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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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5 Reasons Why You Should Call A Chronic Pain Chiropractor

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5 Reasons Why You Should Call A Chronic Pain Chiropractor

Are you experiencing chronic pain that persists beyond your expected time frame and does not respond to any pain management performed by your doctors? Then, this might be the time to ask for help and assistance from our chronic pain chiropractors in Peak Potential Family Chiropractic – Houston Heights. We have a variety of chronic pain treatments using chiropractic services. If you are dealing with a lot of pain that has been happening for quite too long, get treated at Peak Potential Family Chiropractic – Houston Heights, the most trusted chiropractic clinic in Houston.

If we are talking about pain, we can classify it into intractable pain and chronic pain. Soldiers who have severe injuries from war are prone to intractable pain and need immediate pain management using morphine. Meanwhile, chronic pain happens to people who experience persistent pain that has been going on beyond the expected timeframe and cannot be stopped or does not respond to any typical pain management techniques. So what can we do about chronic pain? Chiropractic treatment has a specialized non-surgical method of treating chronic pains like spinal manipulation or adjustment. If you are still in doubt and having second thoughts about whether to ask for help from a chronic pain chiropractor, here are some reasons that you have to take note of.

Pain Management

Since chronic pain persists for a long time, it would be tough to handle using typical pain management. But with a professional chronic pain chiropractor on your side, a variety of chiropractic treatments can be done to ease the pain and restore the body’s function. Chronic pain symptoms such as inflammation and muscle tension can be treated through spinal manipulation. This treatment will ease the tension in your surrounding muscles since the body’s spine will be correctly adjusted, making the blood flow much flowy and in normal phase. 

Treating Chronic Neck Pain

Adults are very likely to have chronic neck pain due to over exhaustion and strenuous activities that require them to lower their heads for a long time. Luckily, chronic neck pains can be treated through chiropractic neck adjustment, specifically called cervical manipulation. This treatment method will loosen up the joints surrounding the cervical vertebrae in our neck. Through this, the chronic pain caused by muscle spasms, muscle strains, pinched nerves, and other factors will decrease. 

Therapeutic Exercises

One way to treat chronic pain is to have pain management and to indulge in therapeutic exercises. Recommended exercises from professional chronic pain chiropractors will alleviate chronic symptoms and underlying mechanical dysfunctions. Patients who are engaging in therapeutic activities are likely to increase mobility and reduce pain in the body.

Chronic Back Pain Treatment

Some patients experience chronic back pain, especially in the lower part of their back. This is an accurate indication of a spinal issue that needs immediate chiropractic spinal adjustment. Our chronic pain chiropractors can do spinal manipulation and other chiropractic care services upon assessing your situation. Chronic back pain should not be ignored since it can result in major health risks in the future if left untreated. That is why seeking the help of our chronic pain chiropractor from the moment you experience chronic back pain is a smarter choice to address the problem immediately when it is still not in its worst stage.

Devising Treatment Plan

Our chronic chiropractors can devise a plan suitable for your chronic pain treatment. The method can include schedules for spinal manipulation, manual therapies, and therapeutic exercises. Following the treatment plan will maintain and sustain the effectiveness of the chiropractic treatment, making the process a lot more successful in the long run. 

So what are you waiting for? Do you have chronic pains that need immediate treatment? Ask the help of the professional here at Peak Potential Family Chiropractic – Houston Heights, the most trusted chiropractic clinic in Houston, TX. We have a variety of chiropractic services that will aid anybody with problems you have. Call us through our customer service hotline and start living a painless life. Call us now!

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Honey Beez Hair Care collection

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Honey Beez Hair Care collection

Honey Beez

Haircare is a vital and hygienic daily routine for both children and ladies. No one wants to go outside with tangled, dry and undesirable hair. Simply by washing your hair doesn’t really mean you are certain you’ve done it right, hair care additionally includes legitimate prepping and ensuring you are utilizing the right hair care products. we likewise realize that. Haircare is significant for our appearance, yet additionally for our general cleanliness. Having sound hair permits us to put our best self forward and guarantee our hair and scalp is solid. Visit a trustworthy Hair Care collection and use quality hair care items to guarantee your hair is just about as solid as could really be expected.

About Honey Beez Hair Care

Healthy hair is basic to the wellbeing and prosperity of the state of your hair, as hair that isn’t kept up with can have divided finishes, tangled, and be incredibly dry, which is neither sound actually, nor useful for your fearlessness. Here is a Honey Beez Hair Care collection site that is detailed explicitly for finished coily, wavy, and textured hair. it is a characteristic hair care framework enhanced with Organic and normal fixings that will saturate and hydrate the hair.

Collections on Honey beez for both kids and Adult

Honey Beez natural hair care was solely created for textured hair. it is a natural hair care system enriched with Organic and natural ingredients that will moisturize and hydrate the hair. Honey beez hair collection deals in two collections including one kid like Honey Beez Bee Sassy Collection for kids from 1yr old to 12 years old. and the Honey Beez Crown Me Collection Adult collection.

CROWN ME ULTRA MOISTURIZING COLLECTION

Pamper and infuse your hair with natural and certified organic ingredients that will leave your hair moisturized and healthy.  This collection caters to all textured hair types for easy to manage healthy hair.

Sassy Collection is ideal for kids

Honey Beez collection is specially formulated with natural and certified organic
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This collection will help resolve issues with improved manageability,
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Five Medicines That Can Be Prescribed Online

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Five Medicines That Can Be Prescribed Online

Prescribed Online

Seeing a doctor online is one of the great blessings of the internet age. The increase in the availability of telemedicine to a wider range of patients is a boon to anyone who needs to consult with a doctor fast but isn’t able to physically travel to the physician’s location (due to impracticality, disability, timing, inconvenience, or other reasons). The same goes for obtaining or renewing prescription medications. While there are some medications and pharmaceutical products that can’t be prescribed via telemedicine, there are many quite useful medicines that can. It can largely depend on a number of factors, including state laws and the nature of the medication. Here’s a list of five prescriptions you can usually get via a telemedicine consultation with a doctor.

Allergy Medication

Suffering from allergies on a daily or seasonal basis is never an ideal situation for anyone. Staying indoors, getting allergy shots, taking antihistamines, and avoiding your allergens are all effective mitigation methods for allergies. But sometimes, you just need a bit of extra help. After consulting with an online doctor about treating your allergies – whether they’re seasonal or otherwise – the doctor can prescribe any necessary medications to help treat them if they feel it to be necessary. This might include nasal prescriptions (such as Flonase or its generic counterpart) or the prescription-only versions of more powerful antihistamine drugs like Zyrtec, Allegra, Mucinex, or Claritin. An online will never prescribe anything that is a narcotic or controlled substance, and they must be a licensed doctor to prescribe anything at all.

Antibiotics

Antibiotics are one of the most useful and powerful medications of our time. Ostensibly used to kill bacteria and prevent it from spreading, this type of medication is applicable across a wide spectrum of various illnesses. If you have an ear or sinus infection, for example, the doctor may prescribe antibiotics. They’re also quite useful for strep throat, bladder infections, and many other potentially infectious diseases. They won’t work for anything that’s not a bacterial infection, so that cold or flu you might pick up at some point during the winter isn’t going to be affected by antibiotics. Doctors can determine whether you might need an antibiotic or not through telemedicine in a variety of ways. To begin with, you’ll fill out an entire medical survey prior to the appointment so they know exactly where to start with your diagnosis. Then, they’ll ask you a series of precise and targeted questions intended to narrow down your issue and prescribe a treatment. If they determine you have a bacterial infection or otherwise are in need of antibiotics, they will proceed to prescribe them for you. If your doctor determines antibiotics as your treatment following your telemedicine consultation, they can prescribe many different ones including Azithromycin (the good old Z-pack), Amoxicillin, and Cephalexin among others.

Birth Control

Sometimes it is not always easy or accessible to acquire Birth control medications. Telemedicine makes it more accessible to a broader range of patients from the convenience of your own home. To start the process, you need to find a telemedicine provider – most insurance companies have one or more that they recommend, or you can do your own research to find a reputable one – and set up a consultation. After speaking with the provider, they can prescribe. Control to you as well as in phone you at any potential side effects it may have. The doctor will likely need to know medical history, allergies, and several other factors prior to prescribing anything.

Blood Pressure/Hypertension Medication

Hypertension and high blood pressure are significant issues that impact millions of people every day. Treating and management of this condition require a bit more than mere diet and lifestyle changes at times. Often, doctors will prescribe certain medications to help. This extends to online or virtual prescriptions for blood pressure medications. Diuretics, beta-blockers, ACE inhibitors, and more are all used to treat hypertension. Following a consultation with your online doctor, he or she may be able to prescribe certain medications to help you manage your blood pressure and deal with hypertension. It depends on a number of factors including the telemedicine provider you are using, the doctor’s opinion, and your previous medical history.

Asthma Inhalers

Any asthma sufferer can tell you that getting an inhaler or an inhaler refill can be a bit costly and inconvenient at times. Luckily, an online prescription can make that task less challenging as well. As with all of the different medications on this list, you must first consult with the doctor online in order to obtain the prescription. With that in mind, you can actually get a prescription for some inhalers, including Albuterol through an online doctor. Whether it’s a rescue inhaler or one you need to treat chronic asthma, online prescriptions make it easier and more accessible than ever before.

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