Tablets to cleanse the body of acne

Today there are many products designed to combat acne and pimples. But the first thing you should start with is cleansing the intestines of acne, only in this case you can get rid of the problem for a long time or forever. Other means, of course, give a certain effect, but in most cases it turns out to be short-lived. The fact is that pimples (acne) are most often an external manifestation of improper functioning of the intestines and liver. It is for this reason that the use of various products and expensive cosmetic procedures often does not give the expected result.

A little more about the cause of acne on the face and back

People with problem skin should think about changing the way their body works. As already mentioned, the appearance of pimples and blackheads indicates problems associated with the liver and intestines. It should be noted that cleansing the intestines is the most important stage in cleansing the body, since accumulated toxins and other harmful substances negatively affect the functioning of every organ and system, which, as a rule, affects the condition of the skin. In order to rid the body of their accumulation, cleaning should be carried out periodically.

The clogged sebaceous glands begin to become inflamed, forming pimples. This can happen despite the regular use of tonics and lotions. The skin is an excretory organ. Toxins and other harmful substances that have not been removed from the body begin to accumulate in fatty tissues.

Some useful tips

After cleaning your stomach, liver and intestines, you will see the result immediately: the condition of your skin will improve. In addition, people with problem skin (acne) are advised to avoid eating junk food containing chemical additives and sugary carbonated drinks, giving preference to foods that are rich in vitamins and other beneficial substances. Including fresh vegetables, fruits, herbs, soybeans, cereals, green tea and other products in your diet will only be beneficial.

For the body, especially a young one, due to unstable hormonal levels, various external factors can be dangerous, one of which is food. You should drink at least a liter of water per day. Elimination of problems associated with the liver and intestines can be combined with the use of face masks and other cosmetics designed to combat acne and acne (including folk ones).

Stages of cleansing

The apple diet is quite popular when it comes to cleansing the intestines, but the approach to it must be correct. Similar therapies are also carried out in some clinics. In general, it is quite possible to cleanse the intestines at home.

The colon cleansing procedure (enema) is carried out using water at room temperature. Add baking soda or salt to the water (1 teaspoon). The procedure is repeated daily throughout the diet.

On the second day after cleansing your rectum, avoid eating any food except peeled apples. During the day you should eat up to five to seven pieces. Try to drink as much as possible (plain water). On the first day of the apple diet, cramps may appear. Before going to bed, it is recommended to give the enema again and apply castor oil.

Most often, already on the second day (in the second half) the first signs of improvement in skin condition appear. As a rule, this is a reduction in the itching sensation that usually accompanies acne. You may also notice that new pimples have stopped appearing, and severely inflamed areas of the skin are beginning to calm down. The result of therapy is not only external signs, but also an improvement in well-being.

By the end of the third day of the diet, you can most often notice that the acne begins to resolve, which indicates a positive reaction of the body.

On the third day of therapy, continue to consume apples and do not forget to drink plenty of fluids. During lunch, it is advisable to drink grape juice (no more than 2 glasses). Take olive oil (a couple of tablespoons), this is necessary for the digestive system to resume its function. Remember to use castor oil. Give the enema again before going to bed.

During the third day of therapy, you may experience periodic headaches, often accompanied by a slight feeling of weakness. A hot shower followed by drinking green tea can bring relief. Try to increase the amount of water you consume (at least 1.5 liters per day).

By the end of the diet, the result becomes more noticeable: the skin does not look so inflamed, unevenness noticeably subside. It is important not to forget about grape juice and plain water.

In most cases, three days is enough to see visible results.

Complete cleansing of the skin usually occurs some time after therapy. The end result will not only improve your skin condition and feel lighter, but also help you shed a few extra pounds.

Some tips for caring for problem skin

Colon cleansing is the most effective method in the fight against acne and acne. In order to speed up the healing process, you must continue to properly care for your skin.

1. Under no circumstances should pimples be squeezed, especially if they are in the stage of severe inflammation, i.e. they hurt. The fact is that it is quite difficult to do this correctly on your own, and most often a new pimple forms in the same place. In addition, do not forget that by acting in this way, you can damage the skin, which will lead to a scar.
2. If possible, the skin should be given a break from makeup; when you come home, makeup should be completely removed.
3. Keep in mind that by washing your face frequently, you are stripping away your skin's protective barriers. According to cosmetologists, the number of “water procedures” should be no more than 2-3 times a day, especially if you use special cleansers.
4. The tincture of bay leaf has an excellent effect. To prepare it you will need about 10 laurel leaves and 100 g of alcohol. You need to insist in a tightly closed container for 2 weeks. Wipe your face with the finished tincture once a day.

Cosmetic ice also has a good tonic effect. To prepare it, brew green tea in a glass of boiling water (one bag is enough). Then cool, pour into special molds and put in the freezer. It is recommended to wipe your face with ice twice a day.

How else can you cleanse your body?

There are a lot of ways to cleanse the body of toxins, today it is not only diets and therapies, but also courses of taking special medications. If pills cause you concern, you can use another simple method of colon cleansing.

A saline solution helps get rid of acne. Mix 1 teaspoon of salt in 0.5 liters of water. You need to drink it every morning, washing it down with a glass of kefir after a while. Salt water effectively removes all harmful substances from the body. Thanks to drinking kefir, the remaining salt is neutralized, and the stomach is saturated with beneficial lactic acid bacteria. It is important to understand that one day of such therapy will not be enough. To obtain a noticeable effect, the course of daily therapy should be at least two weeks.

Medical expert article

Anti-acne pills are a relevant topic, because it is so unpleasant when inflamed bumps of various sizes appear on the skin, especially on the face, which in some cases do not respond to any ointments or creams.

Dermatologists say: if topical products do not help with acne, you need to look for the cause and act on it from the inside.

[1], [2], [3], [4], [5]

Antibacterial drugs for acne treatment

Antibiotics provide a positive therapeutic effect when bacteria begin to multiply rapidly in the clogged sebaceous ducts and inflammatory infiltrates form. The main thing is that the drugs act on these bacteria.

Tetracycline tablets for acne, active against a large number of bacteria, can be used for pustular and large conglobate rashes, as well as for folliculitis. The standard daily dosage of this drug for acne is 10-15 mg (in 2-3 doses); Tetracycline can also be used every other day for 21 days.

Acne tablets Doxycycline (Doxacin, Vibramycin, Novacycline, Unidox, etc.) belong to the tetracycline group and are used for various infectious and inflammatory pathologies, including purulent lesions of the skin and soft tissues in severe forms of acne. The daily dose of this drug prescribed by dermatologists is 0.5 g; The tablets should be taken once a day after meals with a glass of water.

Erythromycin anti-acne tablets (synonyms: Adimicin, Ilozon, Synerit, Eomitsin, Eriderm, etc.) are macrolides and are used in dermatological practice in the same extreme cases as all other antibiotics. For adults, the standard single dose of the drug is 0.25 g (with a maximum permissible daily dose of 2 g).

The use of Levomycetin tablets for acne can be explained by its wide range of antimicrobial effects (from pneumonia and dysentery to purulent otitis and peritonitis), but still it is not taken orally for skin infections, since dermatitis is among its side effects. Although chloramphenicol, mixed with an alcohol solution of salicylic and boric acid, is part of a popular suspension for lubricating acne.

Metronidazole tablets for acne and its synonym - Trichopolum tablets for acne - have the same active ingredient - a derivative of nitroimidazole (generics based on it - Metroseptol, Metrovit, Trikaside, Rozex, Flagyl). This is a remedy against protozoans (Trichomonas, Giardia) and anaerobic bacteria (Bacteroides spp., Fusobacterium spp.). Prescribed for the development of abscesses of the lungs, brain and abdominal organs, and for general sepsis. The instructions do not provide for oral administration of these drugs in the case of acne treatment, however, there are forms for external use - Metrogyl gel, Rozamet cream, etc.

Side effects of acne tablets with antibacterial properties are numerous and are expressed in dyspeptic symptoms, changes in the composition of obligate intestinal microflora (dysbacteriosis), a decrease in the number of red blood cells and platelets in the blood, liver dysfunction, various neuropathic and allergic reactions, as well as the development of superinfections. And an overdose can lead to irreversible liver dysfunction and hearing loss.

[6], [7]

What pills help with acne?

Before you start listing the names of acne tablets, it should be noted that, firstly, among organotropic drugs that affect the skin, you will not find such a category, and, rather, these will be drugs for the treatment of acne.

Secondly, non-inflamed comedones require exclusively external treatment and proper skin care. But with purulent acne, inflamed papular, pustular and large conglobate (very dense) pimples, with ostiofolliculitis or sycosis (caused by staphylococci), one cannot do without complex therapy using oral medications, which must be determined by a specialist in dermatological diseases after determining the etiology acne. And the main indications for the use of acne tablets are the appearance of acne due to hormonal imbalance in adults, intestinal problems, as well as the presence of foci of bacterial infection. So, products aimed at eliminating the causes of their appearance help against acne.

Regarding disturbances in the production of hormones in the body, it should be clarified that hormones (progesterone in women, testosterone in men) largely determine the functioning of the sebaceous glands and the volume of sebum synthesized by them. And a pimple pops up exactly in the place where excess lipid secretion of the sebaceous gland has accumulated and has not come to the surface as expected to perform its functions - increasing the acidity level of the skin and protecting it from microbes.

As for bacterial infections, Staphylococcus epidermidis, Staphylococcus aureus and Propionibakterium acnes are involved in the appearance of acne (acne vulgaris, acne conglobata, etc.).

It should be recalled that the use of acne pills during pregnancy is completely unacceptable.

Hormonal acne pills

Hormonal pills for acne on the face can only be used by women (and girls after menarche), and the so-called physiological (juvenile) acne cannot be treated with hormones under any circumstances.

With increased synthesis of the androgenic hormone testosterone by the ovaries and adrenal cortex, acne can appear in women of childbearing age, and due to estradiol deficiency, this problem occurs either with ovarian cysts or during menopause, when the production of this hormone gradually decreases. In addition, experts attribute pathologies of the adrenal glands, leading to increased synthesis of cortisol (hypercortisolism), to hormonal causes of acne.

Hormonal acne tablets Cyproterone (Androcur) have an antiandrogenic effect, that is, they reduce testosterone levels, which leads to a temporary (during the period of taking the drug) decrease in sebum production and the cessation of pathological hair growth in women (hirsutism). The drug is also intended for the treatment of malignant neoplasia of the prostate gland in men. Cyproterone has many side effects, in particular, dryness and flaking of the skin (xerosis), abdominal pain, nausea, swelling, impaired liver function, fatigue and increased absent-mindedness.

Hormonal tablets for acne on the back Drospirenone are used to improve the condition of women during menopause. Taking these tablets helps get rid of acne and oily seborrhea, but can lead to such undesirable consequences as thrombophlebitis and vascular thrombosis, increased blood pressure and heart rate, cholecystitis, swelling of soft tissues, blurred vision, pain and formations in the mammary glands, cramps , sleep disorders.

In addition, Drospirenone is part of oral hormonal contraception - in combination with estradiol (or a synthetic estrogen analogue ethinyl estradiol). But birth control pills for acne can only be prescribed if a woman, based on a biochemical blood test, is found to have excess testosterone. These products include Jess acne tablets, Angelique tablets, Diane-35, Yarina, Zhanin, Midiana, etc. The method of use and doses of such drugs are described in detail in the attached instructions, since they are taken according to a schedule depending on the woman’s monthly cycle.

Contraindications to the use of acne pills based on sex hormones include varicose veins, a tendency to form blood clots, diabetes mellitus, vascular pathologies of the brain, liver and kidney failure, gynecological neoplasms, etc.

Roaccutane for acne

Acne tablets Roaccutane (Isotretinoin, Acnekutan, Dermoretin, Sotret, Isotroin, Amnesteem, Claravis, Absorica) are systemic retinoids that affect tissue metabolism. According to dermatologists, these are the best acne pills available today and the latest advance in acne treatment, especially for severe cystic acne and pimples that do not respond to other medications.

The drug's active ingredient, 13-cis-retinoic acid, is a metabolite of retinol (vitamin A) and is thought to act by binding to the retinoid receptor (RXR). The pharmacodynamics of retinoids have not been fully elucidated, but the result of their influence is inhibition of the production of sebaceous glands of the skin secretion. In addition, gland ducts and follicles are not clogged with dead keratocytes, since retinoids block cell proliferation and desquamation, that is, they prevent the development of follicular retention hyperkeratosis. Thus, all factors in the formation of comedones and pimples are eliminated.

The daily dose of Roaccutane is determined at the rate of 0.5 mg per kilogram of body weight, tablets are taken once a day (with food). Like tablets for acne on the back and other parts of the body, Roaccutane is recommended to be taken in a higher dosage. Usually the course lasts 8-10 months. In cases of hormonal etiology of acne (in women aged 20-30 years), a course of treatment with systemic retinoids can significantly improve the skin condition without the need for constant use of hormones.

Side effects of acne tablets Roaccutane: dermatitis, dry lips (cheilitis), xerosis, blepharitis, sicca keratoconjunctivitis, dry nose and nosebleeds, nasopharyngitis, pain in muscles and joints, anemia, thrombocytopenia, increased liver transminases, ulcerative colitis, increased levels cholesterol and blood glucose, osteoporosis (in adolescents there may be impaired growth of skeletal bones).

Roaccutane has a teratogenic effect, so women of childbearing age should use the most reliable means of contraception not only while taking these pills, but also for a month after completion of treatment. According to the FDA, from 1982 to 2003 in the United States, more than 2 thousand women became pregnant during treatment with this drug: most pregnancies ended in miscarriage, and about 160 children were born with birth defects.

Intestinal tablets for acne

Intestinal tablets for acne are intended, on the one hand, to normalize the intestinal microflora, and on the other, to absorb and remove all metabolic products and, first of all, excess cholesterol. And also to reduce the absorption of fats by binding and removing free bile acids from the body. In this way, enterosorbents (absorbing intestinal drugs) can help fight acne.

Most often, doctors recommend such absorbent stomach tablets for acne as Carbopect (activated carbon, pectin, microcrystalline cellulose), Lactrofiltrum (hydrolyzed lignin with lactulose) or Filtrum-STI (based on hydrolyzed lignin).

Directions for use and dosage: orally, 2-3 tablets (they can be crushed first) - three times a day, an hour and a half before meals, with 150-180 ml of water. Enterosorbents are not used for exacerbation of chronic pathologies of the gastrointestinal tract and intestinal atony. An overdose can cause constipation and abdominal pain.

Brewer's yeast for acne

By using Brewer's yeast tablets for acne, you reinforce your body with thiamine (vitamin B1), riboflavin (B2), pyridoxine (B6), cyanocobalamin and, very importantly, biotin (vitamin B7).

What does this do for the treatment of acne? Firstly, it helps strengthen the immune system. Secondly, brewing yeast vitamins are involved in the synthesis of the bactericidal protein enzyme lysozyme, which not only protects cells from damage and accelerates the healing process, but also creates conditions for normal lipid-carbohydrate metabolism in the body.

Thirdly, biotin, a coenzyme of fatty acid metabolism, regulates the secretion of sebum, and leucine contained in yeast ensures the regeneration of skin cells. In addition, the bacteria of brewer's yeast Saccharomyces boulardii restore and normalize the intestinal biocenosis, and then the synthesis of endogenous biotin is resumed and, accordingly, fat metabolism is improved.

Dermatologists recommend taking brewer's yeast in tablets, two tablets three times a day (after meals), for children 5-12 years old - one tablet once a day.

[8], [9]

Zinc tablets for acne

Zinc is associated with the production of somatotropin (growth hormone), somatomedin (insulin-like growth factor) and the main male sex hormone testosterone. So, when the body lacks this microelement, the level of cortisol, which regulates carbohydrate metabolism, decreases, but, most importantly, the synthesis of testosterone decreases. And this not only negatively affects the male genital area (in terms of erection), but also leads to acne. For this reason, acne pills for men are drugs containing zinc compounds.

Zinkovital lozenges are recommended to be taken two tablets once a day (after meals). Zincite effervescent tablets must be dissolved in water and taken in the morning before breakfast - once a day, for at least 30-40 days.

Zincteral or Zinc Sulfate (in tablets of 1.24 g) is prescribed 1-2 tablets twice a day (an hour before meals); children 10-14 years old - one tablet per day. Duration of treatment is up to two months. Side effects of acne tablets with zinc include nausea, diarrhea, heartburn, a metallic taste in the mouth, sore throat, and increased body temperature.

Instead of the listed medications, dermatologists may recommend taking vitamins with zinc for men.

Acyclovir and Traumeel for acne

Those who believe that Acyclovir is an acne pill are mistaken. This antiviral drug is for Herpes simplex - the herpes simplex virus (HSV-1 and HSV-2). And those “pimples with a yellowish liquid inside” on the lips or in the area of ​​the nasolabial folds are not pimples, but vesicles (vesicles) with serous liquid.

So Aclovir is useless for acne. But with herpes rashes there is no way to do without it, since this drug stops the replication of the DNA of the virus and thereby prevents the appearance of new vesicles on the skin - very contagious.

Acyclovir is taken for five days - 20 mg (one tablet) five times a day, preferably every 4-4.5 hours. Swallow the tax tablet whole and wash it down with water. This drug is also available under the trade names Gerpevir and Zovirax.

Traumeel is a homotoxic (homeopathic) drug of plant and mineral composition; in relation to soft tissue injuries of various etiologies, it exhibits anti-inflammatory, hemostatic and regenerating properties, relieves swelling and pain. Indications for use include dermatological diseases such as furunculosis, hidradenitis, eczema, and diaper rash. A furuncle is a purulent inflammatory focus in the hair follicle and sebaceous gland, so, most likely, Traumeel is also suitable for simple acne. The method of its use is sublingual (under the tongue), the dose is one tablet three times a day.

[10], [11], [12], [13], [14]

Masks made from acne tablets

Among the remedies for acne there are masks made from acne tablets. To prepare them, aspirin tablets for acne are used in combination with cosmetic clay, natural honey, kefir and aloe juice.

It is enough to crush a couple of acetylsalicylic acid tablets and mix them with clay powder (1:1), and then dilute with boiled water to a paste, adding a few drops of chamomile, geranium or lavender essential oil. This anti-acne mask stays on the skin for 15 minutes.

Another composition: aspirin tablets crushed into powder are mixed with honey and aloe juice, and in the third option you need to prepare a homogeneous mixture of aspirin and kefir.

Mumiyo for acne in tablets can also be used for a healing mask. For example, one tablet of mumiyo should be diluted in lukewarm boiled water (two tablespoons), and then this liquid should be added to a mixture of ingredients such as steamed oatmeal or oatmeal, potato starch or grated fresh cucumber.

Masks made from acne tablets should be left on the face for no more than a quarter of an hour, and it is best to wash off with an infusion of chamomile at room temperature.

The same medications may have different effects on different people. That is, it helped some, but not others. Therefore, reviews of acne pills are very diverse. The only thing they have in common is their complete confidence that it is almost impossible to deal with acne...

But we must not forget the most important thing: you should look for the cause and act on it not only from the outside, but also from the inside, using acne pills recommended by your doctor.

Acne is a problem familiar to many people, especially teenagers. Special medications will help to cope with it. There are several groups of tablets suitable for treating acne. If this rash has not spared you, read what medications will help you get rid of it.

What are the types of acne pills?

There are different medications to treat acne. To choose the right one, you need to consult a doctor. He will determine what is causing the rash and prescribe an appropriate treatment regimen. In addition to capsules, he can prescribe local remedies and diet. What pills help with acne on the face:

1. antibiotics;
2. hormonal contraceptives;
3. retinoids (Roaccutane);
4. to cleanse the body;
5. brewer's yeast with additives;
6. vitamins;
7. from subcutaneous mites.

Hormonal

They are prescribed if the problem of rashes is due to the fact that a woman has too high levels of testosterone, which is a male hormone. Contraceptives change hormonal levels and optimize the functioning of the sebaceous glands. In most cases, the following medications are prescribed for acne:

1. Jess. An affordable drug. It is prescribed for acne very often. It has a number of contraindications. Take one tablet a day continuously.
2. Yarina. A contraceptive that is sometimes prescribed to women to combat rashes. Taken in 21-day courses on the recommendation of a specialist.
3. Janine. Birth control pills to help fight acne. Take only as prescribed by a specialist.

Do birth control pills help acne?

Contraceptives can actually clear up your skin from rashes. However, they are not a specialized medicine and are intended mainly to prevent unwanted pregnancy. They have a lot of contraindications, so taking such tablets without consulting a doctor is strictly prohibited. The instructions for the drug must be strictly followed.

Antibiotics

Such drugs often treat advanced cases of acne that other medications have not been able to cope with. Depending on the cause of the rash and the extent of skin damage, the course of use can range from one to several weeks. It is worth noting that prolonged, and even more so uncontrolled use of antibiotics has a detrimental effect on the body, so self-medication is strictly prohibited. Take them only if your doctor prescribes them. What to drink for acne on the face:

1. Erythromycin. Antimicrobial drug. To get rid of acne on the face, take it one tablet twice a day. The medicine is prohibited for use by pregnant and lactating women.
2. Metronidazole (Trichopol, Metrogyl). Removes acne and scars from them, has an antimicrobial effect on the skin. As a rule, it is prescribed to take 0.25 g 2 times a day.
3. Tetracycline. The drug is very effective against those microbes that cause rashes. It helps better in combination with local remedies. Contraindicated for liver diseases, fungi, pregnancy, and breastfeeding.
4. Doxycycline (Unidox Solutab). A medicine with a pronounced antibacterial effect. It has many contraindications and side effects.

Intestinal tablets for acne

If there are a lot of toxins and other harmful substances in the body, a rash may appear on the face. As a rule, to get rid of it, you need to take cleansing medications. They promote the removal from the inside of the body of bacterial toxins, metabolic products and breakdown of alcohol, pathogenic microorganisms, allergens, and heavy metal salts. Facial acne cleansing tablets:

1. Lactofiltrum. It is allowed to be taken by adolescents over 12 years of age. The course of treatment takes from a couple of weeks to a month. The tablets should not be taken by people with stomach bleeding or intestinal obstruction.
2. Activated carbon. To get rid of acne, drink it on an empty stomach in the morning, taking one tablet for every 10 kg of weight. You can also drink 2 pieces three times a day a couple of hours before meals. Coal helps a lot and is very inexpensive.
3. Polypephane. This drug contains natural ingredients. Treatment takes a week. Tablets are prohibited for constipation.
4. Filtrum-STI. The medicine is made from the hydrolysis products of wood components. You need to take three tablets three times a day. You can get rid of acne in two to three weeks. The drug should not be taken if you have an ulcer.

Brewer's yeast tablets

Such drugs are often prescribed to treat rashes. As a rule, zinc, selenium, iron, and many other microelements are added to yeast, which have a positive effect on the condition of the skin. These tablets are rich in vitamins and amino acids. Taking them will help improve the appearance of your face, hair, and nails. The medicine copes well with acne caused by disruption of the sebaceous glands. However, brewer's yeast also has a drawback - its use promotes weight gain, so it should be done under the supervision of a doctor.

Find out how to take hormonal acne pills.

How to choose pills for acne on the face

The main thing is not to make any decisions on your own. Contact your doctor, he will conduct all the necessary tests and prescribe the optimal treatment regimen. Only a specialist can determine which pills will help you and not harm you. At the same time, he will take into account your gender, age, the cause of the problem, and analyze the general condition of the body. Trust a specialist, and rashes will stop bothering you. Find out who needs zinc tablets.

You can buy skin treatment medications in an online store or order them at a regular pharmacy. Look carefully at the catalogs, because the cost in different organizations can vary significantly. Approximate prices for them are shown in the table below:

To cleanse the body

Find out which acne treatments are also effective.

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Reviews

Ekaterina, 25 years old Acne started appearing when I was a teenager. I thought it was due to age, but the years passed and the problem did not go away. I tried different creams, masks, folk recipes, but nothing helped. I went to the doctor, and after an examination they prescribed hormonal pills for Janine. Three months later, the skin on the face completely cleared and the drug was discontinued.

Alevtina, 37 years old After a protracted illness, her entire face was covered with acne, there was not a single free space. Activated charcoal saved me, which I drank every morning for two weeks in a row. The result was noticeable almost immediately; new inflammations stopped appearing. A month later, not a trace of the rash remained, all the scars had disappeared, and the complexion evened out.

Alexandra, 22 years old The best anti-acne pills for me are brewer’s yeast with vitamins. I buy different ones every time, their prices are quite affordable. Thanks to this supplement, not only does my face remain clean, but my hair is prettier and my nails are stronger. I am very pleased with the effect of brewer's yeast. I’m not afraid of gaining weight from them; it wouldn’t even hurt me to gain a couple of extra pounds.

Victoria, 39 years old I have been struggling with acne for a very long time, so I can safely say that the best remedy for it is antibiotics. And the price is affordable, and the result is noticeable. The most important thing is not to buy pills at random; they must be prescribed by a doctor. It is best to combine them with local medications. Be sure to maintain hygiene and wash well.