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      Vitamin C in dermatology

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          Abstract

          Vitamin C is a potent antioxidant drug that can be used topically in dermatology to treat and prevent changes associated with photoageing. It can also be used for the treatment of hyperpigmentation. Because it is unstable and difficult to deliver into the dermis in the optimum dosage, research is being directed to find stable compounds of Vitamin C and newer methods of delivery of Vitamin C into the dermis.

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          Most cited references17

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          Skin lightening preparations and the hydroquinone controversy.

          Skin lightening preparations are widely used in dermatology by persons of all Fitzpatrick skin types. Fitzpatrick skin types I-III require local pigment lightening for the treatment of hormonally induced melasma and postinflammatory hyperpigmentation caused by acne and trauma. Fitzpatrick skin types IV and darker have an even greater need for skin lightening for social reasons, as well as pigmentary changes that occur around the eyes, in the intertriginous areas, following dermatitis, or with acne and trauma. The gold standard dermatologic agent for skin lightening was hydroquinone, until regulatory agencies in Japan, Europe, and most recently in the United States questioned the safety of this substance. This has encouraged research into alternative agents to inhibit skin pigmentation such as retinoids, mequinol, azelaic acid, arbutin, kojic acid, aleosin, licorice extract, ascorbic acid, soy proteins, and N-acetyl glucosamine. The efficacy and safety of each of these ingredients is examined as possible topical alternatives to hydroquinone.
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            Topical L-ascorbic acid: percutaneous absorption studies.

            Reactive oxygen species generated by ultraviolet light result in photocarcinogenic and photoaging changes in the skin. Antioxidants protect skin from these insults. This study defines formulation characteristics for delivering L-ascorbic acid into the skin to supplement the skin's natural antioxidant reservoir. L-ascorbic acid or its derivatives were applied to pig skin. Skin levels of L-ascorbic acid were measured to determine percutaneous delivery. L-ascorbic acid must be formulated at pH levels less than 3.5 to enter the skin. Maximal concentration for optimal percutaneous absorption was 20%. Tissue levels were saturated after three daily applications; the half-life of tissue disappearance was about 4 days. Derivatives of ascorbic acid including magnesium ascorbyl phosphate, ascorbyl-6-palmitate, and dehydroascorbic acid did not increase skin levels of L-ascorbic acid. Delivery of topical L-ascorbic acid into the skin is critically dependent on formulation characteristics.
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              Iontophoresis promotes percutaneous absorption of l-ascorbic acid in rat skin

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                Author and article information

                Journal
                Indian Dermatol Online J
                Indian Dermatol Online J
                IDOJ
                Indian Dermatology Online Journal
                Medknow Publications & Media Pvt Ltd (India )
                2229-5178
                2249-5673
                Apr-Jun 2013
                : 4
                : 2
                : 143-146
                Affiliations
                [1]Consultant Dermatologist, Joshi Hospital Maharashtra Medical Foundation, Jehangir Hospital, Apollo Group, Pune, Maharashtra, India
                Author notes
                Address for correspondence: Dr. Saokar Pumori Telang, Embellish, the Skin and Laser Clinic, 1 st floor Sangam Project, Opp Air India office, at Sangam Ghat, Wellesley Road, Pune, Maharashtra, India. E-mail: drpumori@ 123456gmail.com
                Article
                IDOJ-4-143
                10.4103/2229-5178.110593
                3673383
                23741676
                6a440fac-1d5f-44f6-933a-b8583e43956d
                Copyright: © Indian Dermatology Online Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Drug Profile

                Dermatology
                collagen synthesis,depigmentation,drug formulations,l–ascorbic acid,photo-ageing,vitamin c

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