When the dead skin cells mix with the sebum and dirt on your face, they form a sticky mixture. The mixture is sticky enough to clog your pores. Poof, an acne or comedone is formed.
• Antibiotics and Topical creams containing retinol. These treatments can alleviate acne and help minimize inflammation that can be exasperated by acne. These are not without it's own side effects and you should check with your Dermatologist about what all the side effects are before you consider a medical treatment for acne.
A steroidal androgen receptor blocker, spironolactone is effective for hormonal acne and hirsutism. It is generally given concomitantly with oral contraceptives. Spironolactone may cause menstrual irregularities (usually metrorrhagia). Normal menses may resume with a reduction of the dosage. Spironolactone may also feminize a male fetus, which is another reason it should be administered with oral contraceptives.
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