Excerpt from Power To The Patient by Isadore Rosenfeld M.D., plus links to reviews, author biography & more

WHAT TO INSIST ON IF YOU HAVE ACNE
Although acne is extremely common, it can be dramatically alleviated and often cured. Insist on a consultation with a dermatologist to avoid the devastating emotional impact that extensive acne can have on vulnerable adolescents. Rupture of untreated cysts can cause permanent scarring that can be improved by a variety of dermatological and cosmetic procedures. Insist on guidance from a specialist.

A variety of topical solutions—ranging from over-the-counter preparations to prescription tretinoins and antibiotics that unplug the blocked ducts and reduce the bacteria on the skin surface—are effective. When topical measures fail, insist on low-dose antibiotics, either alone or in conjunction with these other measures, to reduce the severity of acne. In some women, hormonal therapy can control the disorder. If other treatments aren't working, insist on Accutane. It can dramatically improve acne and cure it in almost half the cases by preventing the production of the oils that obstruct the ducts. However, do not use Accutane if you are of childbearing age unless you scrupulously practice birth control because it can cause severe fetal abnormalities.

Copyright 2002 by Isadore Rosenfeld, M.D.