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CVS Health Daily Acne Treatment Cream

Daily Acne Treatment Cream

10% benzoyl-peroxide cream.
Uploaded by: lil.mancini on

CVS Health Daily Acne Treatment Cream
Ingredients explained

What-it-does: anti-acne

The gold standard topical ingredient in treating acne today. There is no miracle cure for acne (we do really wish for one, *sigh*), but Benzoyl Peroxide (BP) is probably the closest thing we have. But, as usual, big effects come with big side effects, so we think BP is best used as a last resort (at least, in the topical treatment field). 

The good thing about BP is that it is amazingly effective against inflammatory-type acne. Not so much against blackheads or whiteheads, but against acne that is caused by the evil bacteria called Propionibacterium acnes (and that is most types of acne).  Apart from being antibacterial, it is also anti-inflammatory, keratolytic and wound-healing, all of which are properties that make it so darn effective against spots.

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Another big pro of BP is that there is no bacterial resistance to it, meaning if it works once it will continue to work. Antibiotics are also a common way to treat acne, but antibiotic-resistant P. acnes are increasing worldwide. BP will probably help you even if antibiotics have stopped working, and the two are also often combined for a more complex acne therapy. Btw, BP plays nice not only with antibiotics but also with retinoids

The side-effects part? BP works its antibacterial magic by being a powerful oxidizing agent, meaning it is a pro-oxidant. As in the opposite of an antioxidant. BP literally generates evil ROS (reactive oxygen species) in the skin that kills P. acnes but also harms the surrounding skin cells. Ongoing BP-use ages your skin, which is why, we say, use it as a last resort. If you do use BP, please also use a good sunscreen and a good antioxidant serum to apologise to your skin (btw, these things are useful in any case). Use the BP treatment at night and the antioxidant serum in the morning so that they do not cancel each other out.

Another side effect of BP is that it can be very skin drying. BP is an example where more is not better. In fact, it is equally effective at concentrations of 2.5, 5.0 and 10%, but the higher the concentration the more irritating and drying side effects occur. So using BP at 2.5% percent is the ideal amount. Another side effect which is good to know is that BP can bleach bedsheets and clothes. Be careful with your expensive satin bedsheets.

Overall, Benzoyl Peroxide is a uniquely effective topical acne treatment, but it comes at a price. Use it as a last resort and for good measure (and with plenty of moisturizers, sunscreen, and antioxidant serum). 

Also-called: Aqua | What-it-does: solvent

Good old water, aka H2O. The most common skincare ingredient of all. You can usually find it right in the very first spot of the ingredient list, meaning it’s the biggest thing out of all the stuff that makes up the product. 

It’s mainly a solvent for ingredients that do not like to dissolve in oils but rather in water. 

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Once inside the skin, it hydrates, but not from the outside - putting pure water on the skin (hello long baths!) is drying. 

One more thing: the water used in cosmetics is purified and deionized (it means that almost all of the mineral ions inside it is removed). Like this, the products can stay more stable over time. 

Gluconolactone - superstar
What-it-does: exfoliant, chelating
  • It’s a polyhydroxy acid (PHA), that is often referred to as next generation AHA
  • It gently lifts off dead skin cells form the skin surface making skin smooth and even
  • In the long term it provides anti-aging benefits, like increased skin thickness and decreased wrinkles (though a tad less than even more proven superstar AHAs)
  • It’s a great moisturizer and even helps to repair impaired skin barrier
  • It’s antioxidant, and does not make your skin more sensitive to the sun
  • It can be used even if your skin is very sensitive, rosacea prone or if you are post cosmetic procedure
Read all the geeky details about Gluconolactone here >>

What-it-does: emollient, emulsifying | Irritancy: 0 | Comedogenicity: 1-2

A super common, waxy, white, solid stuff that helps water and oil to mix together, gives body to creams and leaves the skin feeling soft and smooth.

Chemically speaking, it is the attachment of a glycerin molecule to the fatty acid called stearic acid. It can be produced from most vegetable oils (in oils three fatty acid molecules are attached to glycerin instead of just one like here) in a pretty simple, "green" process that is similar to soap making. It's readily biodegradable.

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It also occurs naturally in our body and is used as a food additive. As cosmetic chemist Colins writes it, "its safety really is beyond any doubt".

What-it-does: surfactant/cleansing, emulsifying | Irritancy: 0 | Comedogenicity: 0

A very common water-loving surfactant and emulsifier that helps to keep water and oil mixed nicely together. 

It's often paired with glyceryl stearate - the two together form a super effective emulsifier duo that's salt and acid tolerant and works over a wide pH range. It also gives a "pleasing product aesthetics", so no wonder it's popular.

Glycerin - superstar
Also-called: Glycerol | What-it-does: skin-identical ingredient, moisturizer/humectant | Irritancy: 0 | Comedogenicity: 0
  • A natural moisturizer that’s also in our skin
  • A super common, safe, effective and cheap molecule used for more than 50 years
  • Not only a simple moisturizer but knows much more: keeps the skin lipids between our skin cells in a healthy (liquid crystal) state, protects against irritation, helps to restore barrier
  • Effective from as low as 3% with even more benefits at higher concentrations up to 20-40% (around 10% is a good usability-effectiveness sweet spot)
  • High-glycerin moisturizers are awesome for treating severely dry skin
Read all the geeky details about Glycerin here >>

A common water-loving surfactant and emulsifier that helps to keep water and oil mixed nicely together. 

What-it-does: emollient, emulsifying, viscosity controlling, emulsion stabilising, surfactant/cleansing | Irritancy: 2 | Comedogenicity: 2

A so-called fatty (the good, non-drying kind of) alcohol that does all kinds of things in a skincare product: it makes your skin feel smooth and nice (emollient), helps to thicken up products and also helps water and oil to blend (emulsifier). Can be derived from coconut or palm kernel oil.

What-it-does: emollient | Irritancy: 0 | Comedogenicity: 1

Probably the most common silicone of all. It is a polymer (created from repeating subunits) molecule and has different molecular weight and thus different viscosity versions from water-light to thick liquid.

As for skincare, it makes the skin silky smooth, creates a subtle gloss and forms a protective barrier (aka occlusive). Also, works well to fill in fine lines and wrinkles and give skin a plump look (of course that is only temporary, but still, it's nice). There are also scar treatment gels out there using dimethicone as their base ingredient. It helps to soften scars and increase their elasticity. 

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As for hair care, it is a non-volatile silicone meaning that it stays on the hair rather than evaporates from it and smoothes the hair like no other thing. Depending on your hair type, it can be a bit difficult to wash out and might cause some build-up (btw, this is not true to all silicones, only the non-volatile types). 

What-it-does: viscosity controlling, absorbent/mattifier | Irritancy: 0 | Comedogenicity: 0

A type of clay mineral that works as a nice helper ingredient to thicken and stabilize formulas. As a clay, it consists of platelets that have a negative charge on the surface (face) and a positive on the edge. So the face of one platelet attracts the edge of the other and this builds a so-called "house of card" structure meaning that Magnesium Aluminum Silicate (MAS) thickens up products and helps to suspend non-soluble particles such as color pigments or inorganic sunscreens (zinc oxide and titanium dioxide).

As the "house of card" structure takes some time to form but collapses quickly if the formula is stirred, products thickened with MAS can be thick in the jar but become easily spreadable upon application (called thixotropy). MAS also gives nice sensory properties, it is not tacky or sticky and gives a rich, creamy skin feel. Also a good team player and works in synergy with other thickeners such as Cellulose Gum or Xanthan Gum

It's one of the most commonly used thickeners and emulsion stabilizers. If the product is too runny, a little xanthan gum will make it more gel-like. Used alone, it can make the formula sticky and it is a good team player so it is usually combined with other thickeners and so-called rheology modifiers (helper ingredients that adjust the flow and thus the feel of the formula). The typical use level of Xantha Gum is below 1%, it is usually in the 0.1-0.5% range. 

Btw, Xanthan gum is all natural, a chain of sugar molecules (polysaccharide) produced from individual sugar molecules (glucose and sucrose) via fermentation. It’s approved by Ecocert and also used in the food industry (E415). 

What-it-does: preservative

It’s pretty much the current IT-preservative. It’s safe and gentle, but even more importantly, it’s not a feared-by-everyone-mostly-without-scientific-reason paraben.

It’s not something new: it was introduced around 1950 and today it can be used up to 1% worldwide. It can be found in nature - in green tea - but the version used in cosmetics is synthetic. 

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Other than having a good safety profile and being quite gentle to the skin it has some other advantages too. It can be used in many types of formulations as it has great thermal stability (can be heated up to 85°C) and works on a wide range of pH levels (ph 3-10). 

It’s often used together with ethylhexylglycerin as it nicely improves the preservative activity of phenoxyethanol.

What-it-does: buffering

We don't have description for this ingredient yet.

What-it-does: preservative

We don't have description for this ingredient yet.

What-it-does: preservative

We don't have description for this ingredient yet.

We don't have description for this ingredient yet.

Arginine - goodie

A semi-essential (infants cannot synthesize it, but adults can) amino acid that is one of the primary building blocks of hair keratin and skin collagen. It's a natural moisturizing factor, a skin hydrator and might also help to speed up wound healing

Arginine usually has a positive charge (cationic) that makes it substantive to skin and hair (those are more negatively charged surfaces) and an excellent film former.  Thanks to the positive charge, it also creates a complex with AHAs (AHAs like to lose a hydrogen ion and be negatively charged, so the positive and the negative ions attract each other) that causes a "time-release AHA effect" and reduces the irritation associated with AHAs

What-it-does: sunscreen, colorant

Titanium Dioxide is one of the two members of the elite sunscreen group called physical sunscreens (or inorganic sunscreens if you’re a science geek and want to be precise).

Traditionally, UV-filters are categorized as either chemical or physical. The big difference is supposed to be that chemical agents absorb UV-light while physical agents reflect it like a bunch of mini umbrellas on top of the skin. While this categorization is easy and logical it turns out it's not true. A recent, 2016 study shows that inorganic sunscreens work mostly by absorption, just like chemical filters, and only a little bit by reflection (they do reflect the light in the visible spectrum, but mostly absorb in the UV spectrum).

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Anyway, it doesn't matter if it reflects or absorbs, Titanium Dioxide is a pretty awesome sunscreen agent for two main reasons: it gives a nice broad spectrum coverage and it's highly stable. Its protection is very good between 290 - 350 nm (UVB and UVA II range), and less good at 350-400 nm (UVA I) range. Regular sized Titanium Dioxide also has a great safety profile, it's non-irritating and is pretty much free from any health concerns (like estrogenic effect worries with some chemical filters).

The disadvantage of Titanium Dioxide is that it's not cosmetically elegant, meaning it's a white, "unspreadable" mess. Sunscreens containing Titanium Dioxide are often hard to spread on the skin and they leave a disturbing whitish tint. The cosmetic industry is, of course, really trying to solve this problem and the best solution so far is using nanoparticles. The itsy-bitsy Nano-sized particles improve both spreadability and reduce the whitish tint a lot, but unfortunately, it also introduces new health concerns. 

The main concern with nanoparticles is that they are so tiny that they are absorbed into the skin more than we want them (ideally sunscreen should remain on the surface of the skin). Once absorbed they might form unwanted complexes with proteins and they might promote the formation of evil free radicals. But do not panic, these are concerns under investigation. A 2009 review article about the safety of nanoparticles summarizes this, "to date, in-vivo and in-vitro studies have not demonstrated percutaneous penetration of nanosized particles in titanium dioxide and zinc oxide sunscreens". The English translation is, so far it looks like sunscreens with nanoparticles do stay on the surface of the skin where they should be.  

All in all, Titanium Dioxide is a famous sunscreen agent and for good reason, it gives broad spectrum UV protection (best at UVB and UVA II), it's highly stable, and it has a good safety profile. It's definitely one of the best UV-filter agents we have today, especially in the US where new-generation Tinosorb filters are not (yet) approved. 

You may also want to take a look at...

what‑it‑does anti-acne
The gold standard topical ingredient in treating acne today. It is uniquely effective in treating inflammatory type acne, but it comes at a price (pro-oxidant and skin drying). [more]
what‑it‑does solvent
Normal (well kind of - it's purified and deionized) water. Usually the main solvent in cosmetic products. [more]
what‑it‑does exfoliant | chelating
A next generation AHA, a so-called PHA that gently exfoliates skin without irritation. It also moisturizes and helps the skin barrier. It also has antioxidant properties. [more]
what‑it‑does emollient | emulsifying
irritancy, com. 0, 1-2
Waxy, white, solid stuff that helps water and oil to mix together and leaves the skin feeling soft and smooth. [more]
what‑it‑does surfactant/cleansing | emulsifying
irritancy, com. 0, 0
A commonly used water-soluble surfactant and emulsifier. [more]
what‑it‑does skin-identical ingredient | moisturizer/humectant
irritancy, com. 0, 0
A real oldie but a goodie. Great natural moisturizer and skin-identical ingredient that plays an important role in skin hydration and general skin health. [more]
what‑it‑does emulsifying | surfactant/cleansing
A common water-loving surfactant and emulsifier that helps to keep water and oil mixed nicely together.
what‑it‑does emollient | emulsifying | viscosity controlling | surfactant/cleansing
irritancy, com. 2, 2
A fatty (the good, non-drying kind of) alcohol that makes your skin feel smooth and nice (emollient), helps to thicken up products and also helps water and oil to blend (emulsifier).
what‑it‑does emollient
irritancy, com. 0, 1
A very common silicone that gives both skin and hair a silky smooth feel. It also forms a protective barrier on the skin and fills in fine lines. Also used for scar treatment. [more]
what‑it‑does viscosity controlling
irritancy, com. 0, 0
A type of clay mineral that works as a nice helper ingredient to thicken and stabilize formulas. As a clay, it consists of platelets that have a negative charge on the surface (face) and a positive on the edge. [more]
what‑it‑does viscosity controlling | emulsifying | surfactant/cleansing
A super commonly used thickener and emulsion stabilizer. [more]
what‑it‑does preservative
Pretty much the current IT-preservative. It’s safe and gentle, and can be used up to 1% worldwide. [more]
what‑it‑does buffering
what‑it‑does preservative
what‑it‑does preservative
what‑it‑does preservative | antimicrobial/antibacterial
what‑it‑does skin-identical ingredient
An amino acid that is one of the primary building blocks of hair keratin and skin collagen. It's a natural moisturizing factor and might also help to speed up wound healing.  [more]
what‑it‑does sunscreen | colorant
A physical/inorganic sunscreen with pretty broad spectrum (UVB and UVA II, less good at UVA I) protection and good stability. Might leave some whitish tint on the skin, though. [more]