...Oral antibiotics are indicated for moderate-to severe disease, for the treatment of acne on the chest, back, or shoulders, and in patients with inflammatory disease in whom topical combinations have failed or are not tolerated. After control of the acne is achieved and maintained for at least two months, a reduction in the dose can be attempted. Hormonal treatment is especially useful in women who desire contraception or have other manifestations of hyperandrogenism, such as irregular menstrual cycles or hirsute. Oral antibiotics and topical therapy may be used in combination with hormonal treatments.When the use of this agent is being considered, an assessment of the severity of disease should include the effect of the acne on the patient, such as the potential for scarring....»
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«...Remember that bacteria feed on things and when they do they grow and grown until either their feeding source is stopped or something comes along to kill them. With severe cystic acne these bacteria go so deep in the skin that they get nourishment constantly, like a plant with very deep roots that doesn't die easily. severe cystic acne is much like that; because it goes so deep under the skin it continues to grow and breed....»
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