My Canadian Pharmacy Reviews For Acne And Best Acne Treatment Tips

Acne, often called pimples, is common and harmless. Acne is inflamed sebaceous glands in the skin that appears as a rash. Often, acne on the face, chest and back where sebaceous glands are larger than in other parts of the body. Acne is not due to poor hygiene. It is possible to get rid of acne, although it may take some time.

Canadian Pharmacy dermatologists speak about acne reasons

People of all ages can get acne, but it is most common in adolescence. There are hormonal changes of puberty that generates more sebum of the sebaceous glands. For most people acne disappears after puberty. Having acne can be a pain because the disease is so clearly manifested. It can be good to know that there is help available, both with skin problems and the feelings that acne can cause. You can always turn to your local health center or a youth care service.

Among common acne causes there single out hormonal imbalances, bacterial causes and predisposition.

Hormonal imbalances

The sebaceous gland, in response to male hormones (testosterone), which are present in both the male and female, producing an excess of sebum. This does not mean that there is a hormonal imbalance, but simply the sebaceous gland “works” in excess.

Bacterial causes

Acne is favored by a bacterium called Propionibacterium acnes, which normally live on the skin under physiological conditions. If you clog the skin pores, it multiplies and causes inflammation.

Genetic predisposition

If you belong to a family that has suffered from acne, we can prevent it.

Common acne causes by Canadian Pharmacy experts

As has been mentioned above, acne is an inflammatory disease of the skin tissue, characterized by inflammation of the hair follicle and the sebaceous gland. It all starts with peeling of keratinocytes and the subsequent obstruction of the follicle; in this way the sebum secreted by the sebaceous gland can not leak out and accumulates on site, favoring the microbial contamination of Propionibacterium acnes. The acne symptomatic manifestations are obvious and generally very accentuated on the face: it is comedones, papules, cysts, up to real scars that also affect the dermis.

There distinguish endogenous from exogenous acne. The endogenous acne, or juvenile acne (acne vulgaris), affects the skin area of ​​the face, chest, shoulders and trunk; it can arise due to hereditary or environmental factors, such as eating disorders and stress. The appearance is very common in puberty: this is why it is called juvenile acne: This period is characterized by overproduction of androgen hormones, which lead to sebaceous hypersecretion with blackheads formation. The blackhead can sequence an inflammatory process triggered by the action of hydrolytic P. acnes; this bacterium goes to hydrolyze sebum to free fatty acids, which have an action on chemo tactic dermis tissues. The exogenous mechanical acne is the form of acne characterized by clinical dermatoses of iatrogenic, cosmetic in nature, or even triggered by pollutants in the workplace.

Hormones affect the sebaceous gland.

At puberty, changing hormonal balance in the body cause acne outbreaks. Sex hormones generate more sebum of the sebaceous glands. At the same time increases the content of a particular acne bacteria in the sebaceous gland. When pilosebaceous orifice lower part becomes inflamed acne occurs. Sebaceous glands on the face, chest and back are large, and therefore, acne often favors these spots.

Acne is partially hereditary. Your genes have a certain impact on whether you get acne. If your one parent has severe acne is a greater risk that you also get a lot of acne. It is rare that children of parents who had acne in their teens have severe acne.

One in three teens gets difficult acne case, according to medicinal statistics available to Canadian Pharmacy. Most young people have acne at some time. Girls get acne earlier than boys as they enter puberty earlier. Every third teenager between 12 and 17 years, so much acne that they can benefit from some type of treatment. A small group has a very troublesome acne that impairs the quality of life very much. Many women may continue to have acne temporarily before and during menses far into adulthood.

Drugs, moisture and heat can cause acne, too.

You can get acne disorders, for example, when using the following:

  • cortisone treatment
  • medicines for mental illness containing lithium
  • anabolic steroids
  • work environment where you get in contact with oil
  • hot and humid work environment
  • greasy sunscreens.

How is acne formed?

Acne is an inflammation of pilosebaceous glands with papules (solid lesions detected on the skin surface), pustules (more serious and disfigured acne lesions, which due to the action of germs and appear on old papules), blackheads (or white and blacks spots), superficial cysts, suppurate (filled with pus) and, in severe cases, fistulas (when the cysts are integrated in the deeper structures of the skin).

How is acne formed

The skin is a real organ. Its outermost layer is called the epidermis. The dermis is the middle layer which contains important support structures such as collagen. Glands that are apocrine here come in contact with the hairs and sebaceous glands that give rise to acne, that are properly referred to as sebaceous glands or pilosebaceous units. Under these subcutaneous tissues are lodged. Each hair has annexed a gland that produces sebum, that is, the fat that makes the skin elastic and which protects it. If our skin produces excess sebum, it accumulates in the gland. Towards the 10 – 12 years of age, the maximum the production of sebum is reached, and it is also the moment in which the acne explodes. Then, due to a large concentration of sebaceous glands in these areas, chin, nose and forehead are among the areas most affected by acne (the so called T-zone).

The “pore” from which comes the hair becomes clogged and filled with sebum and small pieces of dead skin cells. Outside the pore there appears a white point (closed comedo). Acne cap can be opened under the pressure of sebum and can form a blackhead (open comedo). As unpretty as it looks, it is less formidable in fact, as it does not cause inflammation. If instead the cap resists, the sebum accumulates in the channel where the hair is located, up to lacerarne the sheath that covers it and create an inflammation. If the skin is broken, there appears the classic “pimple”, or appears a papule. If the inflammation cannot find a way out, forming cysts or nodules. The adolescent acne mainly affects the area of the forehead and nose; adulthood acne, however, the lower part of the face, neck and shoulders or at least all the areas where there are more sebaceous glands.

Different types of acne (acne classification)

The type of acne that usually occurs in adolescence is called acne vulgaris, which means common acne. It appears as small red raised rash that often seams. Most often acne sits on the face, but also sometimes on the chest and back. It heals mostly without leaving scars. A more difficult form of acne appears as large, painful bumps or hollow cysts deep within the skin. The rash may be swollen and painful. It is common for this type of acne leave scars when it heals. You need to consult a doctor because oral medications are always needed to reduce the risk of scarring.

In all types of acne visible pilosebaceous stem is clogged with a dark or white blackhead. The black dot is a color pigment and dirt. Some people get acne in adulthood, or still find themselves suffering from acne well into their 50s. Such acne called acne tarda and becoming more common, but that scientists know why. It can be difficult to distinguish from adult acne a skin condition called rosacea. Rosacea gives a sharp redness especially on and around the nose and cheeks.

It is useful to classify acne according to its characteristics; this will really help both the patient and the doctor.

Mild acne comedonicayou have a few black spots on the forehead or nose
Advanced acne comedonicathe entire face and back are full of blackheads
Papular-comedonicathere are blackheads and more sore and reddened swellings
Papular-pustularthere are also papules and pustules
Pustularit is characterized by widespread inflammation and almost all the papules have turned into pustules
Pustolar-cysticacne characterized by cysts or hard nodules containing sebum and keratin
Cysticcysts are much more numerous than the pustules
Aggregativeblackheads aggregate and create deep lesions that leave scars

These types of acne are to be distinguished from another skin disease called acne rosacea; is a skin disorder caused by a parasitic mite, is more common in women and is observed with redness in the face (cheeks, nose), papules, pustules and severe itching. The skin is very prone to redness and seborrheic occurrences.

What can I do at home?

How much pimples one gets is different from person to person. You cannot prevent acne formation because both hormones and heredity factor come into play. But there are some things you can do yourself to reduce symptoms. Wash your face with lukewarm water and correctly chosen facial soap in the morning and in the evening.

On the other hand, you should keep in mind that acne has nothing to do with dirt and sweat that accumulates on your face every 12 hours. Therefore, it does not help to wash extra. It is sufficient to wash twice a day. You can use a mild soap or face wash for oily and pimply complexion, preferably with a perfume-free wash. You can try dabbing acne solution or massaging your face with acne gel. They contain salicylic acid and help sebaceous glands to not clog as easily. Avoid thick heavy creams and oils, since they may clog the pilosebaceous orifice and aggravate acne. If the skin is dry, use a fat-free gel to moisturize the skin.

Do not squeeze acne since the sebaceous gland may be damaged and the inflammation will worsen. You should not stick yourself or cut into an abscess. This increases the risk of scarring.

Many people think that acne gets better during a sunny summer. The sun reduces inflammation in the skin that stimulates acne and acne can temporarily get better by sun exposure if you do not burn yourself.

Make sun your friend, cautiously

If you have scars on your skin, which often appear as small reddish purple marks, these can stick around for a long time if you sunbathe. The time it takes before the scars are skin-colored extended words of tanning. You should therefore be careful with tanning session if there is a tendency to scar. It is important to choose a sunscreen product that is not greasy. Ask your pharmacist for help with the right product for your skin type.

Avoid foods that degrade acne

It is not scientifically proven that food affects acne. But if you still think that something you eat improves or degrades your acne, you should rely on it.

Be careful with makeup

Many find it hard to leave acne visible during the daytime hours, especially in the face. You may want to cover your acne spots with makeup. Makeup has not been shown to cause acne but your skin may become even more irritated by various substances. Therefore, it may be good to be cautious. Avoid using greasy products and oils that can be found in creams and makeup. You can use a special concealer that is appropriate for oily and pimply skin. You can buy an appropriate concealer at a pharmacy and often in regular drugstores.

Canadian Online Pharmacy reviews acne drugs

My Canadian Pharmacy reviews acne drugs

Before embarking on a course of treatment based on the administration of drugs for the treatment of acne, it is good to remember some hygienic behavioral norms, useful both to prevent acne, it is to speed healing when the disease is in place.

  • The skin should always be cleaned gently with delicate and mild detergents
  • Do not over clean the skin: excessive cleaning, in fact, removes the thin natural lipid layer that coats the skin, drying up the skin and making it more sensitive
  • Always remove make-up face after makeup
  • In the case of acne, the hair should stay in contact with the face as little as possible
  • Do not rub or scratch pimples, to avoid even permanent scarring
  • Do not apply oily creams on the face, especially in the presence of acne

These simple measures can be effective in cases of mild to moderate acne; if symptoms persist, you can take a drug treatment; so much so that in the case of gravity, in the absence of treatments, acne tends to mar the face also for 8-10 years. In light of this, it is understandable that it is interesting and intelligent referral to a specialist (dermatologist) when the condition is alarming; Also in this case it is worth highlighting the importance of a dermatological control since the early symptoms, to monitor and control the disease.

Drug therapy involves the administration of topical antibiotics such as Clindamycin and Erythromycin. These antibiotics inhibit the 50S ribosomal subunits of bacteria, thereby stopping the process of formation of the polypeptide chain; in the final analysis this block in protein synthesis due to the arrest of the bacterial proliferation. They have some bacteriostatic antibiotics, but in high doses may become bactericides. The most common side effects are also carried out in the skin, with burning, dryness and irritation at the application site.

In trade there are several pharmaceutical useful classes for dermatological acne prophylaxis. Metronidazole acts as an anti-inflammatory against a protozoan, Demodex brevis, better known as a mite; effective for treating acne rosacea. Also trick that drug presented as side effects of burning, dryness and irritation in the application area.

Retinoids are powerful dermatological drugs, widely used. In particular retinoic acid or tretinoin, applied to the skin, where it has a less than 10% absorption, promotes desquamation of keratinocytes and the cellular exchange; for this reason with the first treatments it complains a worsening of the disease, while the therapeutic effect is manifested in time. It can also be applied on the photo-damaged skin because it promotes the synthesis of collagen and new blood vessels. Retinoic acid is applied on dry skin, avoiding the delicate areas such as the nostrils, eyes lips and mucous membranes; is a molecule insoluble in water and highly photo-sensitive so it is good not to be exposed to sunlight during treatment.

Another active ingredient in this drug category is isotretinoin, a synthetic retinoid used for cystic acne treatment. The treatment is carried out for oral administration and is very effective; also in this case must still pay attention to the possible side effects: in addition to dryness and irritation of the skin, it has been demonstrated a teratogenic effect, which, however, persists for a long time even after the interruption, because the drug is eliminated very slowly. Benzoide peroxide and azelaic acid, are both used as antimicrobials for topical use. They will be described in more detail further on.

You can try prescription drugs for acne if acne solution or acne gel. There are also prescription drugs that may be needed if you have severe acne or if non-prescription drugs do not help. Since there are different types of acne it is important to get the right kind of treatment.

There are several types of medicines against acne. Some are combinations of two active substances. Acne medications come in different forms, both of which you use on your skin and for oral use. Apply  the drug to the skin in the first place. Most people who have mild or moderate acne can try local treatment, i.e. the treatment of the skin where acne is. There are drugs in the form of cream, gel or solution. Local treatment is the basis for all acne treatment.

The following are the classes of drugs most used in therapy against acne, and some examples of pharmacological specialties; The medical doctor choose the active ingredient and dosage most appropriate for the patient, depending on the severity of the disease, the health status of the patient and his response to treatment:


Antibiotic treatment for acne is clearly reserved for severe and complicated cases, in addition to those in which the topical application of other specific substances (eg. Retinoids) is particularly complex or ineffective. However, there are some antibiotic formulations to be applied on the skin, especially indicated for patients who can not tolerate antibiotics to be taken orally.

Clindamycin (e.g. Dalacin T-cutaneous solution, Zindaclin gel, Cleocin Cream)

Apply the product on the skin twice a day. The duration of therapy should be determined by your doctor.

Erythromycin (eg. Erythromycin IDI gel / cream, gel eryacne, Zineryt)

In the form of gel or cream, apply the product on the area infected once or twice per day. thoroughly clean the area before applying the medication.

Metronidazole (eg. Rozex cream / skin emulsion, Zidoval gel / cream)

Is also effective for the treatment of rosacea.


This category of medication is titrated as benzoyl peroxide and azelaic acid, often used in the active therapy for acne in place to antibiotics; it has been observed, in fact, that the prolonged administration of antibiotics may develop resistance in the bacterium Propionibacterium acnes, so you should take before antimicrobials and only later and in case of no decisive effect, antibiotics. Possible side effects: skin irritation, edema (generally as a result of the very first applications).


Hormone therapy for acne is reserved for women and girls; in most cases, patients are treated with combination therapy: ethinylestradiol and cyproterone acetate (eg. Diane, Dianette). We are talking about oral contraceptives (which must be prescribed by a doctor after careful examination), also particularly indicated in the treatment of dermatological diseases such as acne, hirsutism, seborrhea and alopecia. These drugs, although contraceptives, must not be used exclusively for this purpose.


Retinoids are widely used medications for treating acne; however they are quite powerful substances, so they should be used with caution, in full compliance with the prescribed by your doctor. There are plenty of side effects: taking retinoids, also respecting the dosages, can cause peeling of the skin and erythema; however, remember that these side effects tend to regress times the treatment period.

It is also important to warn the patient that the first therapeutic effects of the drug can be observed usually after several months of treatment.

Which of these substances is best depends on what type of acne you have. The drugs the acne attacks in different ways. If you have mild acne, you can use medicines with benzoyl peroxide prescription. Things from the list that go on prescription only basis are adapalene or azelaic acid. If you have moderate acne, you need to combine two subjects. Benzoyl peroxide can be combined with adapalene and benzoyl peroxide or clindamycin with tretinoin.

If local therapy does not help or your acne is just too severe, your practitioner will start you on some other solutions that need to be taken perorally. Sometimes acne does not improve even after you have tried various drugs stuffed into the skin. If you do not see any results after three months of treatment, you can get drugs in the form of capsules or tablets. The same applies if you have severe acne. Common types of medicines contain tetracyclines, which are a type of antibiotic, hormones, or the active ingredient isotretinoin. In severe acne, or if local treatment does not help, you can try antibiotics. A common treatment is three months. During that time, you can also use the drug on the skin for a better effect. It is important to continue with it even after you stop taking antibiotics to prevent the acne comes back. Hormone drugs against acne also provide protection against pregnancy, they act as the pill. Women who need contraceptives may get hormone therapy instead of antibiotics.

If you have tried antibiotics or hormones without any result, or if you have very severe acne, you can get medicines containing isotretinoin. Isotretinoin is the most effective drug for severe acne, but it can cause some side effects and may harm the fetus if you are pregnant. It may therefore only be prescribed by a dermatologist. You should not combine with isotretinoin treatment on the skin.

Benzoyl peroxide

Benzoyl peroxide (eg. Acnidazil, Benzac Clean, Panoxyl): Typically, this antibacterial therapy should be initiated in small doses, and then gradually increase them during treatment. If the symptoms do not would improve after 2 months of therapy, it is necessary to change medication and opt for an antibiotic. It is recommended to start treatment by applying the cream 1-2 times on broken skin; continue the treatment with a higher concentration formulations of active. Consult your doctor. Medicinal products containing benzoyl peroxide may be bought without a prescription. Benzoyl peroxide reduces the amount of bacteria and dissolves the clot formation in the pilosebaceous orifice. The drugs are available as gel and facial wash (gel) and works well against mild acne. If you have moderate acne, a doctor may prescribe benzoyl peroxide in combination with other active ingredients. Benzoyl peroxide is available in various strengths. Always start with the weakest, so that the skin does not get irritated unnecessarily. It takes several weeks for the acne gets better.


Benzoyl peroxide makes the skin thinner and more sensitive. You should not sunbathe while using benzoyl peroxide. Moreover, it is good to wait a few days to a week after you stop using the drug before suns. If you stay in the sun, you can protect the treated areas of skin with sunscreen or covering clothing.

You should not use benzoyl peroxide at the same time as acne products containing adapalene. Benzoyl peroxide and adapalene can adversely affect each other so that the effect will be worse. Moreover, it seems both drying and irritating to the skin. Sometimes, doctors still recommend both benzoyl peroxide and adapalene to get a stronger effect. You should use one in the morning and the other in the evening. Benzoyl peroxide will bleach or discolour textiles such as clothing, towels and sheets.

Side effects

It is common for the skin gets a little hot just after using benzoyl peroxide. In some individuals, the skin may also become red, sting, itch and peel a little over a couple of days. The skin can be extra sensitive to sunlight.

Pregnancy and lactation

You can use the drug while pregnant. Consult a doctor if you need to use the drug while breastfeeding. It is not clear whether the active substance passes into breast milk. But it is important not to lubricate the drug onto the breasts.

Examples of drugs that contain benzoyl peroxide: Basiron AC, Basiron AC Wash, Epiduo gel which also contains adapalene. Epiduo is a substance that allows the two active substances to be combined without affecting each other.


Adapalene is a substance that inhibits inflammation in acne and normalizes the production of cells in the skin around the sebaceous glands, so that the sebaceous glands are not clogged. It works well if you have mild to moderate acne. Adapalene are available in gel and cream and prescription. It may take about a month before you notice a significant improvement. The administration of this drug is indicated for the treatment of acne media entities; It is applied to the damaged skin once daily, preferably in the evening before going to bed. It is less irritating than retinoids described above, while belonging to the same category.


Adapalene make the skin thinner and more sensitive. You should not sunbathe while using the drug. If you stay in the sun, you can protect the treated areas of skin with sunscreen or cover them with clothing. You should not use adapalene at the same time as acne products containing benzoyl peroxide. Adapalene and benzoyl peroxide can adversely affect each other so that the effect will be worse. Moreover, it brings both drying and irritating to the skin. Sometimes, doctors still recommend both adapalene and benzoyl peroxide to get a stronger effect. You should use one in the morning and the other in the evening if this is your case.

Side effects

A few people may experience itching or a burning sensation on the skin when applying the drug. The skin can redden or become dry and flaky and become extra sensitive to sunlight. The symptoms will most often continue during the first month, and then become better.

Pregnancy and lactation

Consult a doctor if you need to use the drug while pregnant. Today there is not sufficient knowledge of its effects on the fetus, and given this, the drug might affect the fetus. You can use the drug while breastfeeding. But it is important not to apply the drug to the breasts.

Examples of medicines containing adapalene: Differin, available as a gel and cream; Epiduo as referred to above.

Retinoic acid

Retinoic acid or tretinoin (eg. Retin-A, Vesanoid): This drug is widely used in therapy, although during the first applications can be a worsening of acne condition. In fact, promoting the sloughing of keratinocytes and stimulating cell renewal, the drug tends to accentuate the pimples: however, this side effect tends to disappear during therapy. Apply a thin layer of cream on the skin affected by acne every night before going to bed; subsequently, reduce the number of 3 applications per week. Consult your doctor. Do not apply the product during pregnancy and lactation: The drug is a teratogen.

Azelaic acid

Azelaic acid is a substance that reduces both clot formation in the sebaceous gland and inhibits bacterial growth. It seems slow at first, and can be combined with other drugs. Azelaic is available in gel and cream and prescription. It usually takes four weeks before a clear improvement shows. Azelaic acid is applie on the skin affected by acne cream at 20%, twice a day (morning and evening). It is recommended to use mild detergent and do not scratch the pimples. Indicated for mild to moderate facial acne treatment. The drug creates fewer side effects than the previous medication.

Side effects

Some who use azelaic experience itching or a tingling or burning sensation of the skin. In some individuals, the skin may also become red, dry and scaly little.

Pregnancy and lactation

Consult a doctor if you need to use the drug while pregnant. Today there is not sufficient knowledge of, and considered this, the drug might be harmful for the fetus. You can use the drug while breastfeeding despite the fact that the active substance passes into breast milk. If you follow the dosage instructions, the drug is not likely to affect the child. But it is important not to apply the drug to the breasts.

Examples of medicinal products containing azelaic acid: Finacea gel, Skinoren cream.


Clindamycin is a kind of antibiotics and are available in liquid form for use on the skin. It is available as a viscous solution and as an emulsion with about the same texture as a skin lotion. Clindamycin reduces the amount of bacteria that contribute to acne. You should not use the drug for more than three months because bacteria may have become resistant to treatment. Never use clindamycin solution or emulsion alone, but always combine it with other medicines that you rub immediately into your skin. You should not, however, combine clindamycin with other antibiotics in tablet form. Medical prescription is required. It usually takes several weeks before you notice a significant improvement.

Side effects

Some people get irritation and itching. The solution contains alcohol which can cause a burning sensation on the skin. The emulsion does not contain alcohol.

Pregnancy and lactation

Consult a doctor if you need to use the drug while pregnant. Today there is not sufficient knowledge of, and considered this, the drug might be harmful for the fetus. Consult a doctor if you need to use the drug while breastfeeding. It is not clear whether the active substance passes into breast milk. But it is important not to apply the drug to the breasts.

Examples of drugs with clindamycin and used for acne: Clindamycin; combination drug with clindamycin (Duac gel containing clindamycin and benzoyl peroxide, Acnatac gel containing clindamycin and tretinoin). Drugs containing clindamycin are taken according to prescription.


Duac contains clindamycin which reduces the amount of bacteria that contribute to acne. Duac also contains benzoyl peroxide that reduces the amount of bacteria and dissolves the clot formation in the pilosebaceous orifice. Do not use Duac longer than 12 weeks at a time. It may take 2-5 weeks before you notice the effect of the drug.


Duac make the skin thinner and more sensitive. You should not sunbathe while using the drug. If you stay in the sun, you can protect the treated areas of skin with sunscreen or covering clothing. Benzoyl peroxide will bleach or discolour textiles.

Side effects

Side effects that may occur are a burning sensation where the gel has been applied to, skin redness, scaly and dry skin, or increased sensitivity to sunlight.

Pregnancy and lactation

Consult a doctor if you need to use the drug while pregnant. Today there is not sufficient knowledge of, and considered this, the drug might be harmful for the fetus. Consult a doctor if you need to use the drug while breastfeeding. It is not clear whether the active substance passes into breast milk. If you need to use the drug while breastfeeding, it is important not to appply it on the breasts.


Acnatac contains clindamycin which reduces the amount of bacteria that contribute to acne. Acnatac also contains tretinoin, vitamin A acid, which improve the growth of the superficial skin cells and gives a rejection of the normal cells that clog the hair follicle. Tretinoin also helps prevent the build up of sebum and the development of blackheads. Do not Acnatac longer than 12 weeks at a time. It usually takes several weeks before you notice a significant improvement.


Tretinoin makes the skin thinner and more sensitive. You should not sunbathe while using the drug. If you stay in the sun, you can protect the treated areas of skin with sunscreen or covering clothing.

Side effects

Side effects that may occur are dry skin, redness of the skin, itching, rash, or increased sensitivity to sunlight.

Pregnancy and lactation

Do not Acnatac if you plan to become pregnant or if you are pregnant, especially during the first three months of pregnancy. It is known that tretinoin can damage the fetus when swallowed as tablets or capsules. Today there is not sufficient knowledge of tretinoin is used on the skin affects the fetus. Therefore, it is important to use a reliable method of contraception if you use Acnatac. You need to protect yourself against pregnancy throughout treatment and also one month after stopping treatment. Consult a doctor if you need to use the drug while breastfeeding. It is not clear whether the active substance passes into breast milk.


Tetracyclines are a group of antibiotics that reduce the amount of bacteria and prevents the inflammation of the sebaceous gland. Tetracyclines yield good effect on acne after one to three months. A common treatment is three to six months. You should not reduce the dose or interrupt treatment early without consulting your doctor.


Tetracyclines can make the skin extra sensitive to the sun. It is especially important to consider if you are exposed to a lot of sun, such as during a sailing or a beach holiday abroad. You can start treatment in the fall or make a break with the treatment in the summer.

If you need to take so-called antacids for heartburn or medicines containing iron, calcium or magnesium while being treated with tetracyclines, you should take the drugs by about 3 hours apart. Otherwise, the effect of tetracyclines decreases. Many vitamin and mineral tablets may contain both iron, calcium and magnesium.

Do not take tetracycline and acne drug isotretinoin simultaneously. This will give you an increased intracranial pressure in the head with symptoms such as headache, nausea, vomiting, and visual disturbances.

Side effects

Tetracyclines can affect the normal bacterial flora in the intestines and the genital area. A few people may experience stomach discomfort, such as nausea, stomach ache or loose stools. Women can also get thrush.

Pregnancy and lactation

Tetracyclines affect the fetus, including that stored inside the growing skeleton. You should not use tetracyclines during the last half of pregnancy unless clearly necessary. Consult your doctor if you can use tetracyclines when you are breastfeeding. The active substances are excreted in breast milk.

Examples of tetracyclines used in acne: Lymecycline Actavis, Tetracycline MEDA, Tetralysal.


Hormone drugs with two hormones can reduce acne in women by inhibiting the action of the sex hormones that often set in motion acne in adolescence. There are prescription hormone drug that act as acne medication, but which also serve as contraceptive pills. Men should not use hormone therapy for acne. Acne treatment will be better if you are taking any medicine for acne that you iron on the skin. It often takes three to four months of treatment for acne to improve.


Do not use hormone therapy alone to prevent pregnancy. But if you use hormone therapy for acne, you should not use other contraceptive hormones simultaneously. The drugs protect against pregnancy as well as serve as regular birth control pills.

Side effects

At the beginning of the treatment, you can get spotting, nausea, headache and tense breasts. The symptoms are usually mild and usually disappear after two to four months. If you get heavy and persistent bleeding between menstrual bleeding, you should contact doctor. Some may have, for example, weight changes, depression or loss of libido.

Pregnancy and lactation

You should not use the drug while pregnant. There is a risk that the fetus may be affected. If you become pregnant while using the drug, stop taking it and consult a physician. Consult a doctor if you need to use the drug while breastfeeding.

Examples of hormonal drugs used in acne: Diane, Zyrona.


The active ingredient isotretinoin is related to vitamin A and it is used to treat severe scarring acne or acne that is not given by themselves with the help of other treatment. Isotretinoin makes the sebaceous glands are not producing as much sebum and skin therefore becomes drier. Isotretinoin can cause several side effects. Nevertheless, it is used because it has very good effect in difficult to treat acne. The treatment should last at least four months, but usually for six months or longer. This drug is used in therapy for acne to psychological etiology, not treatable with antibiotics, and for cystic acne. The Isotretinoin is by far the most powerful anti-acne medication and is very well suited for the treatment of rosacea. Do not take during pregnancy: the drug has a teratogenic effect, even long after the end of treatment. The medication should be applied to the skin once or twice per day.


Do not take isotretinoin and tetracyclines at the same time. If both are taken together, it can cause increased pressure in the head with symptoms such as headache, nausea, vomiting, and visual disturbances. Do not use the acne medication on the skin simultaneously with isotretinoin.

Side effects

Isotretinoin can trigger skin redness, dry and fragile and flakiness and itch. The eyes and nose may become dry and irritated. Some may have inflammation of the skin, lips, eyes or eyelids edges, but it is less common. Other side effects may include anemia, bleeding and blood clotting easier. Some may be more susceptible to infections and bruising. Headache, pain in the joints, muscles or the back may occur. Isotretinoin can affect, for example, blood lipids, liver enzymes and white blood cells. These you will not know of but your doctor will regularly check your blood tests during treatment.

Pregnancy and lactation

Do not take isotretinoin if you are pregnant because it may harm the fetus. Also, do not isotretinoin if you are at risk of becoming pregnant during treatment and one month after treatment has ended. It is important to use at least one effective method of contraception, and preferably two different, when you use isotretinoin. You need to protect yourself against pregnancy throughout treatment and also one month before and after. Do not take isotretinoin if you are breast-feeding. Isotretinoin is likely into breast milk and may harm your baby.

Examples of drugs containing isotretinoin: Isotretinoin Actavis, Isotretinoin Orifarm.

Other drugs for acne

Other dermatological drugs are corticosteroids for topical use, used for their anti-inflammatory activity. The formulation in lotions, gels, ointments and creams, is appropriately developed with vehicles that facilitate the absorption of the active ingredient. The application of glucocorticoids to moderate action is common in cases of acne, seborrheic dermatitis, allergic dermatitis and keratosis; for more serious conditions such as cystic acne need local injections. Side effects may be local, the more specifically you have skin atrophy, hypertrichosis, increased intraocular pressure, telangiectasia (visible capillaries); or systemic, causing Cushing’s syndrome and developmental delay.

We still find the keratolytic agents, capable of thinning the thickening of the skin tissue, better known as keratosis. Keratoses are skin diseases, mainly involving the palmar skin areas, in which case we speak of chetoderma handheld; or occur in traumatized areas an excessive sun exposure: in this case we will have actinic keratosis, characterized by patches of greyish color with red halo; or even you may have keratosis pilari characterized by a thickening of the orifices of the hair bulbs at the level of the extensor areas of the thighs and arms. Keratolytic agents are salicylic acid, the propylene glycol and the podophyl.

Salicylic acid is able to solubilize the protein from the cells of the dermal layer, or has desquamating action; However, this action may cause irritation and possible injury in the application site; if the acid to penetrate through the lesions has the risk of onset of salicylism.

Propylene glycol has keratolytic action, which can be enhanced by occlusion. The podophyl, which is the root of Mandrake, has antifungal action and reduces the proliferation of keratinocytes. The most common side effects are redness and ulceration phenomena. It is commonly administered for the treatment of genital warts, warts particular that facilitate the entry of the Papilloma virus.

Professional medical help for acne

Professional medical help for acne

If you have much trouble or feel bad about your acne, you can contact a health center, school health service or a youth. The same applies if you have used prescription drugs for more than six weeks and your condition has not improved.

You should get a referral to a dermatologist in case:

  • the diagnosis is unclear
  • you have very severe acne
  • the treatment you received does not work well enough.

If you get to a doctor for your acne it is usually sufficient that the doctor examine your skin and ask questions. For the most part need no sampling. Some other skin diseases and skin infections can cause symptoms similar to acne, and if the doctor is unsure, you can get a referral to a dermatologist.

My Canadian Pharmacy Specialists will give you free counseling on Acne Treatment:

Natural acne remedies: how to repair the damage

Nature also gives relief to skin affected by acne: the choice of plants to use is directed towards the purifying drugs, anti-inflammatory, cleansing and sanitizing. Burdock, birch, calendula, echinacea, chimney and dandelion are just some of the many plants that can exert efficacy in the therapeutic alternative to traditional treatments for acne. The herbal world offers a variety of natural remedies derived from plants, is suitable to act not only on acne, but also on the factors that trigger. As we know, acne is related to the amount of sebum produced: the skin is oily, the pilo-sebaceous glands inflamed and enlarged pores.

Effective natural remedies for acne have to yield anti-inflammatory, astringent, antiseptic and detoxifying properties, in order to reduce skin impurities. Considering, then, that the causes of acne are many and varied, the remedy must be targeted for that disorder; for example, the hepato-intestinal disorders can also be reflected to the skin through acneic event. In this regard, it is the duty of the specialist to direct the patient towards the most effective natural treatment to restore balance in the liver and the intestine: it will favor the choleretic-cholagogue drugs, disinfectants and purifying. Still, acne might be a result of hormonal disorders, puberty and menstruation: in such case, it will be appropriate to the use of medicinal plants follicolino-like action, designed to stabilize the menstrual cycle.

In addition, the psychological condition of the subject is a likely trigger: the tensions, worries, anxieties, are perceived in the adrenal glands, which respond with a hyper-production of hormones (among all, cortisol). In such circumstances, as a natural remedy, the herbalist can recommend drugs whose active ingredients act as anxiolytics and sedative of the central nervous system. As a result, the skin will suffer less stress to which is submitted the individual, and it is likely that the acne subsides, until it disappears.

If acne is a reflection of a food allergy, the most effective remedy is the elimination of food from the diet: the allergy disappears, as well as acne.

Natural remedies, however, can not determine net acne involution if the affected person follows an unbalanced diet: to defeat acne are indispensable some small custom devices:

  • Follow a proper balanced diet, without excesses, low in fat and high-sugar foods
  • Drink at least two liters of water a day
  • Avoid applying irritating cosmetic creams
  • Avoid the use of fatty substances on the skin, which can aggravate acne
  • Avoid burst blacks points, that can infect neighboring cells and enhance acne
  • Do not continually rub the area affected by acne

Only if you apply these simple precautions, the use of natural remedies is appropriate: in herbal medicine you can find various natural preparations such as purifying herbal teas, syrups, elixirs, tablets and drops for internal use, or creams, ointments, gels, wraps or masks for local application. For enhanced action, the combination of a product per os with a preparation for topical action is recommended.

In alternative medicine, there is no single medication or a category of drugs able to defeat acne, but a series of customized remedies that take into account the physical and mental aspects of sufferers.

  • Homeopathy

    Homeopathic medicine acts on acne symptoms but also on factors outside directly by the disease.

  • Homeopathic acne therapy can be implemented in the following cases

    Simultaneously with symptomatic remedies (which reduce the symptoms), or alternatively, with remedies acting locally, ‘on the ground’, applied to the spots affected by acne. In all cases it is the specialist who must indicate, case by case, the specific treatment. Symptomatic remedies are prescribed on the basis of the appearance of the skin and acne papule formation. They are halogenated (i.e. containing one of the three halogens iodine, bromine or chlorine, responsible experimentally for toxic acne). If a healthy subject comes in contact with one of these elements in an excessive way, acne develops.

  • The main remedies are three

    Sulphur Iodatum, Calcium Bromatum and Natrum Muriaticum. The first remedy is typical of very thin and nervous subjects, the second for the depressed, the third is specific for those that escape the human relationships and that tend to isolation. Homeopathic antibiotics are used to fight acne bacterial component and Hepar Sulphur, in the case of purulent acne, Arnica Montana, in the presence of pustules and painful hardened purple. If the acne is related to food, you can use Antmonium Crudum or Nux vomica, indicated for people who lead a stressful life.

  • Controller medications

    Are prescribed rather on the personality of the individual, regardless of the disease. The personality (physical types) that most’ frequently develop acne are: Natrum Muriaticum, Sulphur, Thuja, Silica, Tuberculinum. The vaccine is taken from the patient’s purulent material (pus) during the acute phase of the disease. It is administered in drops or by injection to the same patient, in order to make it immune against bacterial agent present in acne. Similarly, one can also take a drop of blood. The technique is the same, while the purpose is to desensitize the body by excess circulating hormones. It ‘well known that the acne has also hormonal origin.

  • Phytotherapy

    There are also valid alternatives used as phytotherapeutic acne treatments, distinguishable by the type of action: Systemic draining, purifying and anti-inflammatory; as well as topical skin hydrating and sanitizing agents.

The most used plants in dermatology are burdock, the wild pansy and propolis. Burdock has antibiotic action, purifying, diaphoretic and cholagogue; It reduces the proliferation of bacteria in the follicle without causing the above side effects; frequently used for the treatment of acne and eczema. The root of burdock has an antiseptic and purifying the skin. It promotes cleansing of the liver and kidneys and contains germicide substances (which kill bacteria). It is used as mother tincture (30-50 drops three times daily), sprayed, fluid extract, or in the classic decoction (a teaspoon of root per cup of water. Boil ten minutes and consume from morning till evening between meals). The wild pansy exerts a diuretic, purifying and anti-acne action. It is used in mother tincture (20-30 drops three times a day), infusion (2 teaspoons per cup, 3 cups a day). Propolis is an excellent antibacterial and anti-inflammatory agent. It is applied in the form of creams, ointments, masks, packs or vaporization or internally as a tincture (10-20 drops 2 or 3 times a day). Tea Tree Oil with antibacterial effect, is used for the treatment of refractory acne and boils. In the presence of acne we can also resort to the birch, the dandelion, the flue, echinacea and calendula.

Essential oils: those with the broad antibacterial spectrum are thyme, oregano, lemon and savory. For the external use lemon, lavender, sage, myrtle, melissa, cypress, thyme, emicriso and geranium oils are used. Apply on the skin in the form of poultice (a couple of drops in two fingers of water), or diluted in a light oil, such as avocado, walnut, jojoba, or even by mixing the clay masks. There are also commercially available products based on essential oils intended for oily skin, acne and impure.

Below are four models of effective natural remedies for acne; briefly we analyze each preparation to fight acne herbal event.

A herbal cream for acne should be applied to clean skin, preferably after a warm bath, because the skin pores are prepared to accept the natural remedy. This cream is characterized by capillarotrope, vasoprotective, anti-inflammatory, astringent and soothing properties.

Burdock (Arctium lappa) is probably the most potent natural therapy in the treatment of disorders linked to acne. Burdock is defined a “endocosmetico” because it favors the correct physiology of the skin thanks to sesquiterpenes, sulfonated polyacetylene compounds, caffeilchinici acids (cloregenico acid) and an inline, which promote purifying and decongestant. Burdock is also configured as an excellent natural remedy formulated as herbal tea, thanks to an inline, which determine diuretic activity; further, the burdock cleanses the kidneys and liver for the presence of germicidal substances. In addition, it is rich in mucilage which attach to the cream soothing properties; polyacetylenes the present, however, promote the antibacterial and antimicrobial activity.

Horse chestnut (Aesculus hippocastanum) extract of horse chestnut is a natural remedy particularly indicated for the treatment of skins decongestionate, inflamed and acne: the plant complex consists of saponins, useful to stimulate micro-circulation. The horse chestnut improves the function of capillaries, being capillarotropo and vasoconstrictor.

Hawthorn (Crataegus monogyna) the plant complex is characterized by flavonoids (iperoside, vitexin), procyanidins, catechins, phenolic acids, amines and triterpenes: the natural remedy is part of an anti-acne cream primarily for its anti-inflammatory properties.

Witch hazel (Hamamelis Virgil): the witch hazel is also exploited for its strong anti-inflammatory properties (reduces inflammation), astringent – vasoconstrictor and healing.

Aloe (aloe vera gel) is an excellent natural remedy for acne, because it promotes anti-inflammatory, astringent and skin restoring cream. People with acne tend to scratch the skin affected: because of the rubbing, the skin is torn, you create a small hemorrhage and forms a small crust: Aloe acts as a good healing.

A cream formulated with these drugs promotes the closure of pores, maintains toned skin and protects it, creating a film that acts as a barrier against bacteria and environmental factors. It will also be favored normalization of skin oil production.

Dandelion (Taraxacum officinale): excellent natural remedy for a product designed for internal use (capsules). The dandelion consists of sesquiterpenes lactones, fenilpropani and phytosterols that promote diuretic and purifying activities; Moreover, it stimulates the glomerulus, so active keeps renal activity.

Lactic live cultures (probiotics): lactic ferments definitely represent a biotechnological remedy essential for the balance of intestinal flora. As we have analyzed, in fact, even the intestinal repercussions can lead to the level of the skin with acne formation. Therefore, probiotics are useful for the physiology of the bacterial population.

From time to time, even the clay masks (Bolus alba) are recommended because effective in skin cleansing of toxins and bacteria. It is known that clay ability to entrain impurities, taking them from the skin. The clay must be mixed with water (perhaps adding a glycolic extract of burdock, echinacea, artichoke or chimney), up to the attainment of a fairly solid mass. The clay has the ability to enrich the skin with trace elements such as silicon, iron, calcium, magnesium and aluminum and, simultaneously cleanse the skin. The application of the mask will have to continue for 15-20 minutes, so as to give the clay the time needed to exert its action. Typically, when you remove the mask with water, the skin is very dry: in this regard, we recommend the application of a semi-nutritious fat cream (preferably, calendula cream).

Compresses with essential oils

essential oilsThe essential oils represent an interesting natural remedy against acne, to give tone to the skin and, especially, to disinfect the acneic impurities. The essential oils of thyme, oregano and lemon act with a broad antibacterial spectrum, but also sage, myrtle, geranium, bitter orange, bergamot, cedar and camphor are very effective remedies. Essential oils can be diluted in a little water and applied on the skin with a cotton ball, or be added to creams, masks or light oils.

This article shows only four different models of simple herbal preparations, to give an idea of ​​how drugs can exert their action to fight acne; in the market there are many other natural preparations, suitable for oily skin, acne and impure. The herbalist or dermatologist will advise the most suitable natural remedy for its needs, in order to combat acne.

Is there a link between diet and acne?

The link between diet and acne has been empirically demonstrated by many people. Some people is covered with pimples when it overreacts with chocolate, those who notice a link between acne and fatty foods like fries, and those who consider the hated boils the inevitable “venting” of a recent indigestion. Diet and acne.

Nevertheless, starting from the 60 scientific research has repeatedly stressed the absence of obvious relationships between diet and acne.

Those who practice holistic medicine, however, has always maintained that toxins, stress and poor diet significantly contribute to the eruption. By examining the scientific literature of the last years, however, one realizes that even according to some academic studies there is a link between acne and diet.

Foods to avoid

The most reliable research on the subject shows that a diet rich in high-glycemic foods can promote the appearance of acne. If consumed in excess, sugary soft drinks, yoghurt and fruit juice sweetened with sucrose in industrial quantities, white bread, pastries and various sweets raise your insulin levels, which in turn increases the synthesis of IGF-1 and androgens.

These hormones stimulate the skin’s production of sebum, an oily mass which expands the walls of the hair follicle and incorporates cellular debris until they occlude it. In addition to increasing the sebaceous secretion, in fact, IGF-1 also stimulates the hyper-keratisation of the stratum corneum (thicken most superficial layer of the epidermis, accelerating its parts). The accumulation of sebum and debris inside the hair follicle leads to the formation of real “caps”, called comedones (whiteheads and blackheads), and encourages the development of pimples. The latter are caused by the activity of certain skin bacteria, which feed on sebum and release free fatty acids. Such substances attract white blood cells and various inflammatory molecules, giving rise to what is commonly called pimple.

Reducing the presence of high-glycemic foods in one’s diet it seems therefore a good strategy to mitigate the severity of the acne manifestations. And we also know that this will also help fighting against overweight, obesity, insulin resistance, type II diabetes, polycystic ovary syndrome and coronary heart disease.

Among the foods deemed responsible for acne, chocolate is probably the one called in most often cause. Being a food with high glycemic index and load, it is clear that chocolate abuse can favor the appearance of acne and pimples. However, to clarify the role of this food in the diet for acne, it is important to consider the quality of the chocolate consumed.

If we take as a reference the spreads to commercial chocolate, this is an average of the high index and glycemic load foods (being rich in sugars), with high percentages of saturated fats from palm oil. Often there are also dairy products and their particularly sweet and inviting taste often leads to consume those products in excess. These poor quality products can thus be considered the ideal prototype of pro-acne food.

The situation is different for the extra-dark chocolate bars at high percentages of cocoa (70% and over), in which the content of simple sugars is lower and where not normally found tropical oils. The bitter taste also tends to limit their consumption portions. Therefore, considerate food shopping habits can be a valuable aid in the diet for acne. Alternatively, you can also prepare spreads at home with quality ingredients.

Anti-acne foods

Anti-acne foodsIf we were to draw up a specific diet for acne we should then repeat word for word the basic principles of healthy eating.

It is important, therefore:

  • to contrast to a low intake of refined carbohydrates, consume the right amount of fat, protein, complex carbohydrates and especially fiber, minerals and vitamins,
  • try to have fish and legumes at least a couple of times each week
  • limit salt and alcohol consumption
  • simultaneously increase the intake of plant foods (fruits and vegetables) bringing the amount consumed to at least 4-5 servings per day.

A diet of this type contains a number of active ingredients (plant compounds) that act harmoniously in regulating biological functions, eliminating any need to resort to various supplements.

Supplements against acne

Among these there are specially designed products for acne, the composition of which – in the absence of a universally effective remedy – is the most variable.

In general, we try to act on several fronts, adding to the diet intake of various substances, such as:

  • antioxidants;
  • vitamins (in particular the A, E, C, and pantothenic acid);
  • fibers and probiotics to regulate intestinal function;
  • zinc;
  • liver detoxification (boldo, artichoke, milk thistle);
  • plant extracts with antiandrogenic properties (Serenoa repens, pumpkin seeds, African pigeo) for man;
  • phytoestrogens for women.

How to repair the damage

If acne has been cured and treated immediately, it hardly leaves scars. The same skin spot, once you reach the healing, tends to renew itself spontaneously. If acne has instead left superficial signs, simply the application of creams containing low concentrations of glycolic acid, which smooth the skin in a progressive manner. Alternatively, one can resort to peeling and to specific treatments to be performed at the studies of dermatology and cosmetic medicine.

Glycolic acid peeling: it is painless and provides immediate presentable. It has a dual mechanism of action: on the one hand causes a progressive flaking not visible to the naked eye, the other stimulates the production of collagen and elastin. Normally, a complete cycle is four to six peels performed fifteen days apart.

Acetylsalicylic acid peeling: the active ingredient of aspirin is known for its anti-inflammatory activity, analgesic and antipyretic (against fever). In acne therapy advantage is taken of this property to decrease the cohesion of horny lamellae (epidermis), to reorganize the process of keratinization, eliminating impurities and blackheads preventing reformation. at low concentrations used (3-5%) it can also be used by beauticians as a gentle exfoliation. This peeling has a complete exfoliating action on the skin surface, it does not affect the dermis and thus protects against risks of injury or the formation of spots. To exclude potential allergic reactions, it is useful to perform before a skin reaction test.

Dermabrasion: is the most invasive method. The skin, in this case, is smoothed with a brush that rotates at very high speed. Within four months, it is absolutely forbidden to sun exposure and the results are visible only after healing. This technique is used to eliminate particularly noticeable scars or raised.

Microdermabrasion: is another more safe and gentle technique that erases the imperfections with acne with the help of a vacuum cleaner and a mineral powder without risk of infections or bleeding, burning and swelling. It does not breaks down the cellular balance in the dermis, as it acts on the skin surface. Each session takes 20-30 minutes and typically they recommend ten, starting with one session a week. Avoid exposure to the sun in twenty-four hours after peeling.

Team of Professionals. Canadian Pharmacy –