Treatment FAQ

what bp meds are used for treatment of acne

by Prof. Rae Stiedemann Published 2 years ago Updated 2 years ago

Low oestrogen dose pills containing 20mcg ethinyloestradiol along with the following progesterones are acne treatment options:

  • Low dose levonorgestrel (100mcg), such as Femme-Tab ED 20/100, Loette and Microlevlen ED (pills containing higher doses...
  • Drospirenone (3mg) – such as Yaz and Yaz Flex

Spironolactone: Doctors prescribe this medication to treat high blood pressure. It's also prescribed for people who are retaining too much fluid. Dermatologists have been prescribing it for many years to treat acne and excess hair growth in women.

Full Answer

Which oral antibiotics are best for acne?

  • Nausea and/or vomiting
  • Diarrhea
  • Bloating and indigestion
  • Loss of appetite
  • A raised, itchy skin rash
  • Coughing and/or wheezing
  • Tightness of the throat

How to find the best OTC medication for acne?

What Is the Best Treatment for Acne?

  • Starting out with skincare. The first step in controlling acne is implementing good skincare habits. ...
  • Over-the-counter and topical acne treatment. There are lots of over-the-counter (OTC) acne treatments available at your local pharmacy. ...
  • Oral medications. ...
  • Medical procedures for acne treatment. ...

What are the best prescription acne medications?

Top Prescription Acne Medications Reviewed

  • Summary. ...
  • Antibiotics for Acne. ...
  • Retinol vs. ...
  • Accutane (AKA, Isotretinoin) Isotretinoin, better known as Accutane, is a synthetic retinoid taken orally rather than applied topically, and it is typically only prescribed for very severe cases of cystic ...
  • Dapsone. ...
  • Combined Oral Contraceptives. ...
  • Spironolactone. ...

Should I Stop my blood pressure medications?

  • Your dose and schedule
  • Your expected outcomes
  • Common side effects, including if the drug is abruptly stopped
  • Cost of your drug and generic availability
  • How long are you are going to take the medication?

What are the side effects of spironolactone for acne?

Common side effects of long-term use of spironolactone during treatment for acne include irregular menstruation, urinary frequency, dizziness, headaches, nausea, vomiting, breast tenderness, and breast enlargement (Shaw and White, 2002).

How long do you stay on spironolactone for acne?

You would require Spironolactone for as long as your acne is a problem. Most women will be on treatment for a year or two and some women may need treatment for several years. It is possible to reduce the dose and try without medication a year into treatment after the acne has been controlled fully.

What prescription medicine is best for acne?

Oral medications 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).

What is the side effect of spironolactone?

Drowsiness, dizziness, lightheadedness, stomach upset, diarrhea, nausea, vomiting, or headache may occur. To minimize lightheadedness, get up slowly when rising from a seated or lying position. If any of these effects last or get worse, notify your doctor or pharmacist promptly.

Can you gain weight on spironolactone?

On the other hand, if spironolactone isn't working well to treat these conditions, your body may retain more fluid. And this can lead to weight gain. If you have kidney problems with spironolactone, this could also lead to fluid retention that can cause weight gain.

Is spironolactone better than Accutane?

Unlike Accutane, Spironolactone will only provide benefits while the patient is actively using it. Long-term use isn't dangerous; however, it is designed to only treat acne while active. Weaning off of Spironolactone does not mean all of your acne will come back, either.

What is the most powerful acne treatment?

Isotretinoin is a powerful drug that's used to treat the most severe cases of acne. Your doctor may recommend this drug if you have severe acne that doesn't get better with other medications, including antibiotics.

Can doctors prescribe medication for acne?

For mild to severe acne, a doctor might recommend prescription treatments that are "topical," which means they go on your skin. These treatments might also be used for more severe acne in combination with other medicines.

What is the strongest antibiotic for acne?

Several topical antibiotics are used to treat acne, but one of the most powerful and effective is a lincomycin antibiotic called clindamycin.

Does acne come back after spironolactone?

“If you discontinue spironolactone, the skin slowly will return back to what it's genetically programmed to do,” he explains. “Acne typically returns within a few months [after stopping the drug].”

How effective is spironolactone for acne?

Studies have also shown spironolactone to be effective. Improvement ranges from a 50% to 100% reduction in acne. Before taking spironolactone, it's important to know that this medication is a diuretic, so you'll find yourself urinating more often.

Is there an alternative to spironolactone?

Amiloride and triamterene may be used instead of spironolactone. They have a direct effect on the renal tubule, impairing sodium reabsorption in exchange for potassium and hydrogen.

What is the best pill to clear acne?

Defeated, but still not desperate enough to resort to trying birth control or Accutane, my dermatologist suggested spironolactone, a prescription blood pressure pill that also can clear up hormonal acne.

Does spironolactone make you pee more?

The pill is becoming a popular treatment option for women because it has minimal side effects. Since spironolactone is a diuretic, it can make you pee more often . Other common side effects include breast tenderness, lumps, irregular periods, and headaches. Talking these potential symptoms over with your dermatologist is crucial to figuring out whether it's the right treatment option for you. For me, I have a low blood pressure to begin with, so since spironolactone brings down blood pressure, I started off on a low dose to see how it would effect me.

How to get rid of acne on face?

Apply benzoyl peroxide to the areas of your skin affected by acne. Avoid getting this medication into your eyes, inside your nose or mouth, or on any areas of broken skin since it may cause irritation. If this occurs, flush the area with plenty of water. Benzoyl peroxide may bleach hair or fabrics. Use carefully, and avoid contact with hair, clothing, and furnishings.

How does benzoyl peroxide work?

When applied to the skin, benzoyl peroxide works by reducing the amount of acne -causing bacteria and by causing the skin to dry and peel.Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you.

Can you buy benzoyl peroxide without a prescription?

There are many benzoyl peroxide products available. Many can be purchased without a prescription. Some products (such as cleansers, foam, or lotions) may require a prescription. Consult your doctor or pharmacist on the choice of the product that is best for you. If you are using the over-the-counter product to self-treat, read and follow all directions on the product package before using this medication. If you have any questions, consult your pharmacist. If your doctor has prescribed this medication, use it as directed.

Can you use benzoyl peroxide if you are allergic to it?

Before using benzoyl peroxide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients (such as perfumes), which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Why do some women get acne?

Some females get acne because of fluctuating hormones. These patients may have good results with Aldactone.

How does aldactone work?

Hormones, specifically androgens, have been linked to the development of acne. 2  Aldactone works by limiting hormonal fluctuations that can trigger breakout development. Androgen hormones, like testosterone, are typically thought of as male hormones.

How long does it take for aldactone to work?

No matter what treatment plan your dermatologist creates for you, try to be patient while waiting for results. It can take three to four months ...

Does aldactone cause acne?

Simply, Aldactone limits specific hormonal fluctuations that can contribute to acne breakouts. Because of the way Aldactone works, only women whose acne is greatly influenced by hormonal fluctuations will see results with this medication.

Is aldactone a prescription drug?

The Food and Drug Administration doesn't officially recognize Aldactone as an acne treatment. Still, it is often prescribed off-label for this purpose. It is only available by prescription.

Is aldactone a medication?

Aldactone (spironolactone) is a medication that's used to treat many different disorders, from high blood pressure to fluid retention. Although the U.S. Food and Drug Administration doesn't officially recognize Aldactone as an acne treatment, it is often prescribed off-label to treat hormonally-influenced breakouts in women.

Can you use aldactone with oral contraceptives?

Aldactone is often prescribed along with oral contraceptives. It can also be used in conjunction with other topical acne medications 1 . It tends to work best as an additional acne treatment, rather than the sole treatment. You'll probably continue using topical acne treatments while using Aldactone.

What antibiotics are used for acne?

Two topical antibiotics are used: erythromycin 2% and clindamycin 1% . As is the case with oral antibiotics, topical formulations are thought to play a role in bacterial resistance.

How do acne medications work?

Some acne medications work by bringing hormones to normal levels. Exfoliating skin. Getting rid of dead skin cells that combine with excess oil and other debris to block follicles is key for preventing the formation of blackheads, whiteheads and other blemishes. Killing bacteria.

What causes acne and comedones?

Acne occurs when the sebaceous glands in hair follicles, or pores, produce too much sebum (oil). This buildup of sebum combines with dead skin cells and bacteria, clogging the follicles and forming comedones (blackheads, whiteheads and pimples).

What causes acne to be pus filled?

Acne can be exacerbated by Propionibacterium acnes, a bacteria that is normally present on the skin. When bacteria become trapped within blocked pores, infection occurs and results in pimples, cysts and nodules that are pus-filled and inflamed. Certain antibiotics as well as topical medication can kill bacteria and reduce the severity or eliminate blemishes altogether.

What are the factors that determine the best acne treatment?

Key factors when determining the best acne medications include type, severity and cause. Potential side effects of acne medications must be considered when choosing treatment. Due to the variations in the underlying causes and severity of acne, it can sometimes be challenging to treat.

How does isotretinoin work?

Isotretinoin is an oral retinoid, derived from vitamin A, and works by shrinking sebaceous glands to prevent excess oil production. It is prescribed to treat severe nodular acne. Isotretinoin is available in strengths of 0.5–1.0 mg. It’s typically prescribed to be taken twice per day in strengths up to 2 mg in total.

What is salicylic acid?

Salicylic acid is a beta hydroxy acid that encourages dead skin cells to slough off to prevent them from clogging pores. It is available OTC in cleansers, toners, creams and gels, typically in concentrations of .05–5%. These products are best for mild comedonal acne.

What is the name of the drug that is used to treat acne?

Isotretinoin ( Accutane, sotret, claravis, amnesteem, myorisan, zenatane) is an expensive drug used to treat severe acne that has not responded to other therapy like antibiotics. This drug is slightly more popular than comparable drugs. It is available in multiple brand and generic versions.

What is the best antibiotic for acne?

Popular Acne Drugs. Cleocin (clindamycin) Drug class: Lincosamide Antibiotics. Clindamycin (Cleocin, Cleocin T, Evoclin) is a moderately priced antibiotic used to treat certain kinds of bacterial infections. It is also used on the skin to stop the growth of certain bacteria that cause acne. It is more popular than comparable drugs.

What is evoclin used for?

Clindamycin ( Cleocin, Cleocin T, Evoclin) is a moderately priced antibiotic used to treat certain kinds of bacterial infections. It is also used on the skin to stop the growth of certain bacteria that cause acne. It is more popular than comparable drugs.

What is a benzoyl peroxide?

Clindamycin/benzoyl peroxide (Benzaclin) is an expensive drug used on the skin to treat mild to moderate acne. This drug is more popular that comparable drugs. It is available in brand and generic versions. The most common version of Benzaclin is covered by 60% of insurance plans at a co-pay of $60.00-$87.50, however, some pharmacy coupons or cash prices may be lower.

Is doxycycline hyclate covered by Medicare?

This drug is more popular than comparable drugs. It is available in multiple generic and brand versions. Generic doxycycline hyclate is covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can offset the cost.

Is clindamycin covered by Medicare?

It is available in multiple generic and brand versions. Generic clindamycin is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower.

Is isotretinoin covered by Medicare?

This drug is slightly more popular than comparable drugs. It is available in multiple brand and generic versions. It is covered by most Medicare and insurance plans, but pharmacy coupons or cash prices may be lower.

What is the best medicine for acne?

Oral Contraceptives for Acne in Women. Oral contraceptives, also known as birth control pills, are frequently used to treat acne in women. The drugs are able to reduce oil gland secretions by suppressing androgen hormones .

What birth control pills are approved for acne?

A handful of birth control pills have been approved by the Food and Drug Administration (FDA) for the treatment of acne in women. This includes the medicines Ortho Tri-Cyclen, Beyaz, and Yaz.

How do antibiotics help acne?

Like topical antibiotics, oral antibiotics work by reducing Propionibacteria acnes (the bacteria responsible for acne breakouts). They also help decrease inflammation of the skin. Most people are started on a high dosage and moved to lower dosages as acne improves.

What to do if you are worried about taking oral acne medication?

If you're at all worried about taking an oral acne medication, or if you have questions or concerns about your treatment, talk to your dermatologist.

What is the best antibiotic for acne?

Oral antibiotics are used to treat moderate to severe acne, or persistent acne. The most common oral antibiotics prescribed for acne treatments are: Erythromycin. Tetracycline.

How does isotretinoin help with acne?

4 . Isotretinoin works by shrinking the sebaceous glands, reducing the amount of oil found on the skin. This, in turn, reduces the number of comedones (or pore blockages) produced.

Can acne be stubborn?

Even if your acne isn't necessarily severe, it might simply be stubborn. If you've tried topical treatments and your skin still isn't clearing up, oral medications can give your treatment the boost it needs so you can see actual results.

What is the best treatment for acne?

Acne treatments include prescription medications, including topical and oral varieties, and over-the-counter (OTC) skin care products.

How does oral contraceptive help with acne?

Oral contraceptives contain hormones that decrease the circulation of androgens, thereby decreasing the production of sebum. This helps regulate oily skin and make acne-prone skin more manageable.

What is Altreno lotion?

Altreno contains tretinoin, a retinoid that’s commonly prescribed to treat acne. Unlike other tretinoin prescription medications, which usually take the form of a topical cream or gel, Altreno is a lightweight lotion that targets breakouts while moisturizing skin.

What type of acne is a comedonal?

A dermatologist will closely examine your skin to see which of the different types of lesions appear: Mild noninflammatory acne (aka comedonal acne) includes whiteheads and blackheads. Moderate inflammatory acne includes papules and pustules. Severe inflammatory acne includes nodules and cysts.

Why does acne boil down to clogged pores?

The cause of acne usually boils down to clogged pores when a mix of sebum, bacteria, and dead skin cells are trapped in a hair follicle. Each pore on the surface of skin is the opening to a hair follicle, which is made up of a hair and an oil gland.

How does clindamycin phosphate work?

Clindamycin phosphate works by stopping the growth of acne-causing bacteria on the skin. This results in fewer acne lesions over time. In more severe cases of acne, your dermatologist may prescribe 1 percent clindamycin phosphate gel or lotion.

What antibiotics does Harper prescribe?

Harper recommends prescription oral antibiotics, such as sarecycline or minocycline, for widespread or more severe cases of acne.

How to treat acne with different ingredients?

Acne ingredients work in different ways, so you may find it helpful to use varying products and ingredients to treat stubborn acne. Apply one product in the morning and a different one at night to prevent skin irritation . Be patient.

What is the best way to remove acne?

Benzoyl peroxide. This ingredient kills the bacteria that cause acne, helps remove excess oil from the skin and removes dead skin cells, which can clog pores. OTC benzoyl peroxide products are available in strengths from 2.5 to 10 percent. Possible side effects include dry skin, scaling, redness, burning and stinging, ...

How does OTC acne work?

Acne products work in different ways, depending on their active ingredients. Some OTC acne products work by killing the bacteria that cause acne inflammation. Others remove excess oil from the skin or speed up the growth of new skin cells and the removal of dead skin cells. Some acne products do a combination of these things.

How to get rid of acne naturally?

Begin with benzoyl peroxide. If you're not sure which acne product to buy, start with one that contains benzoyl peroxide. It's effective and well-tolerated by most people. Give it a few days before expecting to see results. Check product labels for the type and amount of its active ingredient. Stronger isn't always better with benzoyl peroxide. In some cases, a 2.5 percent product works as well as those with stronger concentrations — and with fewer side effects.

How to get rid of acne on face?

Start with lower strength acne products. This can help minimize redness, dry skin and other skin problems. If needed, slowly — over several weeks — increase the strength of the product you use and how often you use it. This helps your skin adjust to the treatment gradually.

What is OTC acne?

Many over-the-counter (OTC) acne products are available to treat mild to moderate acne or periodic breakouts. They include cleansing lotions, gels, foams and towelettes, leave-on products, and treatments or kits. How do you know which one is best for you?

How long does it take for acne to get better?

Treating acne with acne products takes time and patience. It may take two or three months of daily use of an acne product to see results. And acne may look worse before it gets better. Experiment with what works. You may need to try different products with varying active ingredients before you find what works for you.

What is the purpose of ACE inhibitors?

ACE inhibitors keep the body from making a hormone called angiotensin II, which causes blood vessels to narrow . These medications lower blood pressure by helping constricted blood vessels expand to let more blood through.

What hormones can cause blood pressure to rise?

Alpha-blockers. In certain situations, your body makes hormones called catecholamines. These hormones can bind to parts of cells called alpha-receptors. When this occurs, your blood vessels narrow and your heart beats faster and with more force. These actions cause your blood pressure to rise.

What is angiotensin II blocker?

Angiotensin II receptor blockers (ARBs) This class of drugs also protects the blood vessels from angiotensin II. In order to tighten blood vessels, angiotensin II must bind with a receptor site. ARBs prevent that from happening. As a result, blood pressure is lowered.

Why do calcium channel blockers work?

Calcium channel blockers help block calcium from entering the smooth muscle cells of the heart and blood vessels. This makes the heart beat with less force and helps blood vessels relax. As a result, blood pressure decreases.

How does aldosterone work?

Aldosterone receptor antagonists. Aldosterone receptor antagonists work by blocking a chemical called aldosterone. This action reduces the amount of fluids your body retains, which helps lower your blood pressure.

What are the different types of diuretics?

There are three major types of diuretics: thiazide, potassium-sparing, and loop diuretics. Thiazide diuretics generally have fewer side effects than the others. This is especially true when they’re prescribed in the low doses that are generally used in treating early high blood pressure.

How does beta blocker work?

Beta-blockers work by blocking the actions of chemicals in your body that stimulate your heart. This allows your heart to beat with less speed and force. Your heart pumps less blood through the blood vessels with each beat, so blood pressure decreases.

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