Acne can be controlled
with certain over-the-counter
products in most cases, but
since many different types
of acne exist, prescription
medicine is needed in some
cases.
Acne can be controlled with
certain over-the-counter products
in most cases, but since many
different types of acne exist,
prescription medicine is needed
in some cases. Clindamycin
solution (brand name Cleocin-T)
and erythromycin (T-Stat,
Emgel) are commonly used for
this. Both are antibiotics,
and have few side effects.
Benzoyl peroxide, on the other
hand, is a gel that penetrates
hair follicles. It is considered
to be more effective than
a cream or a lotion.
Other effective creams or
gels include azelaic acid
(Azelex), adapalene (Differin),
tretinoin cream (Retin-A),
and tazarotene (Tazorac).
Retin-A or Retinoic Acid loosens
up the blocked follicle, reducing
the number of inflammations.
Retin-A may be very useful
for comedomal acne (blackheads
and whiteheads). Tretinoin,
adapalene, and azelaic acid
appear to be equally effective.
These medicines reduce acne
blemishes by up to 65 to 70
percent.
Antibiotic lotions suppress
bacteria-associated acne.
Prescription antibiotics like
minocycline (Minocin), and
erythromycin (Eryc, Ery-Tab),
which are taken orally, are
used when creams or lotions
fail to yield results. In
all, as has been observed;
oral antibiotics improve acne
by about 50 percent, which
can go up to 88 percent if
benzoyl peroxide is added.
If one has severe acne, like
cystic acne, the doctor may
prescribe the oral medicine
isotretinoin (Accutane). Isotretinoin
is effective for improving
acne in up to 90 percent of
people, but it should only
be used under expert medical
guidance, especially among
pregnant women or those planning
pregnancy.
Another class of drugs, called
corticosteroids, are also
powerful anti-inflammatory
agents, and often employed
as short-course therapies
for very severe acne. Low
doses of corticosteroids suppress
androgenic hormone secretions

,
which promote the sebaceous
glands secretions of sebum.
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