The Best Acne Treatments are Simple and
Effective
Ready for some of the best acne treatments to fight
off those unsightly acne, blemish, pimples and the like?
Here, I've listed some of the basic acne treatments
that work for you; mostly simple, yet effective.
You can click on the links on the left for other methods such as
home treatments or other more advanced ones to see which are the
best acne treatments that work for you.
Treatments are often provided by dermatologists
(doctors who specialize in skin problems). These doctors treat all
kinds of acne,
particularly severe cases.
Doctors who are general or family practitioners, pediatricians,
or internists may treat patients with milder cases of acne.
The best acne treatments aim to heal existing lesions, stop new
lesions from forming, prevent scarring,
and minimize the psychological
stress and embarrassment caused by this disease.
Drug treatment is aimed at reducing several problems that play a
part in causing acne: abnormal clumping of cells in the follicles,
increased oil production, bacteria, and inflammation.
Depending on the extent of the person's acne, the doctor will
recommend one of several over-the-counter (OTC) medicines or
prescription medicines that are topical (applied to the skin) or
systemic (taken by mouth) as forms of treatment.
The doctor may suggest using more than one topical medicine or
combining oral and topical medicines for treatment.
Best Acne Treatments for Blackheads, Whiteheads, and Mild
Inflammatory Acne
Doctors usually recommend an OTC or prescription
topical medication for people with mild signs of acne. Topical
medicine is applied directly to the acne lesions or to the entire
area of affected skin.
Benzoyl peroxide, resorcinol, salicylic acid, and sulfur are the
most common topical OTC medicines used for acne treatment. Each
works a little differently.
Benzoyl peroxide is one of the best acne treatments that work
against P. acnes and may reduce oil production.
Resorcinol, salicylic acid, and sulfur help break down
blackheads and whiteheads.
Salicylic acid is also one of the best acne treatments that work
by cutting down the shedding of cells lining the follicles of the
oil glands.
Topical OTC medications are available in many forms,
such as gel, lotion, cream, soap, or pad.
In some patients, OTC medication may cause side effects such as
skin irritation, burning, or redness.
Some people find that the side effects lessen or go
away with continued use of the medicine. Severe or prolonged side
effects should be reported to the doctor.
OTC topical medicines are somewhat effective in treating acne
when used regularly.
Patients must keep in mind that it can take 8 weeks or
more before they notice their skin looks and feels better.
Best Acne Treatments for Moderate to Severe Inflammatory
Acne
Patients with moderate to severe inflammatory acne may be treated
with prescription topical or oral medicines, alone or in
combination.
Prescription Topical Medicines
Amongst the best acne treatments prescriptions available, several
types of prescription topical medicines are used, including
antibiotics, benzoyl peroxide, tretinoin, adapalene, and azelaic
acid.
Antibiotics and azelaic acid help stop or slow the
growth of bacteria and reduce inflammation.
Tretinoin, a type of drug called a retinoid that
contains an altered form of vitamin A, is an effective topical
medicine for stopping the development of new comedones. It works by
unplugging existing comedones, thereby allowing other topical
medicines, such as antibiotics, to enter the follicles.
The doctor may also prescribe newer retinoids or
retinoid-like drugs, such as tazarotene or adapalene, that help
decrease comedo formation.
Like OTC topical medicines, prescription topical medicines come
as creams, lotions, solutions, or gels. The doctor will consider the
patient's skin type when prescribing a product.
Creams and lotions provide moisture and tend to be the
best acne treatments that work for people with sensitive skin.
Gels and solutions are generally alcohol based and
tend to dry the skin. Therefore, patients with very oily skin or
those who live in hot, humid climates may prefer them. The doctor
will tell the patient how to apply the medicine and how often to use
it.
Some people develop side effects from using prescription topical
medicines. Common side effects include stinging, burning, redness,
peeling, scaling, or discoloration of the skin.
Initially, the skin may look worse before improving.
With some medicines, like retinoids, these side effects usually
decrease or go away after the medicine is used for a period of time.
Patients should report prolonged or severe side
effects to their doctor. Between 4 and 8 weeks will most likely pass
before patients see their skin improve.
Prescription Oral Medicines
For patients with moderate to severe acne, the doctor often
prescribes oral antibiotics (taken by mouth). Oral antibiotics are
thought to help control acne by curbing the growth of bacteria and
reducing inflammation.
Prescription oral and topical medicines may be
combined. For example, benzoyl peroxide may be combined with
clindamycin, erythromycin, or sulfur.
Other common antibiotics used to treat acne are tetracycline,
minocycline, and doxycycline.
Some people have side effects when taking these
antibiotics, such as an increased tendency to sunburn, upset
stomach, dizziness or lightheadedness, and changes in skin color.
Tetracycline is not given to pregnant women, nor is it
given to children under 8 years of age because it might discolor
developing teeth.
Tetracycline and minocycline may also decrease the
effectiveness of birth control pills. Therefore, a backup or another
form of birth control may be needed.
Prolonged treatment with oral antibiotics may be
necessary to achieve the desired results.
Best Acne Treatments for Severe Nodular or Cystic Acne
People with nodules or cysts should be treated by a
dermatologist.
For patients with severe inflammatory acne that does not improve
with medicines such as those described above, a doctor may prescribe
isotretinoin as one of the best acne treatments that work in this
case..
Isotretinoin, a retinoid, is an oral drug that is
usually taken once or twice a day with food for 15 to 20 weeks.
It markedly reduces the size of the oil glands so that
much less oil is produced. As a result, the growth of bacteria is
decreased.
Advantages of Isotretinoin (Accutane)
Isotretinoin is one of the best acne treatments that can help
prevent scarring. After 15 to 20 weeks of treatment with
isotretinoin, acne completely or almost completely goes away in up
to 90 percent of patients.
In those patients where acne recurs after a course of
isotretinoin, the doctor may institute another course of the same
treatment or prescribe other medicines.
Disadvantages of Isotretinoin (Accutane)
Isotretinoin can cause birth defects in the developing fetus of a
pregnant woman.
It is important that women of childbearing age are not pregnant
and do not get pregnant while taking this medicine.
Women must use two separate effective forms of birth control at
the same time for 1 month before treatment begins, during the entire
course of treatment, and for 1 full month after stopping the drug.
They should ask their doctor when it is safe to get pregnant
after they have stopped taking Accutane.
Some people with acne become depressed by the changes in the
appearance of their skin. Changes in mental health may be
intensified during treatment or soon after completing a course of
medicines like Accutane.
A doctor should be consulted if a person feels unusually sad or
has other symptoms of depression, such as loss of appetite or
trouble concentrating.
Other possible side effects include dry eyes, mouth, lips, nose,
or skin; itching; nosebleeds; muscle aches; sensitivity to the sun;
and, sometimes, poor night vision.
More serious side effects include changes in the blood, such as
an increase in triglycerides and cholesterol, or a change in liver
function.
To make sure Accutane is stopped if side effects occur, the
doctor monitors blood studies that are done before treatment is
started and periodically during treatment.
Side effects usually go away after the medicine is stopped.
Best Acne Treatments for Hormonally Influenced Acne in
Women
Clues that help the doctor determine whether acne in an adult
woman is due to an excess of androgen hormones are hirsutism
(excessive growth of hair in unusual places), premenstrual acne
flares, irregular menstrual cycles, and elevated blood levels of
certain androgens.
The doctor may prescribe one of several drugs to treat women with
this type of acne.
Low-dose estrogen birth control pills help suppress the androgen
produced by the ovaries.
Low-dose corticosteroid drugs, such as prednisone or
dexamethasone, may suppress the androgen produced by the adrenal
glands.
Finally, the doctor may prescribe an antiandrogen drug, such as
spironolactone (Aldactone). This medicine reduces excessive oil
production.
Side effects of antiandrogen drugs may include irregular
menstruation, tender breasts, headache, and fatigue.
Other Treatments for Acne
Doctors may use other types of procedures in addition to drug
therapy to treat patients with acne.
For example, the doctor may remove the patient's comedones during
office visits.
Sometimes the doctor will inject cortisone directly into lesions
to help reduce the size and pain of inflamed cysts and nodules.
Early acne treatment is the best way to prevent acne scars. Once
scarring has occurred, the doctor may suggest a medical or surgical
procedure to help reduce the scars.
A superficial laser may be used to treat irregular scars. Another
kind of laser allows energy to go deeper into the skin and tighten
the underlying tissue and plump out depressed scars.
Dermabrasion (or microdermabrasion), which is a form of "sanding
down" scars, is sometimes combined with the subsurface laser
treatment.
Another acne treatment option for deep scars caused by cystic
acne is the transfer of fat from one part of the body to the face.
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