Obviously, given their extreme nature, acne cysts need firm handling - only in the figurative sense, that is. The first step is to see a dermatologist, who will discuss all the available treatment options with you before prescribing one. According to Dr Waite, if the acne cysts are really severe, a dermatologist will prescribe isotretinoin.
It is highly recommended that people with cystic acne should visit a dermatologist. If the patient is suffering from light to moderate cystic acne then he/she can take antibiotics which have the tendency to kill the bacterium but approximately 30%-45% of today's cystic acne strains are resistant to one or more of the common antibiotics, making them useless. Additionally long-term use of antibiotics is associated with increased cancer risks. Many dermatologists these days give oral drugs such as Accutane and sulfa-based antibiotics for cystic acne. Oral antibiotics such as tetracycline and minocycline are also more effective for cystic acne because they work systemically.
Do an internet search for "acne cure" and you will get thousands of pages from companies trying to sell you the latest cleanser, to forum sites and message boards offering free advice. One thing they all have in common is they all claim to have an acne cure. However, if you make an appointment to see a dermatologist he or she will look you in the eye and tell you that an acne cure does not exist. What they will tell you is, there might not be a cure, but with medication we can control it.
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