Everyone at one time or another has had a pimple or blemish. Sometimes this has been a result of using a product that reacted poorly with our skin; such as lotions and cosmetics. For some it happens because they forgot to wash their face. These conditions can obviously be avoided to prevent a breakout.
Hair follicles, which are found all over the skin even where hair doesn't grow, produce a lubricant called sebum. Sebum is what nourishes the skin and keeps is moisturized. The bacteria feed off of sebum which is more abundant in pre-teens, teens and young adults. The body, in an effort to get rid of the bacteria, sends white blood cells to kill off the bacteria, but it is not a foolproof solution. The enzymes released by white blood cells actually damage the wall of the hair follicle which allows the sebum to seep under the skin forming a pimple.
Metronidazole is frequently used for acne caused by rosacea. You can get it as a gel at 0.75% strength. You apply it once or twice a day, and as with the others, usually it's well tolerated but can cause some irritation.
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