month after treatment ends. The woman must use an effective birth control method for one month before treatment begins and must continue using it throughout treatment and for one month after treatment ends.

Females who are able to bear children and who want to use this medicine should discuss this information with their healthcare providers. Before using the medicine, they will be asked to sign a consent form stating that they understand the danger of taking isotretinoin during pregnancy and that they agree to use effective birth control.
People using this drug should not donate blood to a blood bank while taking isotretinoin or for 30 days after treatment with the drug ends. This will help reduce the chance of a pregnant woman receiving blood containing isotretinoin, which could cause birth defects.
Isotretinoin may cause a sudden decrease in night vision. If this happens, users should not drive or do anything else that could be dangerous until vision returns to normal. They should also let the physician know about the problem.

This medicine may also make the eyes, nose, and mouth dry. Ask the physician about using special eye drops to relieve eye dryness. To temporarily relieve the dry mouth, chew sugarless gum, suck on sugarless candy or ice chips, or use saliva substitutes, which come in liquid and tablet forms and are available without a prescription. If the problem continues for more than two weeks, check with a physician or dentist. Mouth dryness that continues over a long time may contribute to tooth decay and other dental problems.
Isotretinoin may increase sensitivity to sunlight. Patients being treated with this medicine should avoid exposure to the sun and should not use tanning beds, tanning booths, or sunlamps until they know how the drug affects them.

In the early stages of treatment with isotretinoin, some people’s acne seems to get worse before it starts getting better. If the condition becomes much worse or if the skin is very irritated, they should check with the physician who prescribed the medicine.

Acne Terms and Causes

Acne: Words to Know

Androgen:

A male sex hormone found in both males and females.

Anti-androgen:

A drug that slows down the production of androgens.

Antibiotic:

A drug that kills bacteria.

Comedo:

A hard plug that develops in the pores of the skin composed of sebum and dead skin cells. The mildest form of acne.

Comedolytic:

Drugs that break up comedos and open clogged pores.

Isotretinoin:

A drug that decreases sebum production and dries up acne pimples.

Sebum:

An oily material produced by sebaceous glands that keeps the skin moist.

Tretinoin:

A drug that increases the rate at which skin cells are formed and die.

CAUSES

The exact cause of acne is not known, however, several risk factors have been identified.

• Age. Because of the effect of sex hormones, teenagers are quite likely to develop acne.
• Cosmetics. Make-up and hair sprays that contain oils can make acne worse.
• Diet. Acne is not caused by diet, but some foods can make the disease more serious.
• Disease. Hormonal disorders can increase the severity of acne problems in girls.
• Drugs. Acne can develop as a result of using certain drugs, such as tranquilizers, antibiotics, oral contraceptives, and anabolic steroids. Steroids are synthetic hormones that may sometimes be abused by athletes to increase the size of their muscles.
• Environment. Acne can become worse as a result of exposure to oils, greases, and polluted air. Sweating in hot weather can also make the condition worse.
• Gender. Boys are more likely to develop acne and tend to have more serious cases than girls.
• Heredity. Acne is more common in some families than in others.
• Hormonal changes. Acne can flare up during menstruation, pregnancy, and menopause. Menopause is the period in a woman’s life when her body stops producing certain hormones.
• Personal hygiene. Strong soaps, hard scrubbing, and picking at pimples can make acne worse.
• Stress. Emotional stress can contribute to acne.

Acne Treatments

Anti-acne drugs are medicines that help clear up pimples, blackheads, whiteheads, and more severe forms of acne.

Benzoyl peroxide is found in many over-the-counter acne products that are applied to the skin, such as Benoxyl, Clear By Design, Neutrogena Acne, PanOxyl, and some formulations of Clean & Clear, Clearasil, and Oxy. Some benzoyl peroxide products are available without a physician’s prescription; others require a prescription. Tretinoin (Retin-A) is available only with a physician’s prescription and comes in liquid, cream, and gel forms, which are applied to the skin. Isotretinoin (Accutane), which is taken by mouth in capsule form, is available only with a physician’s prescription. Only physicians who have experience in diagnosing and treating severe acne, such as dermatologists, should prescribe isotretinoin.

Acne is a skin disorder that leads to an outbreak of lesions called pimples or “zits.” The most common form of the disease in adolescents is called acne vulgaris. Antiacne drugs are the medicines that help clear up the pimples, blackheads, whiteheads, and more severe forms of lesions that occur when a teen has acne.
Different types of antiacne drugs are used for different treatment purposes, depending on the severity of the condition. For example, lotions, soaps, gels, and creams containing substances called benzoyl peroxide or tretinoin may be used to clear up mild to moderately severe acne. Isotretinoin (Accutane) is an oral drug that is prescribed only for very severe, disfiguring acne.

Acne is caused by the overproduction of sebum during puberty when high levels of the male hormone androgen cause excess sebum to form. Sebum is an oily substance that forms in glands just under the surface of the skin called sebaceous glands. Sebum normally flows out hair follicles onto the skin to act as a natural skin moisturizer. The glands are connected to hair follicles that allow the sebum, or oil, to empty onto the skin through a pore.

Sometimes the sebum combines with dead, sticky skin cells and bacteria called Propionibacterium acnes (P. acnes) that normally live on the skin. The mixture of oil and cells allows the bacteria to grow in the follicles. When this happens, a hard plug called a comedo can form. A comedo is an enlarged hair follicle. It can appear on the skin as a blackhead, which is a comedo that reaches the skin’s surface and looks black, or as a whitehead, which is a comedo that is sealed by keratin, the fibrous protein produced by the skin cells and looks like a white bump.

In addition, pimples can form on the skin. Types of pimples include:
•    papules, which are small, red bumps that may be tender to touch
•    pustules, which are pus-filled lesions that are often red at the base
•    nodules, which are large, painful lesions deep in the skin
•    cysts, which are painful pus-filled lesions deep in the skin that can cause scarring

Pimples form when the follicle is invaded by the P. acnes bacteria. The damaged follicle weakens and bursts open, releasing sebum, bacteria, skin cells, and white blood cells into surrounding tissues. Scarring happens when new skin cells are created to replace the damaged cells. The most severe type of acne includes both nodules and cysts.

Acne cannot be cured, but antiacne drugs can help clear the skin and reduce the chance of scarring. The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. Benzoyl peroxide and tretinoin work by mildly irritating the skin. This encourages skin cells to slough off, which helps open blocked pores. Benzoyl peroxide also kills bacteria, which helps prevent whiteheads and blackheads from turning into pimples. Isotretinoin shrinks the glands that produce sebum. It is used for severe acne lesions and must be carefully monitored because of its side effects. Antibiotics also may be prescribed to kill bacteria and reduce inflammation.

Skin Rashes - Where Do They Come From?

A skin rash shows up as an area of inflammation or change in the texture, and/ or color of your skin. It can be caused by a number of different things including irritation, disease, or allergic/ non-allergic reactions to foods, chemicals, plants, animals, insects or other environmental factors.

So many rashes appear because the skin is an active player in the immune system. Antigens are things like viruses or proteins that we react to. These antigens need to be presented to our immune system in a very controlled way; otherwise we would react to too many things. The skin is the site at which antigen presenting cells introduce the antigens to lymphocytes. These lymphocytes are in a sense the paratroopers of our body. A complicated process of making sure that we are not overreacting takes place. All of this occurs in the skin once these lymphocytes have been activated they produce many chemicals that cause inflammation. When we become allergic to an antibiotic or other drug, the action takes place mainly in the skin as well as in the lymph glands. Viral infections also frequently produce rashes as viral particles are presented to our immune system in the epidermis. In a sense the skin is like the schoolyard which is where many of the fights occur.

Rashes can appear on your entire body or be limited to a specific area, and what it looks like and how it feels can vary depending on the cause and type of rash. Some common types of rashes include:

* eczema (also called atopic dermatitis), which is commonly seen in children. It can cause dry, chapped, bumpy areas around your elbows and knees, and can be very itchy. It can sometimes become very serious causing red, scaly and swollen skin all over your body. (Visit Eczema Guide.ca for more information)
* irritant contact dermatitis, which is caused by your skin coming into contact with something that irritates it, such as a chemical, soap or detergent. This type of rash can be red, swollen and itchy.
* allergic contact dermatitis is caused by your skin coming into contact with something you’re allergic to, such as rubber, hair dye or nickel (which is a metal that is found in some jewelry). A nickel allergy can show up as a red, scaly, crusty rash wherever the jewelry touched your skin. Urushiol, which is an oil or resin that’s found in poison ivy, oak and sumac, can also cause this kind of rash.

If you develop a rash, don’t scratch it! If you do, the rash can take longer to heal and you might develop an infection or scar. There are a wide range of over-the-counter products available to treat rashes, but it’s important to see your doctor first and determine what’s causing the rash and the most effective treatment.

* If the rash is caused by an allergy, then treatment will focus on identifying and avoiding the allergen.
* It it’s caused by eczema, your doctor may suggest special moisturizers (emollients) to help retain the water in your skin; not only will this help to keep your skin soft and smooth, it will help reduce the itching. Short, cool showers are also a good idea because hot showers and baths can dry out your skin more. Also use a mild soap (read more on Mild Cleanser.ca ) and be sure to apply more emollients after you’ve showered.
* For poison ivy, cool showers and calamine lotion often help and if the rash is severe, your doctor may prescribe an antihistamine to reduce the itching and redness.

It’s important to try to find out what’s causing the rash because the best way to prevent it is to avoid the problem food, substance, medicine or insect. If a poison plant is your problem, learn what it looks like and avoid it. It may also help to wear long sleeves and pants when you go camping or hiking. If insect bites are causing your rash, then consider applying insect repellant before going outside. For eczema, stay away from harsh soaps that may dry out your skin, and make an effort to moisturize with creams or lotions.

By SkinCareGuide.ca

Benzoyl Peroxide and Tretinoin

When applying antiacne drugs to the skin, people should be careful not to get the medicine in the eyes, mouth, or inside the nose. They should not put the medicine on skin that is wind burned, sunburned, or irritated, and not apply it to open wounds.

Because antiacne drugs such as benzoyl peroxide and tretinoin irritate the skin slightly, users should avoid doing anything that might cause further irritation. They should wash the face with mild soap and water only two or three times a day, unless the physician says to wash it more often. They should also avoid using abrasive soaps or cleansers and products that might dry the skin or make it peel, such as medicated cosmetics, cleansers that contain alcohol, or other acne products that contain resorcinol, sulfur, or salicylic acid.

If benzoyl peroxide or tretinoin make the skin too red or too dry or cause too much peeling, the user should check with a physician. Using the medicine less often or using a weaker strength may be necessary. Benzoyl peroxide can irritate the skin of people with skin of color and cause darkened spots called hyperpigmentation on the skin. Benzoyl peroxide may discolor hair or colored fabrics.

ORAL DRUGS. Oral antibiotics are taken daily for two to four months. The drugs used include tetracycline, erythromycin, minocycline (Minocin), doxycycline, clindamycin (Cleocin), and trimethoprim-sulfamethoxazole (Bactrim, Septra). Possible side effects include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. One effective treatment is topical tretinoin, used along with a topical or oral antibiotic. A combination of topical benzoyl peroxide and erythromycin is also very effective. Improvement is normally seen within four to six weeks, but treatment is maintained for at least two to four months.

Special Conditions

People who have certain medical conditions or who are taking certain other medicines may have problems if they use antiacne drugs. Before using these products, the physician should be informed about any of the following conditions.

ALLERGIES. Anyone who has had unusual reactions to etretinate, isotretinoin, tretinoin, vitamin A preparations, or benzoyl peroxide in the past should let the physician know before using an antiacne drug. The physician should also be told about any allergies to foods, dyes, preservatives, or other substances.

PREGNANCY. Teens who are pregnant or who may become pregnant should check with a physician before using tretinoin or benzoyl peroxide. Isotretinoin causes birth defects in humans and must not be used during pregnancy.

OTHER MEDICAL CONDITIONS. Before using antiacne drugs applied to the skin, people with any of these medical problems should make sure their physicians are aware of their conditions:
•    Eczema. Antiacne drugs that are applied to the skin may make this condition worse.
•    Sunburn or raw skin. Antiacne drugs that are applied to the skin may increase the pain and irritation of these conditions.

In people with certain medical conditions, isotretinoin may increase the amount of triglyceride (a fatty-substance) in the blood. This may lead to heart or blood vessel problems. Before using isotretinoin, adolescents with any of the following medical problems should make sure their physicians are aware of their conditions:

•    alcoholism or heavy drinking, currently or in the past
•    diabetes or family history of diabetes (Isotretinoin may change blood sugar levels.)
•    family history of high triglyceride levels in the blood
•    severe weight problems

Using antiacne drugs with certain other drugs may affect the way the drugs work or may increase the chance of side effects.

Alternative Acne Treatments and Prevention

Several surgical or medical treatments may be used to reduce acne or the scars caused by the disease.
•    Chemical peel. A chemical known as glycolic acid is first applied to the skin. When it dries, it is peeled off, taking the top layer of skin with it. This treatment helps reduce scarring.

•    Collagen injection. Shallow scars are filled in by injecting collagen, a skin protein, beneath the scars.
•    Comedo extraction. A special tool is used to remove a comedo from a pore.
•    Dermabrasion. The affected skin is first frozen with a chemical spray. Then it is removed with a brush or sandpaper-like instrument.

•    Intralesional injection. Anti-inflammatory drugs are injected directly into inflamed pimples.
•    Punch grafting. Deep scars are removed and the area repaired with small skin grafts.

Alternative treatments for acne focus on proper hygiene and diet. Patients are advised to keep their skin clean and oil-free. They are also encouraged to eat a well-balanced diet high in fiber, zinc, and raw fruits and vegetables. They should also avoid alcohol, dairy products, caffeine, sugar, smoking, processed foods, and foods high in iodine, such as table salt.

Some doctors recommend the use of herbs to supplement the diet. Some herbs that have been used in the treatment of acne include burdock root, red clover, and milk thistle. Additional nutrients that may help to control acne include B-complex vitamins and chromium. Chinese herbal treatments that are recommended include cnidium seed and honeysuckle flower. Another herbal treatment is tea tree oil. The proper dose of these substances can be recommended by physicians or nutritionists.

Acne cannot be cured. However, it can be controlled in about 60 percent of patients with the drug isotretinoin. Improvement usually takes at least two months, and the problem may recur after treatment has been stopped. Inflammatory acne that results in the formation of scars may require one of the more aggressive treatments already described.

PREVENTION

There are no sure ways to prevent acne. However, the following steps tend to reduce flare-ups ofthe condition:
•    Gently wash—do not scrub—the affected areas once or twice every day.
•    Avoid rough cleansers.
•    Use makeup and skin moisturizers that do not produce comedos.
•    Shampoo often and wear hair away from the face.
•    Eat a well-balanced diet and avoid foods that trigger flare-ups.
•    Give dry pimples a limited amount of sun exposure unless otherwise directed by your doctor.
•    Do not pick or squeeze pimples.
•    Reduce stress.

Understanding Acne and Hormone Levels

Most of us have at one stage or other sought an acne remedy when suffering from that troublesome and common acne problem that first appeared in our early teen years. Many more have continued to suffer into our adult life. A rare few have avoided the embarrassment of pimples appearing at the worst possible time – knocking self-esteem to its lowest - usually when we are trying to make a good impression. A fast and effective remedy is what we want if acne is a problem.

Acne is caused by hormonal changes that occur during adolescence when oil glands in the skin become hyperactive. This additional oil combined with dead skin cells that block hair follicles and skin bacteria infect the hair follicles producing a breakout of the skin. Result? Clear skin is marred and embarrassment can follow.

There are many acne remedies available from natural home varieties to potent pharmaceutical drugs. Modern preferences are to avoid drugs because of their side effects and rather find a natural acne remedy. One acne remedy is to cut a raw potato in half and rub the flat section over the affected areas in an attempt to neutralize the bacteria that is causing the trouble in the pores. If it works for you, great.

The truth is acne comes second only to premature aging in the charts for skin disease. If you are a sufferer you will likely be aware that flare ups will always occur before a special event. You can put all the blame on testosterone produced by the adrenal glands which are trying to help you deal with the stress of that interview, wedding or important presentation.

Another acne remedy is to go on a fast for several days and to change the diet to healthier eating of mainly raw food. No doubt there is an element of truth in following this acne remedy but it does require some discipline as fasting and a strict diet regime is often too much like hard work for the majority.
High in iodine foods, shellfish, leafy vegetables including spinach and cabbage, and peanuts are other potential problem foods. If you have an acne problem, experiment with your diet. If you crave certain foods that may aggravate this problem curtail consumption to see it there really is a difference in acne activity
If you have a special sensitivity to a food, small amounts of anything - even soft drinks, chocolates will not make a major difference.

One of the more widely spread (and often believed) myths about acne is that it is caused by dirt or grime. It’s more likely to be because of oily skin, in which case simply washing regularly with either a mild soap, special acne skin cleanser or even antiseptic soap and warm water can make a big difference to controlling and managing oily skin. And don’t forget to keep your hair clean - again, depending on your skin type, your hair can also become extreme oily if not cared for properly.

The bad news is that acne cannot be cured, but the good news is that it can be treated. If you’re suffering with only mild acne, then some form of non prescription (over the counter) acne medication will no doubt have a positive impact for you. If you have bad or severe acne you will definitely need to see a doctor to get some professional advice.

A vitamin A deficiency can lead to skin problems. Not all cases of acne call for professional attention. An occasional blemish or pimple could be called “drugstore acne”. Topical antibiotics prevent about fifty per cent of blemishes, and are a significant breakthrough for treating average acne.

Side Effects and Conditions Caused By Isotretinoin

Minor discomforts such as dry mouth or nose, dry eyes, dry skin, or itching usually go away as the body adjusts to the drug and do not require medical attention unless they continue or are bothersome.

Other side effects should be brought to a physician’s attention. These include:
•    burning, redness, or itching of the eyes
•    nosebleeds
•    signs of inflammation of the lips, such as peeling, burning, redness or pain

Bowel inflammation is not a common side effect, but it may occur. If any of the following signs of bowel inflammation occur, stop taking isotretinoin immediately and check with a physician:
•    pain in the abdomen
•    bleeding from the rectum
•    severe diarrhea

Conditions Caused By Benzoyl Peroxide and Tretinoin

The most common side effects of antiacne drugs applied to the skin are slight redness, dryness, peeling, and stinging, and a warm feeling to the skin. These problems usually go away as the body adjusts to the drug and do not require medical treatment.
Other side effects should be brought to a physician’s attention. Check with a physician as soon as possible if any of the following side effects occur:

•    blistering, crusting, or swelling of the skin
•    severe burning or redness of the skin>
•    darkening or lightening of the skin (This effect will eventually go away after treatment with an antiacne drug ends.)
•    skin rash

Other side effects are possible with any type of antiacne drug. Anyone who has unusual symptoms while using antiacne drugs should get in touch with his or her physician.
Interactions

Patients using antiacne drugs on their skin should tell their physicians if they are using any other prescription or nonprescription (over-the-counter) medicine that they apply to the skin in the same area as the antiacne drug.

Isotretinoin may interact with other medicines. When this happens, the effects of one or both drugs may change or the risk of side effects may be greater. Anyone who takes isotretinoin should let the physician know about all other medicines being used and should ask whether the possible interactions can interfere with drug therapy.

Among the drugs that may interact with isotretinoin are listed below:
•    Etretinate (Tegison), used to treat severe psoriasis. Using this medicine with isotretinoin increases side effects.
•    Tretinoin (Retin-A, Renova). Using this medicine with isotretinoin increases side effects.
•    Vitamin A or any medicine containing vitamin A. Using any vitamin A preparations with isotretinoin increases side effects. Do not take vitamin supplements containing vitamin A while taking isotretinoin.
•    Tetracyclines (used to treat infections). Using these medicines with isotretinoin increases the chance of swelling of the brain. Make sure the physician knows if tetracycline is being used to treat acne or another infection.

Parental Concerns

Acne comes at a difficult time, the adolescent years. While mild acne can be treated with over-the-counter medications, more severe acne needs medical attention. Experts advise against a wait-and-see attitude. Treatment options can help control acne and avoid scarring.

Isotretinoin can cause serious birth defects, including mental retardation and physical deformities. This medicine should not be used during pregnancy. Sexually active adolescent females who are able to bear children should not use isotretinoin unless they have very severe acne that has not cleared up with the use of other antiacne drugs. In addition, acne treatments that can dry the skin should be used with caution by people with skin of color.

Helpful Hints to Heal Acne

While we all wish to have perfect skin, some days are more important than others - whether it’s a job interview, an important date, or a social gathering where you may be introduced to many new people, looking our best during these special occasions is usually a priority. While acne should be the last thing on our minds, many times the additional stress brought on by these very important occasions can result in just that – unwanted acne.

If you have ever awakened to a big day only to find a BIG SPOT where it shouldn’t be, read the below tips to help prevent and heal acne more regularly to help avoid those nasty last minute acne issues.

Acne Tip #1

Drink plenty of water – plain and simple. This is probably one of the best ways to prevent future acne. Doctors recommend this easy exercise to remember – whatever your body weight is in pounds, divide that number by two to get the number of ounces of water you should consume for optimal skin flushing and overall health. Add a slice of lemon juice to further enhance the cleansing effects. Your goal is to flush all the toxins in your body and cleanse your skin from inside out. This will also help your body run smoothly by cleaning out unnecessary toxins that help build bacteria onto your skin.

Acne Tip #2

Resist the urge to pop - popping your pimples incorrectly is something you don’t want to do. There are dermatologist recommendations how to do this properly, but most folks want the offending item removed much earlier than it is safe to do so. While it can be a quick fix to your acne, the incorrect action could result in a scar that could become very noticeable if you make a habit of popping. Even worse, most dermatologists tell us the majority of the plugged oil creating the acne goes back into the underlying skin layer, which will reform as more acne later. If you really need to pop, try to follow a safe procedure.

Acne Tip #3

Change your bed linens regularly –changing your linens weekly is ideal. Repeatedly placing your skin on the surface of a pillow or sheet will allow bacteria and oil to build up, creating an environment for further outbreaks.

Following these simple actions can help tremendously when it comes to having acne free skin.

Natural Skin Care Therapy Tips for Acne

Acne is not a new problem; people have been suffering from it for many thousands of years. In ancient Egypt for instance, oils were often used to soften and smooth the skin. It is only in recent times that people have begun to use acne creams made of chemical ingredients like benzyl peroxide, among others. These can not only have unwanted side effects, like the drying of healthy skin or the bleaching of clothing, but can be very costly.

It’s no mystery that our grandmothers seemed to know best. When it comes to health and skin, the more natural the ingredient, the better. Of course, there are times when natural remedies may not be as effective and that is Ok. However, just be aware of the natural options you have first, before you waste a lot of money on another product that doesn’t work. Many people today discovering the old-world secrets in caring for their bodies more naturally, and are turning to natural and herbal remedies, such as the following simple ‘kitchen cures’.

Acne Remedy #1: Make a paste of nutmeg powder and milk, and apply to your face in a thin layer. Leave on for up to an hour, or even overnight.

Acne Remedy #2: Take an orange peel and leave it to dry, and then grind it to a powder. Mix with water and apply directly to the pimple.

Acne Remedy #3: Applying garlic directly to a pimple can also be a great remedy, as garlic is a natural disinfectant.

Acne Remedy #4: Mix a spoonful each of fresh lemon juice and cinnamon. Apply to the acne overnight for several nights in a row to be effective.

Acne Remedy #5: Take fresh leaves of fenugreek and grind to make an acne remedy that is also said to be effective in reducing wrinkles. It should be left on for only fifteen minutes.

Acne Remedy #6: Papaya juice, which is high in natural enzymes, makes a wonderful acne solution all on its own.

Acne Remedy #7: Boil a cup of milk, and then allow to cool to room temperature, and add a spoonful of limejuice to make a acne face wash.

Acne Remedy #8: Mix rosewater, cucumber juice and lime juice in equal amounts. Apply to clean face and leave on overnight.

Chemical skin care ingredients you should avoid if you are acne-prone or have oily skin in combination with acne:

· Butyl stearate

· Cinnamon Oil

· Isotearyl isostearate

· Cocoa butter

· Jojoba oil

· Coconut oil

· Decyl oleate

· Myristyl myristate

· Myristyl propionate

· Octyl palminate

· Octyl stearate

· Peppermint Oil

· Isopropyl stearate

· Isopropyl, isostearate, myristate or palmitate

Try several of these natural remedies and see which one is best for you, be aware that it can take several days to have an effect. Make sure you use clean spoons and dishes to mix your remedies, and remember to wash your face as usual in between treatments.

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