If you have tried over-the-counter (non-prescription) acne products for several weeks and have not helped, your doctor may prescribe stronger medications. A dermatologist can help you:


  • Control your acne
  • Avoid scars or other damage to your skin
  • Make scars less noticeable

Acne drugs act by reducing oil production, accelerating the turnover of skin cells, fighting bacterial infections or reducing inflammation - which helps prevent scarring. With most prescription acne drugs, you may not see results for four to eight weeks, and your skin may deteriorate before it improves. It can take many months or years for your acne to completely subside.
The treatment regimen recommended by your doctor depends on your age, type and severity of your acne and your willingness to commit. For example, you may need to wash twice a day for several weeks and apply medication to the affected skin.

Tropical Drugs

Often, tropical drugs and medications that you take oral (oral drugs) are used in combination. Pregnant women can not take oral prescription drugs for acne.
Talk to your doctor about the risks and benefits of medication and other treatments you are considering.
The most common tropical prescription drugs for acne are as follows:

Retinoids and retinoid-like drugs

These come as creams, gels and lotions. Retinoid drugs are obtained from vitamin A and include tretinoin (Avita, Retin-A, others), adapalen (Differin) and tazaroten (Tazorac, Avage). You apply this medication in the evening, starting three times a week, then daily, when your skin has become accustomed to it. It prevents clogging of hair follicles.

Antibiotics

These act by killing excess skin bacteria and reducing redness. In the first months of treatment, you can use both a retinoid and an antibiotic, applying the antibiotic in the morning and the retinoid in the evening.
Antibiotics are often combined with benzoyl peroxide to reduce the likelihood of developing antibiotic resistance. Examples include clindamycin with benzoyl peroxide (benzacline, duac, acanya) and erythromycin with benzoyl peroxide (benzamycin). Topical antibiotics alone are not recommended.

Salicylic acid and azelaic acid

Azelaic acid is a naturally occurring acid contained in whole grains and animal products. It has antibacterial properties. A 20% azelaic acid cream appears to be as effective as many traditional acne treatments when used twice a day for at least four weeks. In combination with erythromycin, it is even more effective.Prescription azelaic acid (Azelex, Finacea) is an option during pregnancy and during breastfeeding. Side effects include skin discoloration and mild skin irritation
Salicylic acid can help prevent clogged hair follicles and is available as both a detergent and a detergent. Studies that show its effectiveness are limited.
Dapson. Dapson (Aczone) 5 percent gel twice a day is recommended for inflammatory acne, especially in adult women with acne. Side effects include redness and dryness.
There is no strong evidence for the use of zinc, sulfur, nicotinamide, resorcin, sulfacetamide sodium or aluminium chloride in topical treatments against acne.

Oral medication

• Antibiotics

With moderate to severe acne, you may need oral antibiotics to reduce bacteria and fight inflammation. Usually tetracycline - such as minocycline or doxycycline - or a macrolide is the first choice for treating acne.
Oral antibiotics should be used as soon as possible to avoid antibiotic resistance.
Oral antibiotics are best used with topical retinoids and benzoyl peroxide. Studies have shown that the use of topical benzoyl peroxide together with oral antibiotics can reduce the risk of antibiotic resistance.

Antibiotics can cause side effects such as stomach upset and dizziness. These drugs also increase the sensitivity of your skin to the sun.

• Combined oral contraceptives


Four combined oral contraceptives are approved by the FDA for acne therapy in women who also want to use them for contraception. They are products that combine estrogen and progestin (Ortho Tri-Cyclen, Yaz, others). You may not see the benefits of this treatment for a few months. Therefore, the use of other acne drugs in the first weeks may be helpful.
The most common side effects of these drugs are weight gain, breast tenderness and nausea. A serious possible complication is a slightly increased risk of blood clots.

• Anti-androgen agent


The drug Spironolactone (Adlaten) can be considered for women and adolescent girls if oral antibiotics do not help. It blocks the effect of androgen hormones on the sebaceous glands. Possible side effects include breast tenderness and painful periods.

• Isotretinoin.Isotretinoin (Amnesteem, Claravis, Sotret) is a powerful drug for people whose severe acne does not respond to other treatments.

Therapies

These therapies can be proposed in selected cases either alone or in combination with medicines.

• Laser and photodynamic therapy


A variety of light-based therapies have been tried out with some success. However, further studies are needed to determine the ideal method, light source and dose.

• Chemical peeling


This method uses repeated applications of a chemical solution such as salicylic acid, glycol acid or eic acid. Improvement of acne does not last long, so usually repeated treatments are required.

• Extraction of whiteheads and blackheads

Your doctor may use special tools to carefully remove whiteheads and blackheads (comedos) that have not been eliminated with tropical drugs. This technique can cause scars.

Nodal and cystic lesions can be treated by injecting a steroid drug directly into them. This therapy has led to rapid improvement and a reduction in pain. Side effects may be thinning in the treated area.

Treating children

Most studies on acne drugs concerned persons over 12 years of age. Increasingly, younger children are also getting acne. In a study involving 365 girls aged 9 to 10 years, 78 percent of them had acne lesions. If your child has acne, you should consult a pediatric dermatologist. Ask about medicines to avoid in children, appropriate doses, interactions with other drugs, side effects and how treatment can affect the growth and development of a child. #pickelweg #pickelausdr , you know #pickelloswerden #pickelentfernen










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