Treatment FAQ

what prescription acne treatment is best

by Mrs. Ethelyn Sawayn III Published 3 years ago Updated 2 years ago
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Medication

Dec 02, 2020 · The four most frequently prescribed acne medications are: Tretinoin - topical retinoid Isotretinoin* - oral retinoid Clindamycin/Benzoyl Peroxide combination** - topical antibiotic + benzoyl peroxide Minocycline - oral antibiotic

Procedures

Jun 06, 2007 · Azelaic acid is a prescription cream or gel for mild to moderate acne. It is also sold under the brand names Azelex and Finacea. It is believed that azelaic acid works by reducing Propionibacterium acnes, the bacteria most responsible for acne breakouts. It also helps normalize the shedding of dead skin cells and decreases inflammation.

Therapy

Aug 07, 2020 · Summary Over-the-counter acne medications work for most people with acne, but for those with severe or cystic acne, prescription... Antibiotics used to be a popular acne prescription, 👩‍⚕️👨‍⚕️ but growing awareness about antibiotic resistance has led... Retinoids are a diverse group of acne ...

Self-care

Feb 24, 2022 · Healthline’s picks for the best 20 acne treatments of 2022, according to dermatologists 1. Tretinoin. Tretinoin is a prescription-strength topical cream or gel. Like retinol, tretinoin is a retinoid derived... 2. Tazorac. Depending on the severity of the acne, a gel or cream called Tazorac may be ...

Nutrition

Jan 28, 2022 · Others have been known to prescribe Proactiv, a popular line of anti-acne products that is available by prescription only. What is the #1 best acne treatment? A: Benzoyl peroxide is the best acne treatment. It can be found over-the-counter, and it works quickly enough that you dont have to wait too long for results.

Which are prescriptions do doctors prescribe most often for acne?

Dec 01, 2021 · According to Los Angeles-based dermatologist Dr. Jessica Wu, “hormonal acne can be treated by prescription-strength topical or oral hormone-balancing medication. Inflammation and clogged pores can...

What are the best prescription acne medications?

Apr 16, 2021 · Retinoids: Birnbaum calls retinoids “the holy grail of acne treatment” because they’re backed by years of scientific studies that show they …

What is the best medicine to cure acne?

Jul 11, 2020 · The acne product that's best for you depends on many factors, including your skin type, the type and severity of your acne, and your skin care preferences. Here are some general guidelines for choosing and using acne products: Begin with benzoyl peroxide. If you're not sure which acne product to buy, start with one that contains benzoyl peroxide.

Which oral antibiotics are best for acne?

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What prescription is best 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).Sep 12, 2020

What would a dermatologist prescribe for hormonal acne?

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.

What is the number 1 dermatologist recommended acne treatment?

Retinoids: Birnbaum calls retinoids “the holy grail of acne treatment” because they're backed by years of scientific studies that show they really work. She says that “retinoids increase skin cell turnover, help unclog pores and decrease inflammation,” to improve inflammatory acne.Apr 16, 2021

How do I know if my acne is hormonal or bacterial?

You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.Oct 13, 2021

Does Mirena help with acne?

Progestin-only methods have shown mixed results with acne. “The amount of progestin in the Mirena and the mini-pill is very minimal,” says Krajewski. “If you are acne-prone, they might not affect your skin. However, the amount of progestin in Depo-Provera is very high and could exacerbate acne.Dec 9, 2016

Is benzoyl peroxide or salicylic acid better for acne?

If you have blackheads and whiteheads, salicylic acid alone should work well to clear out your pores. If your acne tends to be inflammatory, such as papules and pustules, opt for benzoyl peroxide to stop outbreaks at the source. For sensitive skin, start with salicylic acid, since it's less likely to cause irritation.Mar 24, 2020

What is the number 1 dermatologist recommended skin care brand?

The brand: You don't need to spend tons of money for effective products that derms love; Neutrogena is touted as the number one dermatologist-recommend skincare product and you can find it at the drugstore.

What is Accutane used for other than acne?

Diseases such as psoriasis, pityriasis rubra pilaris, condylomata acuminata, skin cancers, rosacea, hidradenitis suppurativa, granuloma annulare, lupus erythematosus and lichen planus have been shown to respond to the immunomodulatory, anti-inflammatory and antitumor activities of the drug.

What is the best treatment for acne?

Various treatment guidelines, such as those recommended by the American Academy of Dermatology, consider topical (applied to the skin) retinoids, such as tretinoin, to be the preferred treatment for acne, except in severe cases.

What is the best antibiotic for acne?

It is an oral antibiotic that belongs to the class of antibiotics known as tetracyclines, which are the most widely prescribed oral antibiotics for acne because of their effectiveness against acne bacteria and their anti-inflammatory effects.

How long can you use clindamycin?

However, current guidelines recommend that topical antibiotics not be used alone and that they be used only for a maximum of three months.

How long can you take antibiotics?

As with topical antibiotics, oral antibiotics should be used for a maximum of three months, and do not work for everyone. When they do work, they only provide moderate benefit, and can come with many side effects, particularly gastrointestinal discomfort.

Is clindamycin a combination?

The combination of clindamycin and benzoyl peroxide, either as a single product that combines both substances ( one popular brand name is BenzaClin®) or as two separate products, is the third-most frequently prescribed acne medication. Previously it had ranked lower on the list of medications prescribed for acne.

Is clindamycin a topical antibiotic?

Clindamycin/Benzoyl Peroxide combination** - topical antibiotic + benzoyl peroxide. Minocycline - oral antibiotic. * Isotretinoin comes with severe and potentially lifelong side effects, and is only approved for use in people with severe and scarring acne that does not respond to other treatments. However, because of its effectiveness, doctors ...

Does isotretinoin cause acne?

In 14.6 to 52% of people, acne returns to some degree after isotretinoin treatment, but often the acne that comes back is less severe than before treatment. Because of isotretinoin's effectiveness, doctors increasingly prescribe it for mild-to-moderate acne as well.

What is the best treatment for acne?

Topical retinoids are extremely popular and effective acne treatments. Topical retinoids are a group of medications derived from synthetic vitamin A. The topical retinoids that are used to treat acne include tretinoin and tazarotene.

How do antibiotics help with acne?

Topical Antibiotics. Topical antibiotics improve acne by stopping the growth of acne-causing bacteria, Propionibacterium acnes. They can also help reduce inflammation and might decrease the amount of blocked pores.

How long can you use topical antibiotics for acne?

To counteract this problem, topical antibiotics should be used along with another acne treatment medication, like a topical retinoid or benzoyl peroxide . Monotherapy with topical antibiotics are used for only a short time period (12 weeks). 3 . Topical antibiotics are generally prescribed for moderate to severe acne .

What is a topical combination?

Topical Combination Medications. Topical combination medications, as the name suggests, include medications that contain two acne-fighting ingredients. You get the benefits of both medications with just one application.

What is the best medication for a swollen ear?

There are plenty of topical combination medication options, including: 1 Acanya (clindamycin and benzoyl peroxide) 2 Benzamycin (benzoyl peroxide and erythromycin) 3 BenzaClin (benzoyl peroxide and clindamycin) 4 Duac (benzoyl peroxide and clindamycin) 5 Epiduo (adapalene and benzoyl peroxide) 6 Onexton (clindamycin and benzoyl peroxide) 7 Ziana (clindamycin and tretinoin)

Can you use OTC for acne?

It would be great if acne could always be taken care of with over-the-counter (OTC) products. But, as you may well have experienced, that's not always the case. To get results, you'll likely need to turn to your physician or dermatologist for a prescription acne treatment.

Is azelaic acid safe for pregnant women?

According to published studies, azelaic acid should be used with caution in patients with sensitive skin due to side effects that include redness, burning, and irritation. It should also be used with caution in patients with with Fitzpatrick skin types IV or greater. Also, the safety of this medicine during pregnancy is not known. 2 .

What is the best treatment for acne?

Retinoids: Retinoids are substances that are derived from vitamin A, which includes retinol, but also includes synthetic versions of retinol with activated retinoic acid which tends to be more effective in treating acne.

Does oral contraceptive help with acne?

Combined oral contraceptive pills contain progesterone and estrogen and help to balance out the levels of testosterone in the body One obvious effect of this is birth control, but dermatologists have also found it very useful for treating hormonal ac ne.

Can you take isotretinoin for acne?

However, after taking isotretinoin for several months , many people never need to do any serious acne treatment again , so for some, it is well worth the side effects.

Does tretinoin cause acne?

🌵 According to a review of 40 years of tretinoin use in acne treatment, however, newer formulations are being created every day to help reduce these effects.

Can antibiotics help with acne?

The idea behind using antibiotics for acne is that they can help reduce the number of p. acnes on the skin and relieve an acute case of severe acne. After the person stops taking the antibiotics, the hope is that the reduced numbers of p. acnes will prevent the pimples or cysts from getting out of hand again.

Does retinol help acne?

The problem is, regular retinol doesn’t actually do much for acne. That’s because the retinoic acid found in retinol isn’t always activated when left to its own devices. We typically have to activate the retinoic acid synthetically through the creation of various medications.

Can you take acne pills without a prescription?

For some people with mild to moderate acne, over-the-counter options work just fine. But for others whose acne might be more severe or simply more stubborn, prescription acne medications are the best treatment available. Essentially, over-the-counter acne medication is available without a prescription, meaning you can go to any local drugstore ...

What is the best medicine for acne?

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.

How to prevent acne breakouts?

Protect your acne-prone skin from contact with items such as phones, helmets, tight collars or straps, and backpacks. Avoid touching or picking acne-prone areas. Doing so can trigger more acne or lead to infection or scarring. Shower after strenuous activities. Oil and sweat on your skin can lead to breakouts.

What are some examples of retinoid creams?

These come as creams, gels and lotions. Examples include tretinoin (Avita, Retin-A, others), adapalene (Differin) and tazarotene (Tazorac, Avage, others).

What to do if you have acne that is not responding to self care?

Early, effective treatment of acne reduces the risk of scarring and of lasting damage to your self-esteem. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

How long does it take for acne to go away?

Make scars less noticeable. Acne medications work by reducing oil production and swelling or by treating bacterial infection. With most prescription acne drugs, you may not see results for four to eight weeks.

How to avoid acne?

You can try to avoid or control mild or moderate acne with nonprescription products, good basic skin care and other self-care techniques: Wash problem areas with a gentle cleanser. Twice a day, use your hands to wash your face with mild soap or a gentle cleanser (Cetaphil, Vanicream, others) and warm water.

Can you take benzoyl peroxide with antibiotics?

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.

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.

What is the best OTC skin care for acne?

Experts agree that OTC skin care products containing ingredients like salicylic acid, benzoyl peroxide, sulfur, azelaic acid, and more may serve as a steppingstone to improving mild to moderate acne. For moderate to severe acne, a visit to a dermatologist’s office is usually warranted.

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.

What is Altreno cream?

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. “Topical retinoids are a foundational treatment for acne,” says Zeichner of the significance of tretinoin in Altreno.

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.

What antibiotics are used for acne?

Both oral and topical antibiotics may be prescribed for more severe types of acne. According to Zain Husain, MD, FAAD, a board certified dermatologist in New Jersey, clindamycin phosphate is a “topical antibiotic that is highly effective in killing bacteria and reducing inflammation.

Does toothpaste help acne?

Instead of drying out acne with toothpaste, which can contain ingredients that are too harsh for skin, this paste contains active ingredients proven to combat breakouts, including sulfur, azelaic acid, and tea tree oil. It also contains witch hazel, which is commonly used in home remedies for acne.

PCA Skin 0.5 Pure Retinol Intensive Clarity Treatment Night

Retinol isn’t the only retinoid available over-the-counter, nor is it the most mild. In fact, some dermatologists advocate using retinal (also known as retinaldehyde)-based solutions instead of standard retinol-based products for persons with sensitive skin.

Obagi Medical Retivance Skin Rejuvenating Complex is a skin rejuvenating complex developed by Obagi Medical

Adapalene, often known as Differin, is a synthetic retinoid that was previously only accessible with a prescription. However, it is now accessible over-the-counter, making it a terrific, powerful acne treatment that you may get without a prescription. It was also developed to be milder than other prescription acne medicines since it is synthetic.

Effaclar Adapalene Gel by La Roche-Posay

Warning: Sulfur has a rotten egg odor. However, it works well to dry out pus-filled pimples and whiteheads (you have to take the good with the bad). It functions by sucking up oil. To gain the best effectiveness, sulfur is usually combined with other active substances and perfumes to disguise the strong odor.

Therapeutic Sulfur Acne Treatment Mask by Peter Thomas Roth

This substance, which is a plant-based extract that is often marketed as a retinol substitute, is not a retinoid at all. However, in a few small trials, Bakuchiol showed promise in improving skin texture and fine wrinkles without the negative effects associated with retinoids.

Bakuchiol Retinol Alternative Moisturizer by The Inkey List

Here are the top acne remedies for those who have more severe acne (many of them may need a prescription!).

What is the best face cream for acne?

iStock. Woman applying face cream in mirror. Benzoyl peroxide: Benzoyl peroxide is one of Love’s favorite over-the-counter acne solutions because it’s “anti-inflammatory, antibacterial and it helps decrease the oiliness of the skin,” making it great to treat all types of acne.

What is the best mask for acne?

Formulated with 10% sulfur, kaolin clay, bentonite clay and aloe vera, this top-rated and Underscored-approved mask works to clear your blemishes, absorb oil and unclog your pores. It’s basically the deep clean your acne-prone skin needs.

What is the holy grail of acne?

Retinoids: Birnbaum calls retinoids “the holy grail of acne treatment” because they’re backed by years of scientific studies that show they really work. She says that “retinoids increase skin cell turnover, help unclog pores and decrease inflammation,” to improve inflammatory acne.

What is a comedonal pimple?

According to Dr. Charlotte Birnbaum, a New York City-based board-certified dermatologist who specializes in acne treatment, acne can be categorized in two ways: comedonal, which is composed of blackheads and whiteheads, or inflammatory, which she categorizes as pink cystic bumps.

What retinoid should I use at night?

If you’re looking for a gentle retinoid, she recommends you consider adapalene. Our experts share that retinoids make skin more sensitive to sun, so make sure to wear SPF, but they are best used at night anyway. iStock. Woman applying face cream in mirror.

How long does it take for a skin care product to work?

According to their guidance, it can take anywhere from six weeks to three months to see results.

Does Neutrogena cleanser help with acne?

Neutrogena Pink Grapefruit Oil-Free Acne Wash. This might be the cleanser that reminds you of your pubescent acne, but it’s still one of Love’s recommendations. Not only is the cleanser a great morning wake-me-up due to the grapefruit, but it contains salicylic acid.

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 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.

How does sulfur help with acne?

This helps improve the appearance of acne scars and gives the impression of smaller pores. Sulfur. Sulfur removes dead skin cells that clog pores and helps remove excess oil.

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Treatment

Clinical Trials

Alternative Medicine

Lifestyle and Home Remedies

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the age, type, and severity of acne.
Medication

Retinoids: Prevent clogging of hair follicles. Prescribed as topical or oral medication. To be taken under physician supervision only.

Tretinoin . Adapalene . Isotretinoin


Antibiotics: Prevent spread of bacterial infection. Prescribed as topical and oral medication.

Azithromycin . Tetracycline . Amoxicillin


Keratolytic agents: Promote skin exfoliation. Prescribed as topical agents.

Salicylic acid


Dicarboxylic acids: Reduces bacterial infection and inflammation. Prescribed as topical agents.

Azelaic acid


Sulfones: Reduces inflammation. Prescribed as topical or oral agents. Recommended in some cases.

Dapsone


Oral contraceptives: Helps control hormonal acne in women. Prescribed as oral agents. Recommended in some cases.

Estrogen/Progestin


Antiandrogens: Prevents the effect of androgen on oil glands in the skin. Prescribed as oral agents. Prescribed as oral agents. Recommended in some cases.

Spironolactone


Corticosteroids: Reduces inflammation. Prescribed as topical, oral or injection forms in severe acne.

Cortisone . Triamcinolone

Procedures

Extraction of pimples: Special tools are used to clear clogged pores, particularly whiteheads and blackheads.

Therapy

Phototherapy - Intense pulsed light:Reduces inflammation. Uses fixed frequency light to treat affected parts of skin under physician supervision.

Chemical peel:Promotes exfoliation and prevents clogging of hair follicles. Involves application of chemical agents (Alpha and beta hydroxy acids) on skin under physician supervision.

Self-care

Always talk to your provider before starting anything.

  • Clean the affected area with a gentle cleanser.
  • Avoid contact with irritants.

Nutrition

Foods to eat:

  • Low glycemic diet such as fruit, vegetables, pulses, fish etc
  • Foods rich in Omega-3 fatty acids such as canola oil, cod liver oil, flaxseed oil and mustard oil

Foods to avoid:

  • High glycemic load diet, such as chocolates, sugary foods, white rice
  • Dairy products such as white bread, milk, cheese

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Coping and Support

  • If you've tried over-the-counter (nonprescription) acne products for several weeks and they haven't helped, ask your doctor about prescription-strength medications. A dermatologist can help you: 1. Control your acne 2. Avoid scarring or other damage to your skin 3. Make scars less noticeable Acne medications work by reducing oil production and swelling or by treating bacterial infection…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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