Table 3 shows the different treatments for AV patients, along with the strength of the recommendations of the AAD working group, but adjusted to include pregnancy and lactation scores. This review article focuses on current therapies, systemic antibiotics, isotretinoin and new developing therapies. We emphasize limiting the duration of treatment of systemic antibiotics in adults with acne and prescribing concomitant and / or maintenance treatment with local therapy. Table 4 shows the treatment algorithm of the AAD working group for AV management in adolescents and young adults, which requires adjustment based on risk factors, types and locations of acne and age injuries for patients. Prescribed acne treatments may include topical formulations, such as antibiotics, retinoids, benzoyl peroxide, anti-inflammatory drugs (p. E.g. dapsone and azelaic acid) and their combinations of fixed doses. Oral medications can include antibiotics, retinoids or hormonal agents (p. E.g. contraceptive pills, spironolactone).
Isotretinoin is known to cause serious birth defects and therefore two methods of contraception are required while taking this drug. Topical retinoid medications are prescription drugs from Vitamin A (Bradford and Montes, 1974, Krishnan, 1976, Lucky et al.1998, Shalita et al. 1999). Current retinoid medications are often used as first-line treatment for patients with mild to moderate acne, especially when acne is primarily comedonal. Retinoid therapy is comedolytic and resolves the microcomedon injury precursor.
Typically, physicians will propose prescription acne to treat severe or persistent cases of acne, where over-the-counter products such as skin creams, facial flushing and gels are simply ineffective. This treatment plan often includes the application of a drug containing various acne treatments, such as benzoyl peroxide and a retinoid, to an acne-sensitive skin. Follow this advice from certified dermatologists on the board for the most benefit of topical acne medications. Salicylic acid also has anti-inflammatory properties to help with inflamed cystic outbreaks that can occur when blockages break deep into the hair follicles under the skin. While it’s all okay to use salicylic acid in a facelift, you may have better results if you use it as a toner, moisturizer or on-site treatment because they give you more time to do your job.
While most of these agents are generally well tolerated, there are limited efficacy and safety data. In addition, specific ingredients, concentrations and possible falsification with other unwanted chemicals are not well regulated and sometimes cannot be confirmed. Doxycycline appears to be effective for AV patients in the dose range of 1.7 to 2.4 mg / kg (Leyden et al.2013), but for practical purposes, doxycycline is generally administered at 50 to 100 mg twice daily for adult acne patients. Blood pressure is often used to treat acne patients and is available in different concentrations (2.5-10%) and formulations (cream, gel, wash, foam, watery gel, license and wash). BP is a comediolitic, keratolytic, anti-inflammatory agent with antimicrobial properties.
Acne in adult patients may begin and persist or appear in adulthood during adolescence. Acne has various psychosocial effects that affect the quality of life of patients. Acne treatment in adult women specifically has its challenges due to considerations of patient preferences, pregnancy and breastfeeding. Treatments vary widely and treatment should be specially adapted for each individual woman. Dr. Palm notes that dermatologists have the ability to prescribe retinoids that are stronger than the available over-the-counter options. Differin is like “dipping your toes in the baby pool”, but in more serious cases, Dr. Palm says it moves to Tretinoin, the strongest retinoid they have.
Medicines and supplement use, social history with tobacco and illegal drug use, menstrual history (p. E.g., age of menarche, regularity of menstrual periods, history of infertility) and previous / current acne treatments need to be clarified . A full assessment of the systems should be performed to look for symptoms of hyperandrogenism or other endocrinological conditions. Dr. Palm says identifying your acne can help you find the right treatment, as some milder forms of non-inflammatory acne can be treated with over-the-counter topics. “If you get blackheads, white dots and a rare and occasional red injury, there are some over-the-counter options that used to be recipes,” she says.
If you have persistent acne that does not eliminate over-the-counter products, it may be time to make an appointment to discuss prescription acne treatments. Non-inflammatory acne can generally be removed with OTC products containing active ingredients such as salicylic acid and benzoyl peroxide, or receptor resistant local retinoids. Systemic antiandrogens such as spironolactone and combined oral contraceptives can be used in the effective treatment of AV patients (Kong and Tey, 2013, Meredith and Ormerod, 2013, Thiboutot and Chen, 2003, Zaenglein et al. 2016). However, the systemic use of antiandrogens is limited to women who want to invent or have other endocrine disorders or contraindications (Chen et al. 1995). Many patients want to use more natural treatments and can look for herbs and alternative medicines for treatment.
AV is a very common condition with a lifetime prevalence of approximately 85% and mainly occurs during adolescence . AV can continue to adulthood, with an acne prevalence of 50.9% in women aged 20 to 29 versus 26.3% in women aged 40 to 49 (Collier et al. 2008). Female patients represent two-thirds of visits to acne dermatologists and one third Acne Dermatologist of all visits to the acne dermatology agency are by women over 25 years of age (Yentzer et al. 2010). Acne treatments clearly take time and discipline, but it is also clear that there are several options for treating acne regardless of severity. The most important thing is to talk to your dermatologist and find a suitable regime for you.
The sebaceous glands are responsible for sebum making, the oil on the skin that can clog pores and cause severe cystic acne. Currently, the brands available for Isotretinoin Absorica, Amensteem, Claravis, Myorisan, Sotretm and Zenatane. Oral antibiotics work best in combination with local acne treatments.
All of these topics are suitable for mild to moderate non-inflammatory inflammatory acne. Many local and oral acne treatments are contraindicated during pregnancy. If you are a woman in your years of pregnancy, it is important to discuss acne treatments with your healthcare provider and to warn them if you become pregnant.