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Acne Creams FAQs

My acne creams are effective on the spots I can notice but I keep getting new ones in other spots. Do I need to start taking other acne treatments?

Not necessarily. The acne process affects large areas of your skin and not merely the spots you see at any one time. You must know that the early damage and blocking of the pores is under the skin and not noticeable.

Always use the acne products to the whole area that can be affected, and you will prevent the spots at an early stage from possibly becoming a problem as well as treating spots that you can see.

Does it matter when I use my products?

It doesn't actually matter, so, if there is a regular time that is convenient for you, consider that. Just consider how you will handle some of the side-effects - such as discoloration of your clothing or bed linen by benzoyl peroxide. An unusual side-effect with topical tetracyclines is that they fluoresce (glow) under ultraviolet (UV) light - so putting them on just before going to a club is not a great idea.

If you are in any doubt on when to apply your acne creams, discuss it with your pharmacist.

The doctor has suggested Dianette as the best acne treatment for my specific type of acne, but I am only 15 and my mum will go mental if she knows I am on the pill. I don't even have a boyfriend, so why am I on a contraceptive?

Dianette is not just a contraceptive drug. It was actually designed to treat bad skin, so the contraception is really a side-effect! Acne is due to an over-sensitivity of your skin to average levels of male-type hormones termed androgens. Even girls have small amount of these.

Dianette contains a drug called cyproterone, which blocks the function of androgens, and this is why it can be useful with acne. It also contains estrogen, one of the female hormones, which stimulates its effect and makes it a contraceptive. Only girls can have it, because boys would have lots of problems if their naturally much higher levels of testosterone were obstructed and they were taking female hormones.

Share your problem with your mum so that she can understand why you are consuming something that also acts as a contraceptive. If you have been getting lots of spots ahead of your periods, you can tell her about the effect hormones have on your skin.

I have done really well with Dianette and want to continue taking it. My doctor says I must put off now that my skin is clear, as it has more of a risk than other contraceptive pills. Can I require staying on it?

This is a problem that many people with acne come up against. Even though Dianette is also a good contraceptive, it is designed to treat acne and the manufacturers suggest that it is stopped once it has worked. It may have a slightly higher risk of producing clots or raised blood pressure than some of the common contraceptive pills but is usually safe to carry on with if you are otherwise fit and well and don't smoke. You have to realize, though, that this would be against the manufacturer's suggestions, and your GP is quite right to advise a change.

A recently established contraceptive pill called Yasmin contains a substance that seems to act in in the same way that the anti-androgen bit of Dianette does; it would make an excellent alternative if you are worried that your acne might resurface if you stop taking the Dianette.

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