acne meds

  • Topical benzoyl peroxide:

    Benzoyl peroxide is a topical medication commonly used to treat acne. It is available in various forms, including creams, gels, lotions, and washes. Benzoyl peroxide works by reducing the amount of acne-causing bacteria on the skin and helping to unclog pores.

    Here are some key points about topical benzoyl peroxide:

    Acne treatment: Benzoyl peroxide is primarily used for the treatment of acne. It is effective against both inflammatory acne (such as pimples and pustules) and non-inflammatory acne (such as blackheads and whiteheads).

    Antibacterial properties: Benzoyl peroxide has antibacterial properties that help kill the bacteria associated with acne, particularly Propionibacterium acnes. By reducing the number of bacteria on the skin, it can help reduce inflammation and breakouts.

    Unclogs pores: Benzoyl peroxide also helps to unclog pores by exfoliating the skin. It promotes the shedding of dead skin cells, which can otherwise contribute to the formation of acne.

    Strengths: Benzoyl peroxide is available in different strengths, usually ranging from 2.5% to 10%. It is generally recommended to start with a lower strength and gradually increase if necessary, as higher concentrations may cause more skin irritation.

    Side effects: Common side effects of benzoyl peroxide include dryness, redness, peeling, and irritation of the skin. These side effects are usually mild and temporary, but some individuals may be more sensitive to the medication.

    Bleaching effect: Benzoyl peroxide can bleach clothing, towels, and hair. It is important to avoid contact with colored fabrics and to thoroughly wash hands after applying the medication to prevent unintentional bleaching.

    Combination therapy: Benzoyl peroxide is often used in combination with other acne medications, such as topical retinoids or antibiotics, for enhanced efficacy. This combination approach can target different aspects of acne development and provide better results.

    It's worth noting that while benzoyl peroxide is generally safe and effective for most people, it may not be suitable for everyone. It is always recommended to consult with a healthcare professional or dermatologist before starting any new acne treatment. They can assess your specific condition and recommend the most appropriate treatment options for you.

    Common side effects of benzoyl peroxide when used topically can include:

    Dryness: Benzoyl peroxide can cause dryness of the skin, leading to a feeling of tightness or flakiness. This is due to its exfoliating properties, which help to remove dead skin cells.

    Redness: Some individuals may experience mild to moderate redness of the skin, especially when using higher concentrations of benzoyl peroxide. This redness is usually temporary and subsides as the skin adjusts to the medication.

    Peeling: Benzoyl peroxide can cause mild peeling or scaling of the skin, particularly in the initial stages of treatment. This is a normal effect and indicates that the medication is helping to exfoliate the skin.

    Irritation: Some people may experience skin irritation, including itching or burning sensations, especially if they have sensitive skin or are using higher concentrations of benzoyl peroxide. It's important to follow the recommended usage instructions and consult with a healthcare professional if irritation persists or worsens.

    Sensitivity to sunlight: Benzoyl peroxide can increase the skin's sensitivity to sunlight, making it more prone to sunburn. It is crucial to use sunscreen with a high SPF and protective clothing while using benzoyl peroxide and avoid prolonged sun exposure.

    Bleaching: Benzoyl peroxide has the potential to bleach hair, clothing, and towels. To prevent accidental bleaching, it's important to thoroughly wash hands after applying the medication and avoid contact with colored fabrics.

  • Compound not covered through insurance; requires specialty compounding pharmacy.

    1. Use only at night. Apply last after your moisturizer. Only use as a spot treatment.

    2. Application to surrounding normal complexion skin may cause unwanted hypopigmentation - a “halo.”

    3. Apply sunscreen every morning to the treated areas.

    4. Wash your hands with soap and water before and after using this medicine.

    5. This medicine can be used up to 3-4 months at a time. After which you must take a break from using it for several months to prevent any worsening discoloration (blue-black pigmentation of skin).

    6. Store this medicine in the refrigerator. Keep all medicine away from children.

    7. This medicine is only for your personal use. Do not allow others who have not been medically evaluated to use this product.

    Common side effect of brightening creams:

    Skin Irritation: Some people may experience mild to moderate skin irritation, including redness, itching, stinging, or burning sensation. This can occur due to the active ingredients or other additives in the cream. It is important to perform a patch test before applying the product to your entire face to check for any adverse reactions.

    Dryness and Peeling: Brightening creams that contain active ingredients like hydroquinone or retinoids can cause dryness and peeling, particularly during the initial stages of use. These ingredients may accelerate cell turnover, leading to flaking or dry patches. It is essential to use a moisturizer and adjust the frequency of application if excessive dryness occurs.

    Sensitivity to Sunlight: Some brightening creams contain ingredients like hydroquinone or retinoids that can increase skin sensitivity to sunlight. This can result in a higher risk of sunburn and other sun-related damage. It is crucial to apply broad-spectrum sunscreen with a high SPF before sun exposure and limit sun exposure as much as possible while using brightening creams.

    Allergic Reactions: In rare cases, individuals may develop allergic reactions to certain ingredients present in brightening creams. These reactions can manifest as rash, hives, swelling, or severe itching. If you experience any signs of an allergic reaction, discontinue use and seek medical advice.

    Post-Inflammatory Hyperpigmentation (PIH): In some instances, the use of brightening creams may lead to a condition known as post-inflammatory hyperpigmentation. This occurs when the skin reacts to the active ingredients, resulting in increased pigmentation in the treated area. This condition is more common in individuals with darker skin tones.

  • Winlevi (clascoterone) is a medication used for the topical treatment of acne vulgaris. It is indicated for use in individuals aged 12 years and older. Winlevi is unique because it is the first topical treatment for acne that contains clascoterone, which is a novel anti-androgen agent. It works by targeting and binding to androgen receptors in the skin. Androgens are hormones that play a role in the development of acne by stimulating the sebaceous glands to produce more oil (sebum), leading to clogged pores and inflammation. By acting as an androgen receptor inhibitor, clascoterone helps to reduce sebum production and inflammation, which can help improve the appearance of acne lesions and prevent new ones from forming. This makes Winlevi an effective option for people looking for a topical treatment to manage mild to moderate acne.

    It is a topical medication, meaning it is applied directly to the skin. Cleanse the affected area and pat it dry before applying the medication.

    Avoid Contact with Eyes, Lips, and Mucous Membranes: Take care to avoid getting the medication in or near the eyes, lips, or inside the nose, as it may cause irritation.

    Common Side Effects: Skin dryness: Some users may experience dry skin as a side effect of Winlevi.

    Peeling or flaking: In some cases, the skin may peel or flake due to the medication's exfoliating properties.

    Rash: A skin rash may develop as a reaction to the medication.

    Eye irritation: If the medication accidentally comes into contact with the eyes, it may cause irritation.

    Worsening of acne: In rare cases, the use of Winlevi may lead to worsening of acne before it gets better. This is a phenomenon called "purging" and can be temporary.

  • Aczone (dapsone gel) is a topical medication that is used for the treatment of acne vulgaris. Aczone is an antibiotic and anti-inflammatory agent that helps to reduce the inflammation associated with acne and also targets the bacteria (Propionibacterium acnes) that contribute to the development of acne lesions.

  • Sulfur and sulfacetamide are two commonly used topical medications for the treatment of acne and rosacea. They can be used separately or in combination, depending on the specific needs of the individual and the recommendations of a healthcare professional. Sulfur helps to unclog pores and reduce the formation of comedones (blackheads and whiteheads) by promoting the shedding of dead skin cells. It also has some anti-inflammatory effects, which can be beneficial for rosacea. Sulfacetamide is an antibiotic that belongs to the class of sulfonamides. It is effective against a wide range of bacteria, including Propionibacterium acnes, which is associated with acne breakouts. Sulfacetamide helps to reduce inflammation and control bacterial growth on the skin's surface, making it useful for both acne and rosacea treatment.

  • Azelaic acid is a topical medication used to treat various skin conditions, including acne, rosacea, and hyperpigmentation. Azelaic acid is commonly used for the treatment of mild to moderate acne and rosacea. It helps to reduce inflammation and the growth of acne-causing bacteria on the skin. Additionally, it has been found to be effective in improving post-inflammatory hyperpigmentation (PIH), which are dark spots that can result from acne breakouts. If you are pregnant or breastfeeding, it's essential to consult with your healthcare provider before using azelaic acid to ensure its safety during this time.

  • Adapalene is a topical retinoid medication that is commonly used to treat acne. It is a synthetic form of vitamin A and is part of the retinoid family. Adapalene works by affecting the growth of skin cells and reducing inflammation, which helps to prevent the formation of acne lesions.

    Recommend use:

    1) Wash your face with a gentle cleanser and pat it dry before applying Adapalene. Make sure your skin is completely dry before application to reduce the risk of irritation.

    2) Use a small amount of Adapalene, about the size of a pea, for the entire face. Applying too much can increase the likelihood of irritation.

    3) Avoid applying Adapalene to the areas around your eyes, lips, and any open wounds or cuts.

    4) If you are new to Adapalene, start by using it every other night or every third night for the first few weeks. This allows your skin to acclimate to the medication and reduces the risk of severe irritation.

    5) After applying Adapalene and allowing it to dry for a few minutes, you can apply a gentle moisturizer to help counteract dryness and reduce irritation.

    6) During the day, it is crucial to use sunscreen with a high SPF (30 or higher) and broad-spectrum protection. Adapalene can increase the skin's sensitivity to the sun, and sunscreen helps protect your skin from harmful UV rays.

    7) Avoid using harsh or abrasive skincare products while using Adapalene, as they can exacerbate skin irritation.

    Adapalene is best when used consistently over time. Stick to your prescribed routine and be patient, as it may take several weeks to see noticeable improvements in your skin.

    Who should avoid adapelene:

    1) Pregnant women should avoid using Adapalene unless specifically advised by their healthcare provider.

    2) It is not recommended to use Adapalene while breastfeeding, as the medication may pass into breast milk and potentially affect the nursing baby

    3) If you have known allergies or sensitivities to Adapalene or any other retinoid medications

    4) Individuals with eczema or rosacea may experience increased skin irritation when using Adapalene.

    5) Do not apply Adapalene to sunburned, windburned, chapped, dry, or irritated skin. Wait for the skin to heal before using the medication.

    6) Adapalene can increase the skin's sensitivity to sunlight, making it more prone to sunburn and damage. If you are frequently exposed to the sun or engage in outdoor activities, you may need to take extra precautions while using this medication.

    Common side effects:

    Adapalene can cause the outer layer of the skin to peel or flake, especially during the initial weeks of use. This is a normal part of the medication's exfoliating action and can be managed with proper moisturization.

    Adapalene can increase the skin's sensitivity to sunlight, making it more prone to sunburn and damage. It's crucial to use sunscreen and limit sun exposure while using this medication.

    In some cases, individuals may experience a temporary worsening of acne during the initial weeks of treatment. This is often referred to as a "purge" and occurs as Adapalene helps to bring underlying acne lesions to the surface.

    Adapalene can lead to increased dryness and a sensation of tightness in the skin. Proper moisturizers can help alleviate these symptoms.

  • Tretinoin is primarily used for the treatment of acne. It works by promoting the turnover of skin cells and preventing the clogging of hair follicles, which can lead to acne breakouts.
    Tretinoin is typically applied at night before going to bed. This is because it can make your skin more sensitive to sunlight, and using it at night reduces the risk of sun exposure after application.

    Tretinoin is not recommended for use during pregnancy as it may cause birth defects. If you are pregnant or planning to become pregnant, it is crucial to discuss alternative treatments with your healthcare provider.

    Reccomened use:

    Tretinoin is typically applied at night before going to bed. This is because it can make your skin more sensitive to sunlight, and using it at night reduces the risk of sun exposure after application.

    2) Wash your face with a gentle cleanser and pat it dry before applying tretinoin. Make sure your skin is completely dry before application to reduce the risk of irritation.

    3) Use a small amount of tretinoin, about the size of a pea, for the entire face. Applying too much can increase the likelihood of irritation.

    4) Avoid applying tretinoin to the areas around your eyes, lips, and any open wounds or cuts.

    5) If you are new to tretinoin, start by using it every other night or every third night for the first few weeks. This allows your skin to acclimate to the medication and reduces the risk of severe irritation.

    6) After applying tretinoin and allowing it to dry for a few minutes, you can apply a gentle moisturizer to help counteract dryness and reduce irritation.

    7) During the day, it is crucial to use sunscreen with a high SPF (30 or higher) and broad-spectrum protection. Tretinoin can increase the skin's sensitivity to the sun, and sunscreen helps protect your skin from harmful UV rays.

    8) Avoid using harsh or abrasive skincare products while using tretinoin, as they can exacerbate skin irritation.

    9) Tretinoin works best when used consistently over time. Stick to your prescribed routine and be patient, as it may take several weeks to see noticeable improvements in your skin.

    Who should avoid tretinoin?

    1) Tretinoin is not recommended for use during pregnancy as it may cause birth defects. If you are pregnant or planning to become pregnant, it is crucial to discuss alternative treatments with your healthcare provider.

    2) Tretinoin can be absorbed through the skin and may pass into breast milk. It is generally advisable to avoid using tretinoin while breastfeeding. Consult with your doctor to explore safe alternatives if needed.

    3) If you are allergic to tretinoin or any other retinoids, you should avoid using it. Additionally, if you have experienced severe skin irritation or allergic reactions to other skincare products, it's essential to inform your healthcare provider before starting tretinoin.

    4) Individuals with active eczema, dermatitis, or other skin conditions that cause significant skin irritation and inflammation should use tretinoin with caution. The medication can worsen these conditions and lead to increased discomfort.

    5) Applying tretinoin to sunburned or windburned skin can cause further irritation and should be avoided until the skin has healed.

    6) Tretinoin should not be applied to open wounds or cuts as it can cause increased irritation and slow down the healing process.

    7) Individuals with a history of skin cancer or a predisposition to skin cancer should use tretinoin with caution and under the guidance of a dermatologist.

    8) Some medications, such as certain antibiotics and drugs that increase sun sensitivity, can interact with tretinoin or make the skin more sensitive. Inform your healthcare provider about all the medications you are taking before using tretinoin.

    Common Side Effects

    Tretinoin can cause the outer layer of the skin to peel or flake, especially during the initial weeks of use. This is a normal part of the medication's exfoliating action and can be managed with proper moisturization.

    Tretinoin can increase the skin's sensitivity to sunlight, making it more prone to sunburn and damage. It's crucial to use sunscreen and limit sun exposure while using this medication.

    In some cases, individuals may experience a temporary worsening of acne during the initial weeks of treatment. This is often referred to as a "purge" and occurs as Tretinoin helps to bring underlying acne lesions to the surface.

    tretinoin can lead to increased dryness and a sensation of tightness in the skin. Proper moisturization can help alleviate these symptoms.

  • Tazarotene (Tazorac) often prescribed to treat acne vulgaris, a common skin condition characterized by the presence of pimples, blackheads, and whiteheads. It helps to reduce the formation of new acne lesions and promotes the healing of existing ones.

    Tazarotene also used for the treatment of mild to moderate plaque psoriasis, a chronic autoimmune skin disorder. It helps to slow down the growth of skin cells and reduce inflammation associated with psoriasis.

    Recommend use for Tazorotene:

    1) Clean and dry skin: Before applying Tazorotene, wash the affected skin with a mild cleanser and pat it dry. Ensure that the skin is completely dry before applying the medication.

    2) Tazorotene is usually applied once daily in the evening, unless otherwise directed by your doctor. Using it at night allows the skin to avoid sun exposure, as Tazorotene can increase skin sensitivity to sunlight.

    3) Apply a thin layer of Tazorotene to the affected areas. Using more than the recommended amount does not enhance its effectiveness and may increase the risk of skin irritation.

    4) Avoid sensitive areas: Avoid applying Tazorotene to the eyes, mouth, or any areas of broken or irritated skin.

    Who should avoid Tazorotene

    Pregnant or breastfeeding women

    Individuals who have had a known allergic reaction to tazarotene or any other ingredients in Tazorac should avoid using it

    Individuals with a history of severe skin irritation, eczema, or sunburn should avoid Tazarotene

    Tazarotene increases the skin's sensitivity to sunlight, so individuals who are prone to sunburn or have a history of photosensitivity should use caution while using this medication.

    Common side effects:

    Tazorotene can cause the outer layer of the skin to peel or flake, especially during the initial weeks of use. This is a normal part of the medication's exfoliating action and can be managed with proper moisturization.

    Tazorotene can increase the skin's sensitivity to sunlight, making it more prone to sunburn and damage. It's crucial to use sunscreen and limit sun exposure while using this medication.

    In some cases, individuals may experience a temporary worsening of acne during the initial weeks of treatment. This is often referred to as a "purge" and occurs as Tazorotene helps to bring underlying acne lesions to the surface.

    Tazorotene can lead to increased dryness and a sensation of tightness in the skin. Proper moisturization can help alleviate these symptoms.

  • Aklief specifically targets retinoic acid receptor gamma (RAR-γ) found in the skin, which helps regulate skin cell turnover and reduces inflammation associated with acne. It is approved for use in individuals 9 years of age and older.

    Reccomened use:

    1) The usual recommendation is to apply Aklief once daily, preferably in the evening before bedtime. Your healthcare provider may suggest a different frequency based on your skin's response and tolerance.

    2) Use a pea-sized amount of Aklief for the entire face. Avoid using larger quantities as it may not increase its effectiveness and could lead to ir​​ritation.

    3) Be careful to avoid contact with eyes, mouth, and mucous membranes. If accidental contact occurs, rinse thoroughly with water.

    4) Some individuals may experience dryness or irritation when using Aklief. If this happens, your healthcare provider may suggest using a non-comedogenic moisturizer to help alleviate these effects. However, it's best to consult your provider before using any additional products.

    5) Aklief may increase sensitivity to sunlight. It's crucial to use sunscreen and limit sun exposure during treatment to minimize the risk of sunburn and further skin irritation.

    Recommended use:

    1) The usual recommendation is to apply Aklief once daily, preferably in the evening before bedtime. Your healthcare provider may suggest a different frequency based on your skin's response and tolerance.

    2) Use a pea-sized amount of Aklief for the entire face. Avoid using larger quantities as it may not increase its effectiveness and could lead to ir​​ritation.

    3) Be careful to avoid contact with eyes, mouth, and mucous membranes. If accidental contact occurs, rinse thoroughly with water.

    4) Some individuals may experience dryness or irritation when using Aklief. If this happens, your healthcare provider may suggest using a non-comedogenic moisturizer to help alleviate these effects. However, it's best to consult your provider before using any additional products.

    5) Aklief may increase sensitivity to sunlight. It's crucial to use sunscreen and limit sun exposure during treatment to minimize the risk of sunburn and further skin irritation.

    Common side effects:

    Aklief may cause the skin to become dry, flaky, or peeling, especially during the initial weeks of use. Using a non-comedogenic moisturizer can help alleviate this symptom.

    Some individuals may experience redness or mild skin irritation at the application site.

    A temporary burning or stinging sensation may occur upon applying Aklief.

    Itchiness on the skin may be experienced in some cases.

    Aklief may increase sensitivity to sunlight, leading to a higher risk of sunburn. It is important to use sunscreen and limit sun exposure during treatment.

    Aklief may cause some areas of the skin to appear red, especially during the initial stages of treatment.

    Some individuals may report discomfort or a feeling of warmth at the application site.

oral acne meds

  • Spironolactone: Spironolactone is a medication that is primarily used as a diuretic, meaning it increases the production of urine and promotes the elimination of excess water and salt from the body. It belongs to a class of medications called aldosterone receptor antagonists. In addition to its diuretic effects, spironolactone also has anti-androgen properties. It blocks the effects of androgens, which are male sex hormones, and can be used to treat conditions such as hirsutism (excessive hair growth) and androgenetic alopecia (male-pattern baldness) in women. Spironolactone is sometimes prescribed off-label for these purposes.

    Spironolactone can be used as a treatment for acne, particularly in women who have hormonal acne. Hormonal acne is often associated with increased androgen levels, which can stimulate the sebaceous glands in the skin, leading to the development of acne. Spironolactone works by blocking the effects of androgens on the sebaceous glands, reducing oil production and helping to prevent clogged pores. It can be particularly effective for women who have not responded well to other acne treatments or who experience acne flare-ups before their menstrual cycle.

    Recommendations on how to take the medication:

    Timing: Spironolactone can be taken with or without food. However, taking it with food can help reduce the chance of stomach upset.

    Consistency: Take spironolactone consistently at the same time(s) each day to maintain a steady level of the medication in your system. This will maximize its effectiveness.

    Be patient: It may take several weeks or even months to notice significant improvements in your condition. Be patient and continue taking the medication as prescribed unless instructed otherwise by your healthcare provider.

    Do not abruptly stop: If you wish to stop taking spironolactone or need to make any changes to your dosage, consult your healthcare provider first. Abruptly stopping the medication can have adverse effects.

    Regular check-ups: Regularly visit your healthcare provider for follow-up appointments and monitoring while taking spironolactone. They can assess your progress, make any necessary adjustments to your treatment, and address any concerns or side effects you may be experiencing.

    Who should avoid taking spironolactone

    Severe kidney or liver disease: Spironolactone is primarily metabolized in the liver and excreted by the kidneys. If you have severe kidney or liver disease, it may affect the clearance of the medication from your body, and caution is needed when using spironolactone. Your healthcare provider will determine whether it is safe and appropriate for you.

    Hyperkalemia: Spironolactone can increase potassium levels in the blood. If you have a pre-existing condition that causes high potassium levels or if you are taking other medications that can increase potassium levels (such as potassium supplements or ACE inhibitors), your healthcare provider may need to monitor your potassium levels closely or choose an alternative treatment.

    Pregnancy and breastfeeding: Spironolactone is generally not recommended for use during pregnancy due to the risk of feminization of male fetuses. It can also be excreted into breast milk, so caution is advised if you are breastfeeding. Discuss the potential risks and benefits with your healthcare provider if you are pregnant or breastfeeding.

    Interactions with other medications: Spironolactone can interact with various medications, including certain blood pressure medications, potassium-sparing diuretics, and certain antibiotics. It is important to inform your healthcare provider about all the medications, supplements, and herbal products you are taking to avoid potential interactions.

    Common Side effects of spironolactone:

    Increased urination: Spironolactone is a diuretic, so it can increase the frequency of urination.

    Dizziness or lightheadedness: Some people may experience a feeling of dizziness or lightheadedness, especially when standing up quickly.

    Breast tenderness or enlargement: Spironolactone can cause breast tenderness or enlargement in both men and women due to its anti-androgen effects.

    Menstrual irregularities: Women may experience changes in their menstrual cycle, such as irregular periods or changes in flow

  • Doxycycline: Doxycycline is an antibiotic medication that belongs to the tetracycline class of antibiotics. It is commonly prescribed to treat a wide range of bacterial infections, including respiratory tract infections, urinary tract infections, sexually transmitted infections (such as chlamydia), skin infections, eye infections, and certain types of acne.

    Doxycycline works by inhibiting the growth and spread of bacteria in the body. It does this by blocking the bacteria's ability to produce essential proteins, which are necessary for their survival and reproduction.

    In addition to its antibacterial properties, doxycycline also has anti-inflammatory effects, which can make it useful in the treatment of certain inflammatory conditions, such as acne & rosacea.

    Recommendation on how to take doxycycline

    Timing: Take doxycycline with a full glass of water, preferably with food or shortly after a meal. This can help reduce the risk of stomach upset. Avoid taking doxycycline with milk or dairy products, as they can interfere with its absorption.

    Avoid lying down: After taking doxycycline, remain upright for at least 30 minutes. This can help prevent stomach irritation and minimize the risk of esophageal irritation or ulceration.

    Complete the full course: Even if you start feeling better before completing the prescribed course of doxycycline, it's important to take the medication for the entire duration prescribed by your doctor. Stopping the medication prematurely may allow the infection to return or become resistant to the antibiotic.s

    Sun protection: Doxycycline can make your skin more sensitive to sunlight, so it's important to take precautions. Use sunscreen with a high SPF, wear protective clothing, and avoid prolonged sun exposure while taking doxycycline.

    Storage: Store doxycycline at room temperature, away from moisture and heat. Follow the instructions on the packaging or consult your pharmacist for specific storage recommendations.

    regnancy and breastfeeding: Doxycycline is generally not recommended during pregnancy, especially during the second and third trimesters, as it may harm the developing fetus or cause permanent tooth discoloration in the baby. It can also pass into breast milk and affect the nursing infant. Consult with your doctor if you are pregnant or breastfeeding.

    Children under 8 years old: Doxycycline can affect the development of teeth and bones in children under the age of 8, leading to permanent tooth discoloration and impaired bone growth. Alternative antibiotics are usually recommended for children in this age group.

    Liver or kidney disease: Individuals with severe liver or kidney disease may require adjusted doses of doxycycline or need to avoid it altogether. Your doctor will determine the appropriate course of action based on your specific condition.

    Myasthenia gravis: Doxycycline may worsen the symptoms of myasthenia gravis, a neuromuscular disorder characterized by muscle weakness and fatigue. If you have this condition, your doctor will evaluate the risks and benefits of using doxycycline.

    Interactions with other medications: Doxycycline can interact with certain medications, including antacids, blood thinners, and certain seizure medications, among others. Inform your healthcare provider about all the medications and supplements you are taking to avoid potential interactions.

    Common side effects:

    Gastrointestinal effects: Nausea, vomiting, diarrhea, or abdominal pain are relatively common side effects. Taking doxycycline with food can help reduce the likelihood of these symptoms.

    Skin sensitivity: Doxycycline can make your skin more sensitive to sunlight, leading to an increased risk of sunburn. It is important to use sun protection measures, such as wearing protective clothing and applying sunscreen with a high sun protection factor (SPF).

    Esophageal irritation: Doxycycline tablets or capsules can sometimes cause irritation or ulcers in the esophagus if they become lodged or dissolve there. To prevent this, it is important to take doxycycline with a full glass of water and remain upright for at least 30 minutes after taking the medication.

    Yeast infections: Doxycycline can disrupt the natural balance of microorganisms in the body, which may lead to the overgrowth of certain types of yeast, resulting in yeast infections such as oral thrush or vaginal candidiasis.

    Discoloration of teeth and enamel hypoplasia: Doxycycline use during tooth development (in children under 8 years old and during pregnancy) can cause permanent discoloration of teeth, ranging from yellow-gray to brown. It can also lead to enamel hypoplasia, which is incomplete or defective tooth enamel formation.

  • Minocycline: Minocycline is a broad-spectrum antibiotic that belongs to the tetracycline class of antibiotics. It is primarily used to treat various bacterial infections, including respiratory tract infections, urinary tract infections, skin and soft tissue infections, and sexually transmitted diseases such as chlamydia and gonorrhea.

    Minocycline works by inhibiting the growth of bacteria and preventing them from multiplying. It does this by interfering with the production of proteins necessary for the bacteria's survival. In addition to its antibacterial properties, minocycline also has anti-inflammatory effects. It can be prescribed for certain inflammatory conditions such as acne vulgaris, rosacea, and rheumatoid arthritis. Minocycline's anti-inflammatory properties are thought to be due to its ability to suppress the production of certain enzymes involved in the inflammation process. minocycline may cause side effects.

    Common side effects include nausea, vomiting, diarrhea, dizziness, and skin rash.

    Recommendation for taking this medication minocycline:

    Take with or without food: Minocycline can be taken with or without food, but if it causes an upset stomach, you may prefer to take it with food.

    Stay consistent with timing: If you are prescribed multiple doses per day, try to take them at evenly spaced intervals to maintain a consistent level of the medication in your body.

    Complete the full course: Finish the entire prescribed course of minocycline, even if you start feeling better before completing it. Stopping the medication prematurely may allow the infection to return or make the bacteria resistant to the antibiotic.

    Storage: Store minocycline at room temperature, away from moisture and heat, following the instructions on the medication label.

    Common side effects of minocycline may include:

    Gastrointestinal issues: Nausea, vomiting, diarrhea, and stomach upset are common side effects of minocycline. Taking the medication with food or a full glass of water may help reduce these symptoms.

    Dizziness: Some individuals may experience dizziness or lightheadedness while taking minocycline. It is recommended to avoid activities that require alertness until you know how the medication affects you.

    Skin reactions: Minocycline can sometimes cause skin sensitivity or rashes. If you develop a skin rash, itching, or any other allergic reaction, it is important to inform your healthcare provider.

    Tooth and gum discoloration: Minocycline can cause permanent discoloration of developing teeth in children, and it may also cause temporary discoloration in adults. It can also affect the growth and development of bones.

    Photosensitivity: Minocycline can make your skin more sensitive to sunlight and increase the risk of sunburn. It is advisable to use sunscreen, wear protective clothing, and limit sun exposure while taking this medication.

    Yeast infections: Minocycline can disrupt the balance of natural bacteria in the body and increase the risk of developing yeast infections, such as oral thrush or vaginal yeast infections.

  • Isotretinoin is a medication that is primarily used to treat severe acne. It is a form of vitamin A and belongs to a class of drugs called retinoids. Isotretinoin works by reducing the production of sebum, which is the oily substance that can clog pores and lead to acne.

    Isotretinoin is usually prescribed when other acne treatments have failed to produce satisfactory results. It is typically taken orally in the form of capsules or tablets. The treatment duration can vary but is often several months.

    While isotretinoin can be highly effective in treating severe acne, it also carries some potential risks and side effects. Some common side effects include dryness and peeling of the skin, dry eyes, dry lips, and nosebleeds. Other possible side effects include muscle and joint pain, elevated liver enzymes, mood changes, and in rare cases, it has been associated with an increased risk of depression and suicidal thoughts.

    Due to the potential risks, isotretinoin is usually prescribed under close medical supervision, and patients are often required to participate in a monitoring program to ensure safe use. It is important to discuss the potential benefits and risks of isotretinoin with a healthcare professional before starting treatment.

    RECOMMENDATIONS FOR SKIN CARE WHILE ON ISOTRETINOIN (ACCUTANE)

    General considerations:

    * Isotretinoin dries your skin and mucous membranes temporarily while you are taking isotretinoin

    * You may sunburn more easily while on isotretinoin

    * You should not wax your skin while on isotretinoin

    * You should not have laser hair removal while on isotretinoin

    *

    *

    * Bathing & Moisturizing tips:

    *

    * Avoid using washcloths, sponges, nylon mesh puffs, and loofahs while bathing to avoid irritating your skin.

    * It is best to use unscented, hypoallergenic cleansers while on isotretinoin. Examples:

    * Cetaphil gentle cleansing bar

    * Cetaphil Restoraderm cleanser

    * Vanicream cleansing bar (www.psico.com)

    * Aveeno Baby cleansing therapy moisturizing wash

    * Dove Sensitive Skin Unscented beauty bar

    * Dove Sensitive Skin Nourishing Body Wash

    * It is best to apply a moisturizer all over the skin after bathing.

    *

    * Some of our favorite moisturizers:

    * Vanicream

    * Aveeno Daily Moisturizing Lotion

    * Aveeno Eczema Therapy Moisturizing Cream

    * Cetaphil Restoraderm Moisturizer

    * Cerave Moisturizing Cream & Lotion

    * Vaniply Ointment

    * Aquaphor Ointment

    * Vaseline Petroleum Jelly

    * You will develop very dry, chapped lips while on isotretinoin. Always apply a thick lip balm on the lips: Aquaphor ointment, Vaseline petroleum jelly, Carmex, or if really dry and irritated: Cortaid ointment with hydrocortisone. If you develop yellow crusting on your lips, please contact our office.

    *

    * If you are having nose bleeds, try using normal saline nasal spray twice daily or applying a small amount of Vaseline Petroleum Jelly to your nostrils before bed

    Recommendation for taking isotretinoin:

    Take the medication exactly as prescribed and at the recommended dosage.

    Follow any additional instructions regarding food intake, as isotretinoin absorption can be affected by food.

    Use effective contraception methods if you are sexually active, as isotretinoin can cause severe birth defects if taken during pregnancy.

    Attend all scheduled follow-up appointments and blood tests as advised by your healthcare provider.

    Report any side effects or concerns to your healthcare provider promptly.

    Who should avoid isotretinoin?

    Pregnant women: Isotretinoin is known to cause severe birth defects and should not be taken during pregnancy. If you are pregnant or planning to become pregnant, it is essential to inform your healthcare provider, as alternative acne treatment options will be recommended.

    Women who may become pregnant: Isotretinoin has the potential to cause harm to a developing fetus even if taken before pregnancy is confirmed. Therefore, women of childbearing potential are typically required to use highly effective contraception methods both before and during isotretinoin treatment.

    Breastfeeding women: Isotretinoin can pass into breast milk and potentially harm a nursing baby. Breastfeeding women are generally advised against using isotretinoin.

    People with certain medical conditions: Isotretinoin may not be suitable for individuals with certain medical conditions such as liver disease, pancreatitis, high blood cholesterol or triglyceride levels, or a history of psychiatric disorders. It is important to disclose your full medical history to your healthcare provider before starting isotretinoin.

    Individuals with hypersensitivity to isotretinoin: If you have had a previous allergic reaction to isotretinoin or any of its ingredients, you should avoid using this medication.

  • Description text goes hereEpiCeram is primarily used to manage conditions characterized by skin barrier dysfunction, such as atopic dermatitis (eczema) and other forms of dermatitis. The medication helps to repair and restore the skin barrier, reducing moisture loss and improving the skin's ability to retain hydration. By doing so, it can alleviate dryness, itching, and irritation associated with these skin conditions.

  • Tacrolimus ointment is a topical medication used to treat certain skin conditions, primarily eczema (atopic dermatitis). It is also known by its brand name Protopic. Tacrolimus belongs to a class of drugs called calcineurin inhibitors and works by suppressing the immune response in the skin, which helps to alleviate inflammation and itching associated with eczema.

    Reccomened use:

    Wash your hands thoroughly before applying the ointment.

    Gently clean and dry the affected skin area before applying a thin layer of tacrolimus ointment. It is important to cover only the affected skin and not use it on unaffected areas.

    On application, it may cause some sensitivity, therefore it is recommend mixing the ointment with aquaphor.

  • Opzelura (Ritlecitinib) is a Janus kinase (JAK) inhibitor medication used to treat moderate to severe atopic dermatitis in adults and adolescents. It helps with atopic dermatitis by targeting and inhibiting specific enzymes called JAK enzymes, which play a crucial role in the inflammatory process in the body.

  • Elidel cream contains the active ingredient pimecrolimus, which belongs to a class of drugs called topical calcineurin inhibitors. Pimecrolimus works by inhibiting certain immune responses in the skin that cause inflammation and itching associated with eczema.Elidel cream is used to treat certain inflammatory skin conditions, primarily atopic dermatitis, which is also commonly known as eczema

    Recommend use:

    Before applying Elidel cream, ensure that the affected skin areas are clean and dry. Wash your hands before and after application to prevent spreading the cream to other areas.

    Apply a thin layer of Elidel cream to the affected skin and gently rub it in until it disappears. Avoid using excessive amounts of the cream.

    Avoid applying Elidel cream to areas with open wounds, cuts, or broken skin. Also, avoid contact with the eyes, mouth, and inside the nose.

    Elidel cream is generally recommended for short-term or intermittent use to manage flare-ups of eczema. Long-term continuous use may not be suitable due to concerns about potential side effects.

    Elidel cream can make your skin more sensitive to sunlight, so it's important to avoid prolonged sun exposure and use protective clothing and sunscreen when outdoors.

    Improvement in eczema symptoms may take time. It's essential to be patient and follow the treatment plan consistently as prescribed by your doctor.

    Common side effects:

    Burning or stinging sensation: Some individuals may experience mild to moderate burning or stinging at the application site after using the cream, if this occurs it is recommended to mix it with aquphor then apply to the skin.

    Ironically, the medication used to treat itching may cause some itchiness as a side effect in some people.

    The skin at the application site may become slightly red.

    Some users may report discomfort or irritation of the skin.

    It's important to note that not everyone using Elidel cream will experience these side effects, and often, if they do occur, they are generally mild and temporary. However, if you notice any persistent or severe side effects or have concerns about using the cream, it's crucial to contact your healthcare provider.

  • Dupixent is approved for the treatment of moderate to severe atopic dermatitis in adults and children who are at least 6 years old and have not responded well to other topical treatments. It is a subcutaneous injection given every two weeks and helps to reduce inflammation and alleviate symptoms associated with eczema.

    Dupixent works by inhibiting the action of interleukin-4 (IL-4) and interleukin-13 (IL-13), which are proteins involved in the body's inflammatory response. By targeting these specific proteins, Dupixent helps to reduce inflammation and related symptoms in the affected conditions.

    Common side effects:

    Mild redness, itching, pain, or swelling at the injection site are relatively common and usually resolve on their own.

    Some patients may experience eye redness, itching, or dryness.

    There have been reports of cold sores occurring more frequently in patients taking Dupixent.

    Mild to moderate headaches can sometimes occur.

    Some patients may experience increased susceptibility to common respiratory infections.

    : In rare cases, allergic reactions to Dupixent can occur, characterized by rash, hives, difficulty breathing, or swelling of the face, lips, tongue, or throat. If any signs of an allergic reaction occur, immediate medical attention is necessary.

Learn about the supplements recommended.

  • It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more.N-acetyl cysteine 600 mg daily x 1 week then increase to 1,200-2,400 mg daily

    • The most common effective dose is 1,200–2,400 mg daily.

    • Take with or without food, but consistent timing is key

    • NOW Foods NAC 600 mg

    • Jarrow Formulas NAC Sustain (slow-release formula)

    • Thorne NAC (high-quality option)

    • Pure Encapsulations NAC (hypoallergenic, no additives)

    Generally safe and well-tolerated, but some may experience:

    • Mild nausea or upset stomach (take with food if this happens).

  • Niacinamide (nicotinamide) is a vitamin B3 derivative with anti-inflammatory, sebum-regulating, and barrier-restoring properties.

    It helps reduce acne lesions, redness, and post-inflammatory hyperpigmentation while improving skin texture and hydration.

    Recommend: 500 mg twice daily (total 1000 mg per day)

    Mechanism

    -Reduces sebaceous inflammation and free radical damage.

    -Supports barrier repair and may decrease risk of antibiotic resistance when used adjunctively.

    MAKE SURE YOU ARE STARTING nicotinamide (niacinamide) — not niacin (nicotinic acid) — since niacin causes flushing and vasodilation.

    Recommended brands:

    BrandFormulationNotesThorne Niacinamide 500 mgPharmaceutical-grade; clean excipients.High-quality option for long-term use.Pure Encapsulations Niacinamide 500 mgHypoallergenic; capsule form.Ideal for sensitive patients.NOW Foods Niacinamide 500 mgCost-effective, third-party tested.Readily available online.

    Side effects:

    • Generally well tolerated.

    • Mild nausea or GI upset possible if taken on an empty stomach.

    • Avoid in active liver disease or heavy alcohol use (rare hepatotoxicity at very high doses).

    • Can be combined safely with prescription acne treatments, retinoids, or antibiotics.

  • Polypodium leucotomos extract) is an added shield to sun protection for photodamage, polymorphous light eruption (PMLE), melasma, and other UV-related skin conditions. This oral antioxidant supplement helps reduce UV-induced oxidative stress and inflammation, but it does not replace sunscreen or physical sun protection measures.

    Continued use of broad-spectrum sunscreen (SPF 50+), UPF clothing, and sun avoidance during peak hours is still recommended.

    Potential benefits include reduced erythema, decreased UV sensitivity, and enhanced skin photoprotection.

    Where to find?

    Heliocare antioxidant supplement (one capsule (240 mg) daily, with the option to increase to two capsules per day on high sun exposure days), Innerglow sol defense gummy vitamins (2 gummies in the morning) description