Acne is a great frustration to many teenagers, and sometimes it continues for decades. In middle-age Rosacea causes a bright red pimply rash that is equally difficult. A study funded by the manufacturer but reported at the Annual Congress of the European Academy of Dermatology and Venereology showed a 70% reduction in acne lesions with the topical combination of adapalene 0.1% and the old standby benzoyl peroxide 2.5% combined in a gel with oral doxycycline. This treatment applies to all but the more severe cases with nodules and pustules. What they did not mention was that it is crucial to take probiotics at a different time of day from the doxycline, or you can develop severe problems with yeast overgrowth in the intestine and elsewhere. For the more severe cases of acne, Accutane is still recommended but the potential side effects are horrible. We have had excellent results with 4-6 treatments of the Smoothbeam laser as a simple office treatment. It is used in some university settings but has not been embraced yet by conventional medicine.
See Family Practice News (click here), January, 2011, p. 34.