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Re: proactiv

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At the heart of the therapeutic barrage that is Proactiv, is, simply,

benzoyl peroxide. All the aha's, " scrubbing cleansers " , astringents,

etc. are just prepping the skin for maximum response to the benzoyl

peroxide. If you want to try benzoyl peroxide on rosacea skin just

get a good aqueous bp gel like Brevoxyl 4. All the other irritating

ingredients can only harm rosaceans. Stay away from the nose with

the bp as well. As usual only one application of bp per day and you

might want to start off every other day for a week to two weeks and

then gradually increase to once a day.

A favorite non antibiotic topical treatment regimen is using the bp

gel on all areas except the nose and use a 5% sulfer lotion on the

nose, with the bp applied a maximum of once a day. If this still

does not clear the papules and pustules, add Differin cream at night

keeping the bp every morning. Plewig and Kligman say that the

maximum inhibition of P acnes are acheived by once a day bp

application. Therefore, twice a day will just irritate more. To get

increased papulopustular clearing, adding the Differin works by

normalizing follicular keritanization -- a different mechanism.

Also, bp is for papulopustular rosacea only. Those with erythema

mainly will not be helped by bp.

> Hi,

>

> Kathy Fields, one of the derms who formulated this product, used to

> be my derm. She told me to stay away from ahas like glycolic acid

> since that aggravates rosacea. I think one or two of the products

in

> Proactive has glycolic acid in it. I know the doctors recommend

> Proactiv for rosaceans. ly, I'm surprised at that, considering

> what I was told by Dr. Fields.

>

> Take care,

> Matija

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