These come as creams, gels and lotions. You apply this medication in the evening, beginning with three times a week, then daily as your skin becomes used to it. It prevents plugging of hair follicles. Do not apply tretinoin at the same time as benzoyl peroxide. Topical retinoids increase your skin's sun sensitivity. They can also cause dry skin and redness, especially in people with skin of color. Adapalene may be tolerated best.
Azelaic acid and salicylic acid. Azelaic acid is a naturally occurring acid produced by a yeast. It has antibacterial properties.
Prescription azelaic acid Azelex, Finacea is an option during pregnancy and while breast-feeding. It can also be used to manage discoloration that occurs with some types of acne.
Side effects include skin redness and minor skin irritation. Salicylic acid may help prevent plugged hair follicles and is available as both wash-off and leave-on products. Studies showing its effectiveness are limited. Side effects include skin discoloration and minor skin irritation. Evidence is not strong in support of using zinc, sulfur, nicotinamide, resorcinol, sulfacetamide sodium or aluminum chloride in topical treatments for acne.
For moderate to severe acne, you may need oral antibiotics to reduce bacteria. Usually the first choice for treating acne is a tetracycline minocycline, doxycycline or a macrolide erythromycin, azithromycin.
A macrolide might be an option for people who can't take tetracyclines, including pregnant women and children under 8 years old. Oral antibiotics should be used for the shortest time possible to prevent antibiotic resistance. And they should be combined with other drugs, such as benzoyl peroxide, to reduce the risk of developing antibiotic resistance.
Severe side effects from the use of antibiotics to treat acne are uncommon. These drugs do increase your skin's sun sensitivity. Combined oral contraceptives.
Four combined oral contraceptives are approved by the FDA for acne therapy in women who also wish to use them for contraception.
They are products that combine progestin and estrogen Ortho Tri-Cyclen 21, Yaz, others. You may not see the benefit of this treatment for a few months, so using other acne medications with it for the first few weeks may help.
Common side effects of combined oral contraceptives are weight gain, breast tenderness and nausea. These drugs are also associated with increased risk of cardiovascular problems, breast cancer and cervical cancer.
Isotretinoin Amnesteem, Claravis, others is a derivative of vitamin A. It may be prescribed for people whose moderate or severe acne hasn't responded to other treatments. Potential side effects of oral isotretinoin include inflammatory bowel disease, depression and severe birth defects. All people receiving isotretinoin must participate in an FDA -approved risk management program.
And they'll need to see their doctors regularly to monitor for side effects. For some people, the following therapies might be helpful, either alone or in combination with medications. Most studies of acne drugs have involved people 12 years of age or older. Increasingly, younger children are getting acne as well. The FDA has expanded the number of topical products approved for use in children.
And guidelines from the American Academy of Dermatology indicate that topical benzoyl peroxide, adapalene and tretinoin in preadolescent children are effective and don't cause increased risk of side effects. If your child has acne, consider consulting a pediatric dermatologist.
Ask about drugs to avoid in children, appropriate doses, drug interactions, side effects, and how treatment may affect a child's growth and development. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. More research is needed to establish the potential effectiveness and long-term safety of these and other integrative approaches, such as biofeedback and ayurvedic compounds.
Reviewed by: Kate M. Cronan, MD. Larger text size Large text size Regular text size. What Causes Acne? Can I Prevent Acne? But these tips might help reduce the number and severity of your breakouts: Washing your skin is the most important thing you can do. It helps remove excess surface oils and dead skin cells that can clog your pores. Remember to wash after exercising because sweat can clog your pores and make your acne worse.
If you work around greasy food or oil, if you've been sweating from heat or from working hard, wash your face and other acne-prone areas as soon as possible. If you use skin products, such as lotions or makeup, look for ones that are non-comedogenic or non-acnegenic, which means that they don't clog pores. If you use hair spray or styling gel, try to keep them away from your face as much as possible. For example, if you tend to breakout on your forehead, nose, and chin, you would want to apply the acne treatment evenly on all of these areas of your face.
Use makeup, skin care products, and hair care products that can cause acne. Some makeup, along with many skin and hair care products, contain oil or other ingredients that can cause acne breakouts. If you continue to use them, you may continue to see blemishes.
Share makeup, makeup brushes, or makeup applicators. Even if you use only non-comedogenic products, sharing makeup can lead to blemishes. When you use that makeup, you can transfer their bacteria, oil, and dead skin cells to your skin. These can clog your pores, leading to breakouts. Sleep in your makeup. Even non-comedogenic makeup can cause acne if you sleep in it. What to do instead: Remove your makeup before you go to bed.
No exceptions. Wash your face throughout the day. Washing your face several times a day can further irritate your skin, leading to more breakouts. What to do instead: Wash your face twice a day — when you wake up and before you go to bed. Dry out your skin. Skin with acne is oily, so it can be tempting to apply astringent and acne treatments until your face feels dry.
Dry skin is irritated skin. Anytime you irritate your skin, you risk getting more acne. What to do instead: Use acne treatments as directed. If your skin feels dry, apply a moisturizer made for acne-prone skin. You also want to avoid using astringents, rubbing alcohol, and anything else that can dry out your skin. Scrub your skin clean.
To get rid of acne, you may be tempted to scrub your skin clean. Scrubbing can irritate your skin, causing acne to flare. What to do instead: Be gentle when washing your face and other skin with acne. You want to use a mild, non-comedogenic cleanser.
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