Zinc and Comoedomal Acne
August 21, 2007
The acne treatment you choose depends on how severe your acne is and whether it's inflammatory or not. Comedonal acne is not generally inflammatory. While zinc is not contraindicated for the treatment of comedonal acne without any inflammation, the property which recommends it for acne treatment is its anti-inflammatory capability. This makes it somewhat pointless as a treatment for most comedonal acne.
If your comedonal acne is mild first try a daily application of some retinoid topical cream that will modify your skin’s abnormal keratizinization of follicles. Azelaic acid, salicylic acid and benzoyl peroxide, all over the counter products, might also be effective. Surgery may be helpful as well, if these treatments don’t resolve your comedonal acne problems.
If your comedonal acne has some inflammatory aspects – and that is possible – zinc oxide combined with nicotinamide and folic acid can help with the inflammation. It is also an effective treatment for rosacea and acne vulgaris.
If your comedonal acne is moderate – that is, a little worse than would be considered mild - you would treat it as you do mild cases, except that the topical products would be applied twice daily rather than once. You might also try a combination of salicylic acid, retinoid acid, azelaic acid and benzoyl peroxide, but you may find that it irritates your skin.
If your comedonal acne is severe the topical products aren’t wrong to try, and certainly if inflamed at all the zinc oxide combination as well. You may need acne surgery, however. Another option would be isotretinoin, especially if open comedones are predominant on your skin. There are some drawbacks to the isotretinoin treatment, however, and it’s definitely contraindicated if you are pregnant or may become pregnant.
Isotretinoin is a synthetic retinoid to be taken orally. It is prescribed generally for patients whose severe acne doesn’t respond to oral antibiotics. You’ll more than likely take one half or one mg a day for up to five months. While this doesn’t “cure” your acne it does put it into remission long term. You may have to have one or two subsequent treatments to keep your comedonal acne at bay. While medical professionals have determined that isotretinoin does inhibit the gland’s sebaceous activity, they don’t fully understand why it works on comedonal and other forms of acne.
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