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There are a variety of effective treatment options available for acne depending upon its type and extent. The acne vulgaris treatment may consist of the application of topical creams or the use of oral medicines. Many people may also get benefitted from home remedies especially when the disease is mild or in an early stage.
However, when the acne leads to the formation of permanent scars on your face the treatment typically consists of cosmetic procedures such as laser, microdermabrasion, needling, and others.
These acne vulgaris treatment options are discussed below in detail:
• Topical retinoids like retinoic acid, adapalene, and tretinoin are used alone or with other topical antibiotics or benzoyl peroxide.
• Topical antibiotics like clindamycin 1% to 2%, nadifloxacin 1%, and azithromycin 1% gel and lotion are available. Estrogen is used for Grade 2 to Grade 4 acne.
• Topical benzoyl peroxide is now available in combination with adapalene, which serves as comedolytic as well as antibiotic preparation. It is used as 2.5% ,and 5% concentration in gel base.
• Azelaic acid is antimicrobial and comedolytic available 10% or 20% gel. It can also be used in postinflammatory pigmentation(darkening)of acne.
• Beta hydroxy acids like salicylic acid are used as topical 2% or chemical peel from 10% to 20% to decrease the sebum production, comedonal acne, and pigmentation due to acne.
• Topical dapsone is used for both comedonal and papular acne, though it should be used with caution in individuals with G6PD deficiency.
1. Antibiotics like doxycycline, minocycline and azithromycin can be taken. Doxycycline 100 mg twice a day can be used as an anti-inflammatory and antibiotic drug controlling inflammation. Minocycline 50 mg and 100 mg capsules can be taken once a day. Studies have found that using topical benzoyl peroxide along with oral antibiotics may reduce the risk of developing antibiotic resistance. Doxycycline may cause an upset stomach hence probiotic should be taken along with it.
2. Isotretinoin is used as 0.5 mg/kg to 1 mg/kg body weight on a daily or weekly pulse regimen. It controls sebum production, regulates pilosebaceous epidermal hyperproliferation, and reduces inflammation by controlling P. acnes. The common side effects associated with isotretinoin is dryness, hair loss, and dry lips. Due to its potential side effects, doctors need to closely monitor anyone who is on Isotretinoin.
3. Combined Oral Contraceptive comprising of low dose estrogen 20 mcg along with cyproterone acetate can be used for severe recurrent acne.
4. Anti-androgen like spironolactone (25 mg per day) can also be used in males as it decreases the production of androgens and blocks the actions of testosterone. It should be used with caution in females and pregnancy should be avoided because the drug can cause feminization of the fetus.
Certain home remedies can be tried for mild to moderate acne.
1. Tea tree oil – its acts as both antibacterial and anti-inflammatory hence helps in killing the bacteria causing acne.
2. Aloe Vera gel– to decrease the irritation and redness due to acne.
3. Honey– it has both anti-bacterial and moisturizing effects, therefore, healing the skin.
4. CBD oil– helps in decreasing inflammation and reducing sebum hence preventing further break out.
Here is the list of treatments for acne scars:
Treatment modalities for atrophic scar
|Chemical peels |
1. Glycolic acid
2. Jessner’s solution
3. Pyruvic acid
4. Salicylic acid
5. Trichloroacetic acid
6. TCA cross
|Tissue augmenting agents|
Treatment for hypertrophic scars
|Intralesional steroid therapy|
|Pulsed dye laser|
MBBS, MD Dermatology
Fellow in Dermatology Laser Surgery
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