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Externally Applied Antibiotics

Externally applied antibiotics such as erythromycin, clindamycin, Stievamycin or tetracycline kill the bacteria that grow in the blocked follicles. While topical use of antibiotics is equally as effective as oral use, this method avoids possible side effects including upset stomach and drug interactions (e.g. it will not affect use of the oral contraceptive pill), but may prove awkward to apply over larger areas than just the face alone.

Do You Think You Have a Sleep Disorder?

At various points in life, almost everyone suffers from a lack of sleep. People can easily repay these sleep debts by later on getting enough sleep. However, if a person spends enough time in bed and still wakes up tired or feel very sleepy during the day, this may be a sign of a sleep disorder.
One of the best ways to determine a good quality of sleep and the signs of a sleep disorder is keeping a sleep diary. Use the "Sample Sleep Diary" to record the quality and quantity of sleep; any use of medications, alcohol and caffeinated beverages; exercise patterns; and the levels of sleepiness felt during the day. After a week or so, look over this information to see how many hours of sleep or nighttime awak­enings relate to being tired the next day. This information will provide a sense of how much uninterrupted sleep needed in order to avoid daytime sleepiness.
If a sleep diary reveals any of the following, see a doctor:

  • Consistently taking more than 30 minutes each night to fall asleep.
  • Consistently waking up more than a few times or for long periods of time each night.
  • Taking frequent naps.
  • Feeling sleepy during the day, especially if falling asleep at inappropriate times during the day.

Sleep Diary Sample

Complete in the morning

Name:

Example

 

Today's date:

Monday 4/10/05

 

Time I went to bed last night:
Time I woke up this morning:
No. hours of slept last night:

11PM
7AM
8

 

Number of awakenings:
Total time awake last night:

5 times
2 hours

 

How long I took to fall asleep last night:

30 minutes

 

Medications taken last night:

None

 

How awake did I feel when I woke up this morning:
1 - Wide awake
2 - Awake but a little tired
3 - Sleepy

2

 

Complete in the evening

Number of caffeinated drinks (coffee, tea, soda) and time when I drank them

1 drink, 8PM

 

Number of alcoholic drinks (beer, wine, liquor) and time when I had them

2 drinks, 9PM

 

Nap times and lengths today

3:30PM, 45 minutes

 

Exercise times and lengths today

None

 

How sleepy did I feel during the day today:
1 - So sleepy I had to struggle to stay awake during much of the day
2 - Somewhat tired
3 - Fairly alert
4 - Wide awake

1

 


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