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The following represent a comprehensive list of articles that address the use of Retin A Micro for effective acne treatment:

Study Shows Benefits of Retin A Micro Over Retin A  Cream in Reducing Facial Shine
Business Wire
November, 2008

Retin A Micro Receives Marketing Clearance in Europe; Johnson & Johnson Europe to Market Prescription Acne Treatment Containing Microsponge Systems in Europe.
Business Wire
October, 2008

Topical Therapy for Acne
European Family Physician
November, 2008

 


Study Shows Benefits of Retin A Micro Over Retin A 0.025% Cream in Reducing Facial Shine
Business Wire
October, 2008

Retin A Micro prescription medication for the treatment of acne, may have an added benefit over just Retin A Cream in patients with oily skin. Findings from a study, published in the August issue of the dermatology journal CUTIS, demonstrate that Retin A Micro significantly reduces the appearance of facial shine compared to Reti-A Cream. Contributing factors to facial shine may be due to oil, sweat and dirt.

Thirty-five males and females between the ages of 12 and 24 with oily skin and facial acne participated in a randomized, double-blind half-face study conducted by a contract research laboratory on behalf of Ortho Dermatological. Study participants' skin was evaluated by the study investigator and by the subjects at baseline and at three and six hours after application of the two test products. Digital photographs, which provide an objective method of evaluating facial shine, were taken at each time interval.

Statistically significant reductions were reported by the investigator in the appearance of facial shine (oiliness) at three and six hours after application of Retin A Micro as compared to baseline. Study participants also reported a statistically significant decrease in facial shine on the Retin A Micro side at the three- and six-hour interval.

Retin A Micro  contains tretinoin, the same active ingredient in Retin A a . However, Retin A Micro  is designed to minimize the irritation commonly experienced with the highest strength of Retin A, Retin A Micro entraps tretinoin in Microsponge systems (round microscopic particles made of synthetic polymer) and formulates them into a gel. The microspheres hold the medication in reserve, allowing the skin to absorb small amounts of tretinoin over time. Dermatologists who conducted the pivotal clinical studies believe this may be why most Retin A Micro patients experience little or no irritation.

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Patients may see therapeutic results in two to seven weeks of treatment with Retin A Micro. An additional benefit of Retin A Micro is that it can be applied immediately after patients wash their face, unlike Retin A, which requires a 20-30 minute waiting period.

In clinical studies, the Retin A Micro irritation profile was found to be similar to a mild, local irritant. The most common adverse reactions to Retin A Micro is that it can be applied immediately after patients wash their face, unlike Retin A, which requires a 20-30 minute waiting period. were limited to mild or moderate irritation of the skin. Severe cutaneous irritation occurred infrequently. Six percent of patients discontinued due to irritation. During the first few weeks of therapy with Retin A, some irritation, including redness and peeling, will be experienced by most patients. Generally, these effects are manageable and diminish over time. However, some people with sensitive skin may experience excessive irritation.

Retin A Micro is that it can be applied immediately after patients wash their face, unlike Retin A, which requires a 20-30 minute waiting period. and Retin AŽ are marketed by Ortho Dermatological. MICROSPONGEŽ is a registered trademark of Enhanced Derm Technologies, Inc.

Retin-A Micro cream for acne treatment, understand how the Retin-A Micro acne treatment works.Buy Retin A Micro online, the acne treatment most recommended by dermatologist. Fast acting acne treatment with Retin A Micro
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Retin A Micro  Receives Marketing Clearance in Europe; Johnson & Johnson Europe to Market Prescription Acne Treatment Containing Microsponge Systems in Europe
Business Wire
July, 2008

AP Pharma, Inc., a specialty pharmaceutical company, today announced that European drug regulatory authorities have granted marketing clearance for Retin A Micro for the treatment of acne.

This topical medication was launched in the U.S. in 1997, becoming the first ethical pharmaceutical to contain the patented Microsponge delivery systems. Retin A Micro is one of the leading products in the $500 million-per-year U.S. prescription acne market and is licensed to AP Pharma's development and marketing partner, Ortho Dermatological, a member of the Johnson & Johnson family of companies. Johnson & Johnson Europe will market the product in Europe under the same U.S. trade name, Retin A Micro .

"Retin A Micro has proven to be extremely popular in the U.S. and we anticipate that it will enjoy similar success in Europe. Sales of Retin A Micro in Europe will add to our existing royalty streams and we look forward to benefiting from product line extensions and continued geographic expansion by Johnson & Johnson," commented Mike O'Connell, AP Pharma's president and chief executive officer.

Retin a Micro represents the most prescribed acne treatment in the Europe. Dermatologists are expected to share the same enthusiasm for
Retin A Micro acne treatment in Europe, as well.

Retin A Micro cream for acne treatment, understand how the Retin A Micro acne treatment works.Buy Retin A Micro online, the acne treatment most recommended by dermatologist. Fast acting acne treatment with Retin A Micro
(click here for details).

 

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Topical Therapy for Acne
European Family Physician
November, 2008

Acne is a common problem in adolescents and young adults. The disorder is caused by abnormal desquamation of follicular epithelium that results in obstruction of the pilosebaceous canal. This obstruction leads to the formation of comedones, which can become inflamed because of overgrowth of Propionibacterium acnes. Topical retinoids such as tretinoin or adapalene are effective in many patients with comedonal acne. Patients with inflammatory lesions benefit from treatment with benzoyl peroxide, azelaic acid or topical antibiotics.

Acne and its associated problems with self-esteem and social inhibition represent a figurative "rite of passage" for as many as 80 percent of adolescents and young adults. Two thirds of affected teenagers wish that they could speak with their physician about acne, but only one third actually do.3 It is important for family physicians to be knowledgeable about the treatment of this common disorder.

Topical preparations constitute the sole treatment in many patients with acne and are part of the therapeutic regimen in almost all patients. This article reviews topical acne preparations and provides information that can help family physicians select agents (or combinations of agents) that are appropriate in various situations.

Clinical Manifestations of Acne

Acne is usually diagnosed by the patient. The doctor needs to determine if the condition is noninflammatory (open and closed comedones), inflammatory (papules or pustules) or a mixture of both (the most common situation). Topical treatment is sufficient in most patients with acne, but systemic therapy is required in patients who have deep acne with nodules and cysts.

In most situations, the doctor does not need to look for an underlying cause of acne. However, medications should be reviewed because corticosteroids, anabolic steroids, lithium and some oral contraceptives can contribute to the development of this condition.

Treatment of Acne

Creams are appropriate for patients with sensitive or dry skin who require a nonirritating, nondrying formulation. Patients with oily skin may complain of an "oily" feel with creams.

Patients who have oily skin may be more comfortable with gels, which have a drying effect. However, gels may cause a burning-type irritation in some patients and may prevent certain kinds of cosmetics from adhering to the skin.

Lotions can be used with any skin type, and they spread well over hair- bearing skin. Yet lotions contain propylene glycol and thus may have burning or drying effects.

Solutions are mainly used with topical antibiotics, which are often dissolved in alcohol. Like gels, solutions work best in patients with oily skin.

Acne Treatment With Topical Retinoids

Retinoids, which are derivatives of vitamin A, function by slowing the desquamation process, thereby decreasing the number of comedones and microcomedones. Retinoids are the most effective comedolytic agents in use. They have been a mainstay of acne treatment for the past 25 years. Retin A Micro represents the most popular Retinoid for acne treatment.

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Acne Treatment With Tretinoin

Until recently, tretinoin was the only available topical retinoid. This agent is effective as monotherapy in patients with non inflammatory or mild to moderate inflammatory acne.17

Tretinoin is available as a cream, gel or liquid. The cream has the lowest potency, and the liquid has the highest potency. All tretinoin formulations can cause some skin irritation. The liquid is the most irritating, and the cream is the least irritating. The concentration of the agent also affects the degree of irritation.

Tretinoin should be applied in small amounts to clean, dry skin. Because the irritation associated with tretinoin is compounded by sun exposure, the formulation should be applied to affected areas once daily at bedtime. To assess irritation, a test dose should be applied and then washed off an hour or two later. To minimize irritation, tretinoin should be started at a low concentration, which can then be titrated upward as needed. Skin irritation usually decreases with continued therapy.

Patients should be warned that they may suffer a pustular flare during the first few weeks of tretinoin therapy. Rather than being an indication to stop or alter therapy, this pustular flare is a sign of the accelerated resolution of existing acne.

Because of the known teratogenic effects of oral vitamin A products, the use of tretinoin in pregnancy has been an issue of concern. Tretinoin is listed as a pregnancy category C drug. However, a study of 215 women exposed to tretinoin in the first trimester showed no increase in anomalies compared with control subjects.18 Individual physicians should decide if they are comfortable using this medication in pregnant women.

Tretinoin is now available in a new delivery system Retin A Micro that may minimize its irritative effects. This delivery system works by entrapping the drug in microspheres that bring the medication more directly to the follicle and serve as reservoirs for the medication.

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Acne Treatment WithTopical Antibiotics

Topical antibiotics work directly by killing P. acnes. Through their bactericidal activity, they also have a mild indirect effect on comedogenesis. These agents are available in a variety of forms and are applied once or twice daily.

Topical erythromycin and clindamycin (Cleocin T) are the most commonly used agents and have similar efficacy in patients with acne.24 Clindamycin has been shown to be significantly more effective than topical tetracycline.25

Almost all topical antibiotics are associated with some minor skin irritation. This adverse effect may be influenced by the vehicle used.

Therapeutic Approach to Acne Treatment

The therapeutic approach to acne should begin with patient education. It is important to dispel the many myths about this disorder.

Patients need to know that acne is not a disease of hygiene. They should not try to scrub the lesions away, and they should not use alcohol-based astringents that can dry and irritate their skin. Patients should be instructed to wash their face twice a day with a mild soap and water.

Patients should also be informed that acne has no relationship to diet. For example, no evidence links acne to chocolate, pizza or soda.

Many people think that acne is caused by stress, but no studies support this association. It may be that the acne itself causes stress, not vice versa.

Cosmetics have long been blamed for the development of acne lesions. Although the causal relationship between cosmetics and acne may be overstated, patients should be directed to use oil-free, noncomedogenic cosmetics. Oil from hair products and suntan lotions can also exacerbate acne.

Female patients should be told that acne usually worsens during the week before menses.

Mechanical trauma can make acne worse. Therefore, patients should be encouraged to avoid picking at lesions, because doing so may cause more inflammation.

Selecting a treatment regimen

The physician needs to consider a number of factors in choosing a treatment regimen for the patient with acne.

Patients with drier skin may benefit most from creams, whereas patients with oilier skin may do best with gels or solutions. Picking the appropriate vehicle can lead to better compliance by limiting side effects.

In patients with comedonal acne, it may be best to initiate treatment with Retin A Micro.

Until proven otherwise, patients with mild inflammatory acne should also be started Retin A Micro. They need to know that treatment of their acne will require time and patience. No "quick fix" is available, and they may not see improvement for two to three weeks.

In patients with more moderate inflammatory acne, the doctor needs to decide whether to use topical therapy, systemic therapy, or both. If topical therapy alone is chosen, Retin A Micro is usually the first choice.

Acne Treatment Conclusions,

All patients with acne should be given realistic expectations about their acne treatment plan, along with good follow-up. These measures can contribute to the ultimate success of the acne treatment. Most dermatologist agree that the best initial approach to acne treatment is tu se the Retin A Micro system.

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The author thanks Mathew Clark, M.D., and Neil Skolnik, M.D., for editorial assistance in the preparation of the manuscript and the library staff at Abington  Memorial Hospital, for help in the retrieval of references.

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