How Is Acne Treated?

Acne responds well to treatment, especially if treated early, at the onset of the condition.

Treatment is offered to:

• Prevent possible scarring

• Deal with inflamed and painful areas

• Limit the formation of new blackheads and whiteheads

• Lessen any stress or embarrassment associated with the acne

Mild acne can be treated with over-the-counter medications. More serious acne requires treatment by a dermatologist

Mild to moderately severe acne

Very severe acne

Side effects of acne treatment

Mild To Moderately Severe Acne

Mild acne is managed well by over-the-counter preparations such as:

• Benzoyl peroxide

• Resorcinol

• Salicylic acid

• Sulfur

Most people with mild acne will see results from treatment within several months.

Individuals who have moderately severe acne will benefit from a visit to a primary care physician or a dermatologist. The dermatologist may prescribe topical creams and/or oral antibiotics.

Topical preparation. Topical creams, gels, and lotions are medications applied directly to the skin. They may contain benzoyl peroxide, antibiotics, or retinoids, which are vitamin A acids (Retin A).

• Benzoyl peroxide dries up the oil; it works by killing the bacteriaP acnes.

• Salicylic acid helps stop the shedding of the skin cells lining the oil glands.

• Rercinol and sulfur work by breaking up the pimples.

In some people, these medications may initially irritate the face, causing some redness or burning, but this soon settles. However, if it occurs with continued use, the doctor should be seen and other medications considered.

Oral antibiotics. Antibiotics taken by mouth may be prescribed by a physician for moderate to severe acne. The most commonly prescribed oral antibiotics are tetracyclineand erythromycin. Antibiotics reduces the population of P. acnes, the skin bacterium responsible for making chemicals that cause inflammation. For this reason, antibiotics will reduce the number of red and yellow pimples.

Low-dose contraceptive. In 1992, a low-dose contraceptive, Ortho Tri-Cyclen, became available for the treatment of moderate acne in women 15 years or older.

• This contraceptive acts by lowering hormonal activity. This results in reducing the overactivity of the oil glands.

• Ortho Tri-Cyclen is used in low doses to treat acne, with a combination of synthetic female hormones.

• In clinical studies, Ortho Tri-Cyclen showed improvement of acne in more than 80% of the participants in the study who were treated with it.

Very Severe Acne

In cases where severe acne does not respond to long-term antibiotic and topical therapy, another oral medication is available. This is called isotretinoin (Accutane®) and is a synthetic derivative (made from chemicals) of vitamin A, which is essential for growth of healthy skin.

• It is the most effective treatment for severe acne.

• After four to six months on the treatment, the acne had disappeared in up to 90% of those treated.

• But the acne may recur in some people, and another course of the treatment may be required.

Accutane® is the most effective acne treatment because it reduces the four major factors that predispose a person to acne:

• Oil production

• Blockage of the skin pores

• The role of the skin bacteria P. acnes

• Skin inflammation

The course of treatment is four to six months of daily treatment.

Side Effects Of Acne Treatment

Topical creams can cause a mild irritation or drying of the skin.

In 95% of individuals who take oral antibiotics, there have been no reported side effects. A small percentage of people, however, will experience:

• Mild abdominal pain

• Nausea

• Diarrhea, in rare cases

• Some women may develop a yeast infection

• Tetracycline antibiotics, especially doxycycline, sometimes causes sun sensitivity, which means the individual may sunburn more easily

Any side effects that you may experience from acne medication should be reported immediately to your physician.