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Acne

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Acne
  • Acne is the most common of all skin conditions.
  • It is almost universal during puberty.
  • Acne affects almost 90% of people at some stage during their life.
  • Comedones are the hallmark of acne vulgaris.
  • Acne vulgaris is more common among teenagers and more severe in males.
  • Acne Treatment should be commenced early to prevent scarring.
  • The patient should be counseled that the improvement may not be seen immediately for at least a few months.
  • Mild to moderate acne is treated with topical preparations.
  • Moderate to severe acne is treated with systemic antibacterial preparations.
  • Hormonal treatment with co-cyprindiol (cyproterone with ethinylestradiol) is only used in women.

What is Acne?

Acne vulgaris is a common, usually self-limiting, multifactorial disease that involving inflammation of the sebaceous follicles of the skin in the face and upper trunk.

Acne is a chronic, inflammatory skin condition that results in spots and pimples, especially on the face, shoulders, back, neck, chest, and upper arms.

What are the types of Acne?

The following are the most common types of acne;

  • Blackheads – These are small black or yellowish bumps that develop on the skin.
  • Whiteheads – These are Similar in appearance to blackheads, but more firm and they do not empty when squeezed
  • Pimples (pustules) – These are small red bumps that may feel tender or sore.
  • Papules – These are similar to papules, but they have a white tip in the center due to pus formation.
  • Cysts – These are large pus-filled lumps with the greatest risk of forming a scar.
  • Nodules – These are painfully hard and large lumps that build up beneath the skin

During puberty, the sebaceous gland is activated so there are more chances of developing acne in that stage, but it can occur at any age. It is not dangerous, but it can cause;

  • Skin scars
  • Spots
  • Oily skin
  • Sensitive skin that’s hot or painful to touch

How Acne occurs?

Acne usually occurs when hair follicles become plugged with oil and dead skin cells. Bacteria worsen the condition by causing infection and inflammation.

  • Small gland known as Sebaceous glands is present near the surface of the skin. The glands are attached to hair follicles.
  • Sebaceous glands secrete an oily substance called sebum which lubricated the hair and skin.
  • In acne, there is over secretion of sebum from sebaceous glands. This excess sebum along with dead skin cells, debris and bacteria forms a plug in the follicle, which results in acne.

 

During puberty increased androgen activity triggers the growth of sebaceous glands which results in enhanced sebum production.

What are the factors involved in Acne?

The four primary factors involved in the formation of acne are;

  • Increased sebum production
  • Sloughing of keratinocytes
  • Bacterial growth
  • Inflammation

 

What are the Risk Factors?

The most common Risk factors for acne are as follows;

  • Genetics – Family history
  • The menstrual cycle
  • Hormonal changes
  • Anxiety and stress
  • Hot and humid climates
  • Using oil-based makeup more frequently
  • Squeezing pimples will worsen the condition
  • Medications like steroids, lithium, androgens
  • Continues Friction against the skin

Acne in males

During puberty, there are more levels of testosterone in the body. Testosterone enhances the production of sebum from a sebaceous gland that results in acne.

Acne in females

Hormonal changes in female occur during;

  • Periods (menstrual cycle)
  • Pregnancy
  • Polycystic ovary syndrome (POS)

 

How Acne Can be Prevented?

  • Wash face with soap and water twice daily can help prevent acne. Particularly when you face more sweating and dirt.
  • Avoid picking, popping, and squeezing pimples, as it may lead to infection and scarring.
  • Avoid skin rubbing and scrubbing
  • Use sunscreen when going outdoors, as too much sunlight has damaging effects on the skin.
  • Avoid oily skincare products.
  • Avoid stressful conditions.

Diagnosis of Acne

Diagnose of acne can be done by careful examination of the skin. It involves examination of face, chest or back for the different types of spots, such as blackheads or sore, red nodules.

The doctor also looks for different signs and symptoms;

  • Mild soreness
  • Pain
  • Itching
  • Lesions over the;
    • Face
    • Neck
    • Upper chest
    • Back
    • Shoulders
  • Comedones, that are the hallmark of acne vulgaris
  • Inflammatory papules
  • Pustules
  • Ecstatic pores
  • Acne cysts
  • Scaring

What is the Treatment for Acne?

Treatment of acne involves the use of Topical and Oral preparations. The goal of treatment is to prevent the formation of new acne lesions, heal existing lesions, and prevent or minimize scarring.

Topical Preparations

Topical preparations for acne include;

  • Benzoyl peroxide
  • Azelaic acid
  • Topical Antibacterial like
    • Erythromycin
    • Clindamycin
  • Topical Retinoid
    • Retinoid
    • Adapalene

 

These preparations are used for Mild to moderate acne, comedones, and inflamed lesions.

Benzoyl peroxide

Benzoyl peroxide (Benzac AC, Acnestar ) is effective against;

  • Mild to moderate acne
  • Comedones
  • Inflamed lesions

Treatment is usually started with low strength; if acne does not respond to the treatment after 2 months then topical antibacterial is recommended.

Azelaic Acid

Azelaic Acid (Aziderm)  is effective against;

  • Mild to moderate acne
  • Comedonal acne of the face

It has antimicrobial and anticomedonal properties. It causes less local skin irritation as compared to benzoyl peroxide.

Topical Antibacterial

Topical erythromycin and clindamycin are used against;

  • Inflammatory acne

These are usually recommended to avoid the oral use of antibacterial.

To avoid antibacterial resistance;

  • Use non-antibiotic antimicrobials (benzoyl peroxide, azelaic acid)
  • If one antibiotic is effective then do not change it without any reason
  • Do not continue treatment for more than recommended

 

Topical Retinoid

Topical retinoid is effective against;

  • Inflammatory lesions
  • Comedones
  • Mild to moderate acne

Retinoid (TRETINOIN) and Adapalene (ADACLENE) are used as a topical retinoid.

Treatment with topical retinoid should be continued for several months until no new lesions are formed.

Oral Preparations

Oral preparations for acne include;

  • Systemic Antibacterial
    • Oxytetracycline
    • Tetracyclin
    • Doxycyclin
    • Minocycline
    • Clindamycin
    • Erythromycin
  • Oral Hormone
    • Co-Cuprinol
  • Oral Retinoid
    • Isotretinoin

Systemic antibacterial treatment

Systemic antibacterial used for the treatment of acne are as follows;

  • Oxytetracycline
  • Tetracyclin
  • Doxycyclin
  • Minocycline
  • Clindamycin
  • Erythromycin

 

  • Systemic antibacterial treatment is useful for inflammatory acne when topical treatment is not useful or it may be used with topical treatment.
  • If there is no result after 3 months then another oral antibiotic should be used.
  • Maximum improvement occurs after 4 to 6 months if treatment
  • In severe cases, the treatment can be continued for 2 years.

 

Oral Hormone Treatment

Co-cyprindiol (an Oral Hormone), is used for the treatment of moderate to severe acne. It has anti-androgen properties. Sebum secretion and hair growth depend on androgen. Co-cyprindiol decreases sebum secretion and it is also used for hirsutism.

Oral hormone treatment is recommended to treat moderate to severe acne in the female.

It is recommended when topical and oral antibacterial therapy does not produce the desired outcome.

Co-cyprindiol also has contraceptive properties.

Oral Retinoid

Oral Retinoid used for the treatment of acne is isotretinoin.  It reduces sebum secretion. Isotretinoin is used for the systemic treatment of;

  • Scarring
  • Severe acne
  • Nodulo-cystic and conglobate acne
  • Acne which has not responded to a systemic antibacterial
  • Acne which is associated with psychological problems

Isotretinoin is useful in women who develop acne in the third or fourth decades of life. Since acne in this age is usually not responsive to antibacterial. Isotretinoin is given for at least 4 months (16 weeks).

Side-effects of isotretinoin include;

  • Severe dryness of the skin and mucous membranes
  • Nose bleeding
  • Joint pains

Isotretinoin is teratogenic and must not be given to pregnant women. Treatment with Isotretinoin should be stopped if psychiatric changes occur during treatment.

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

Home Remedies

Below mentioned are some home remedies for acne;

Tea tree oil – Tea tree extract has natural antibacterial and anti-inflammatory properties. Teat tree oil can be added in creams, gels, or essential oil.

Jojoba oil – Waxy substances in jojoba oil helps to repair skin. Jojoba oil can be added in creams, gels, essential oils, and clay face masks. It can also be applied directly to acne sore with the help of a cotton pad.

Aloe Vera – Aloe Vera has antibacterial and anti-inflammatory properties. Aloe Vera can be added to creams or gels.

Honey – Honey has anti-oxidant properties that help to clear clogged pores from debris. Honey can be directly applied to pimples using a cotton pad or a clean finger.

Green Tea – Green tea contains antioxidants. Green tea extract can be applied to the skin or it can be used as a drink.

 

 

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

References

  • Rosacea and Acne. (2016). In British national formulary 70. London: BMJ Publishing and the Royal Pharmaceutical Society.
  • Maxine A. Papadakis

Dermatological Disorders In Current Medical and Diagnosis Treatment. Mc Graw-Hill Education, 55th Edition, 2016. (page: 127-129)

  • Joseph T. Dipiro

Acne Vulgaris In Pharmacotherapy Handbook. The McGraw-Hill companies, 7th edition, 2009. (page: 179-185)

 

 

  • Revol O, et al. Psychological impact of acne on 21st-century adolescents: Decoding for better care. British Journal of Dermatology. 2015;172(suppl.1):52.

 

 

  • Acne: Tips for managing. American Academy of Dermatology website. aad.org/public/diseases/acne-and-rosacea/acne#tips. Accessed March 11, 2018.

Melnik, B. C. (2015, July 15). Linking diet to acne metabolomics, inflammation, and cosmogenesis: An update. Clinical, Cosmetic, and Investigational Dermatology, 8, 371–388
ncbi.nlm.nih.gov/pmc/articles/PMC4507494/

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Top 16 Benefits Of Turmeric You Need To Know

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Top 16 Benefits Of Turmeric You Need To Know

Benefits Of Turmeric

Turmeric is one of the essential spices that has made its place in Southeast Asian kitchens for centuries. The golden hue spice is perhaps one of the important kitchen ingredients in Southeast Asian cuisine and it is the reason why the dishes get that brilliant yellow color.

Turmeric has a long history of usage in the herbal medicine industries in countries such as India, China, and Indonesia. This article discusses the top 15 benefits of turmeric in our daily lives and its importance in the herbal medicine industry.

1. Teeth whitening and brightening 

Did you know that turmeric can be used as a teeth whitening agent? Turmeric can be used in the homemade toothpaste and can be used for teeth whitening. Make sure that turmeric does not make prolonged contact with your teeth or else it might lead to stains.

2. Foundation in makeup

Tumeric can eliminate the problem of ashy makeup. By adding turmeric to the tinted moisturizer, a perfect glow can be achieved which will march the skin tone. It is a common practice in India.

3. Soap bar

Are you using homemade soap? Here is a tip to achieve glowing skin. When you will be manufacturing your next homemade soap, remember to add several teaspoons of turmeric and it will do wonders to your skin.

4. Good for scalp

Are you facing dandruff problems? Well, here is the solution to your problem. The amalgamation of turmeric with hair oil can improve the scalp’s health as well as can help you get rid of dandruff. Mix turmeric with coconut oil or jojoba oil and massage your scalp. Leave it for 15 minutes to get the best results.

5. Temporary tattoos

Heading for a big fat Indian wedding and looking for turmeric? Just head to Google and type in ‘Indian spices near me. Mehendi is a must in Indian weddings and turmeric is used widely for this purpose. Create the golden Mehendi by adding henna to it to enhance the color.

6. Treating a sprain

Sprains can be painful. But luckily you do not have to bear it for long when you have turmeric in your home. Just take one portion of salt and two portions of turmeric and mix them properly to make a paste. Apply the paste evenly on the affected surface and leave it for 20 minutes.

7. Treating swimmer’s ear

Swimmer’s ear can be treated using natural remedies and here is one such remedy. Along with warm garlic oil, you can add turmeric and mix them well to properly flush out water from your ears.

8. Treating an upset stomach

Are you suffering from irregular bowel movement? Turmeric is rich in anti-inflammatory and antioxidant compounds. It is known for an alternative therapy for gastrointestinal problems. It is recommended that in cases of upset stomach, you must have an intake of 500 grams of turmeric a few 3 times a day to soothe your upset stomach.

9. Good for achy arthritis

Are you someone who is facing a chronic arthritis problem for a long time? Well here is something which can help you with it. There are specific turmeric extracts such as Meriva and Indena which can help in reducing joint pain.

10. Enhance liver functions

The liver is a vital organ of our body and it is important to maintain proper liver health. The curcumin found in turmeric can help maintain liver health and can delay any existing liver-damaging conditions.

11. Skin treatments

Did you know that turmeric has the power to inhibit skin cancer? Curcumin found in turmeric can inhibit the formation of melanoma and halts the process of spreading of breast cancer to the lungs.

12. Protection from cancer

There were several lab testings conducted by researchers and it was found that the curcumin present in the turmeric can kill the cancer cells as well as they can slow down the growth of cancerous cells in the body.

13. Minimize Alzheimer’s disease

Wondering why it is one of the widely used Indian spices? Clinical trials of curcumin have proven to be effective in decreasing the Alzheimer’s brain plaque in rats.

14. Longevity tea

The Okinawa area in Japan has the population with the world’s longest life span and here is the secret behind it. They drink turmeric tea daily and all you need to prepare the tea is just one teaspoon of turmeric.

15. Meat can be made safe

It is recommended to add turmeric to meat to reduce the heterocyclic amines level by 45 percent. Heterocyclic amines are linked to higher rates of cancer in humans.

16. Brightens skin and fights skin issues

This ancient Indian spice has a very special place of honor in Indian weddings, specifically in the Haldi ceremony, which includes applying a turmeric paste (turmeric+curd) on the bride and groom – because of the glow, it leaves on the soon-to-be-married couple. When we apply turmeric topically, the study shows that it may help improve skin issues ranging from acne to psoriasis to sun damage. 

Conclusion Thoughts

One thing to know about turmeric is: The important active component of turmeric and the one that gives the spice its characteristic of yellow color is known as Curcumin. Actually, curcumin is the compound responsible for most of turmeric’s potential health benefits. We hope the writeup is informative and you have gained substantial knowledge about the benefits of turmeric. Without a doubt, turmeric is one of the most powerful herbs in the world and its usage in medicines is on the rise. Due to its miraculous benefits, turmeric is the herb you must buy today.

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5 Reasons Why A Panic Button Is Essential For Elderly

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5 Reasons Why A Panic Button Is Essential For Elderly

Panic button provides an easy-to-use security option. Not only does it signal authorities with a push of a button and it’s less complicated compared to a smartphone.

With rising crime rates, the safety of our elderly folks is at risk. Especially the ones who choose to live independently. Here are some reasons why senior citizens should have a panic button with them.

1.For Immediate Assistance

One may wonder if assistance is just a phone call away, then why bother with a panic button? Well, because elderly people find it difficult to operate a phone, let alone dial an emergency number. This costs them too much time and sometimes, they’re unable to get up, make a call, and explain their plight.

On the other hand, panic buttons are available as a pendant, watch, or a bracelet. This makes them easily available to our elderly in times of distress. All they have to do is press the button which signals the alarm company, and they dispatch concerned authorities to their house.

2.For Protection Against Crime

Apart from prompt medical assistance, a panic button is extremely helpful in protecting the elderly from unexpected crimes. Whether it is burglary or home intrusion. The panic button is most likely helpful during burglaries after medical assistance.

Besides, houses of elderly folks who live alone are vulnerable and easy targets for thieves. But, with a panic button and a strong security system, elderly folks will have the police on their front porch even before the robber can make a run. Thus, make sure a panic button is always around your independent senior citizens.

3.For Easy Monitoring

Leaving our elderly alone at home means we’ll constantly worry about their safety and well-being. But thankfully almost every home security system is equipped with an application. Every element of your security system is examined through this application, including the panic button. This not only makes it easier for you to check on your loved ones but as and when the panic button is pushed you’ll also be informed.

Apart from that, the application notifies you if the security system isn’t functioning properly or if it requires updating. This is helpful if you’re on a work trip or live far away from your elderly folks.

4.For A Secure Living

Elderly folks can be self-reliant and stubborn, they don’t want to be a burden on their children or grandchildren. Hence, they choose their independence and privacy over living with a loved one. We can be a little hesitant in letting them live alone, but with a panic button, it becomes easier.

Handing over a panic button to our senior citizens, assures us of their safety and well-being. Also, with the help of home security systems, it allows them to keep their independence while living securely. One can also install security cameras, smoke, and water detectors inside the home of the elderly, only if they are comfortable with it.

5.For Peace Of Mind

The anxiety of unfavorable incidents occurring increases when it’s about the safety of our elderly folks. Ironically, with the help of a panic button, our panic about elderly protection is put to rest. Because one of the biggest advantages of a panic button for the elderly is the sense of security and peace one gets from it.

It alerts the police and other departments in case of intrusion, fire, floods, gas leak, etc. It also sends medical assistance to their house in case of emergencies like a heart attack, stroke, falling down the stairs or in the bathroom, and more. With the panic button, we and our elderly folks worry less about being left alone during unfortunate incidents.

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HEALTH

The facial routine and the care that your skin needs this winter

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care that your skin needs this winter

Care that your skin needs this winter

Skin; when winter comes, we all notice that our skin is much more sensitive and drier, so if we want it to remain in perfect condition, it is necessary to follow specific care to protect it and provide it with the nutrition and hydration it needs. Having a proper facial routine is an essential aspect to achieve this. It is not enough to apply a moisturizer any day to care for the skin, but it is convenient to choose very carefully the products that we are going to use since we could cause a few unwanted effects or produce an imbalance in our skin.

So that we can get the most appropriate facial care, Douglas offers us the best brands in cosmetic treatments. In addition, with the Douglas Coupon, you will have the opportunity to access the best discounts to take care of your skin.

Discover how to take care of your skin daily with the most suitable cosmetic products

First of all, one of the steps that we should never skip is sun protection. Although many people still think that sun protection is only for the summer, the truth is that the sun can cause damage to our skin throughout the year, and therefore good foot care cannot be complete without it. Using the correct sunscreen, we will avoid the premature appearance of wrinkles, sun spots, and other skin problems.

La Roche Posay offers us a complete catalog of sunscreens for all skin types, with the best guarantees. We can find from sun creams with SPF 30, up to 50+, with a touch of color, in spray cream or as an Invisible anti-glare facial mist, so that everyone can find the protector that best suits their needs.

Another essential step in any facial routine is cleaning. Dirt can accumulate on the skin if we do not clean it daily, as well as dead cells, which can prevent adequate oxygenation and regeneration of the skin. Therefore, it is recommended to use a good facial cleanser every day, such as Lancome cleansing foams and lotions. In addition to daily cleaning, if we do an in-depth cleaning once a week or every 15 days, with exfoliation included, our skin will thank us. The facial cleansers Foreo can become the perfect complement to it.

The hydration is another essential step in any facial routine. We all know that hydrating the skin is very important, but the reality is that few people hydrate it correctly. First of all, it is essential to choose a good moisturizer, which is suitable for our specific skin type.

To cope with inclement weather and protect ourselves, we must not stop using our moisturizer every morning, and of course, it must have a pleasant, light texture and with the specific benefits that your skin needs, such as anti-wrinkle action, an extra of luminosity or nutrition.

Kora Organics, an exclusive brand in Douglas, has the necessary products to achieve deep hydration. Another of the star brands in terms of hydration is Biotherm. At Douglas perfumerías, we find a varied selection of brand facial creams, masks, and oils, specific for normal, combination, dry skin, or for the most sensitive skin.

Don’t forget to protect your skin this winter and find your ideal facial routine with the most suitable products. In Douglas, you have a varied range of cosmetics from the best brands on the market. Take care and protect your skin this winter.

Although it will be difficult to avoid 100% the effect of cold, there are certain circumstances that can help avoid discomfort. Prevention will be especially necessary for people who have a predisposition to dry skin or who have conditions such as atopic dermatitis.

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