Point of Information Regarding Comedogenic Ingredients

[Guest guest]

If anyone has a list of or a good web site listing comedogenic

ingredients please reply to me and post it on this forum.

Also, I've been thinking. Why does every product contain comedogenic

ingredients -- It's as if there is a conspiracy to clear you today,

but keep the comedones forming so you're hooked on the product for

life. Trust no one.

One of the reasons Accutane is so sucessful, as a treatment for both

acne and rosacea, is that, historically, when a patient starts

accutane, they stop all topicals! Comedones are expelled, and do not

reform, in part becuse of the action of Accutane, and in part because

the comedogenic and IRRITATING TOPICALS ARE REMOVED.

Further, since Accutane expels microcomedones that one would

otherwise not see for many weeks in the future, and good test for

comedogenicity (hey, forget rabbit ears) is to test on Accutane

patients post clearing. A product which is comedogenic will be

readily apparent within 2 weeks on the skin treated by Accutane.

This line of reason just backs up my algorithm testing phase of the

topicals.

I noticed a post about Dr. Bitter wanting all his patients on

minocyline in preference to doxycyline. Now, who else advocated

minocyline on this board -- hmm could it be... me? Let us all agree

that minocyline is superior to doxycyline.

With regards to age and rosacea, being young doesn't exempt one from

rosacea anymore than just being old doesn't exempt them from acne.

And consider this, being young, getting a lot of sun exposure, a

person in their 20s starts developing rosacea. This person has

already gone through the general teenage acne and recovered. However

this hypothetical patient then starts apply myriads of rosacea

topical treatments and moisturizers, etc. This leads to a cosmetic

acne syndrome on top of the rosacea, worsening everything.

Or, the following scenario. A person is out in the sun chronically.

We know sun is comedogenic and develops acne weeks later. This

person applies irritating acne topicals. This person develops

rosacea on top of the acne.

Either scenario is quite common. The two nefarious factors here are:

SUN

COMEDOGENIC OR IRRITATING TOPICALS*.

We must strive for the elimination of both of the above. Whatever

the cost in lifestyle.

*And remember, there is a presumption of comedogenicity of a topical

unless you have tested it for two weeks bid WHILE ON ACCUTANE, post

clearing. Otherwise, you won't know if it is causing microcomedones

or not because they won't mature for many weeks.