| Non-natural acne treatments Acne laser and blue light treatments for acne have reached the mainstream of advanced dermatology. Often these new modalities are combined with more traditional antibiotics and topical applications to create a broad-based therapy for severe acne vulgaris and rosacea. In all cases, the aim of comprehensive adult acne treatment is to reduce and minimize bacteria around pores and follicles. Tough Cases Need Tough Medicine When all else fails, physicians still rely on isotretinoin (Accutane) to deliver a knockout blow to severe infection and inflammation. A four-month course is typical, but Accutane carries a well-documented history of dangerous side effects, particularly if it is taken during pregnancy. Erythromycin is another common topical choice and, while reducing concentrations of free fatty acids, it may also have an anti-biotic effect. It may be taken orally as well. Tetracycline is still the most common prescriptive medication for acne, administered at 500 mg twice a day until there is a marked decrease in lesions. Vitamin A derivatives, such as Retin-A, Avita, and Renova, are often used topically to prevent comedone formation. The patient must be persistent, as Retin-A can take more than three months to prove a fully effective treatment. Over the Counter, then Over the Skin Patients often sample the broad range of over-the-counter topical preparations to fight acne, turning to medical care only after the eruptions become more problematic than simple cosmetic annoyances. Salicylic acid is frequently based in many non-prescription aids. Other creams, soaps, gels, and lotions contain sulfur, benzoyl peroxide, and resorcinol. Some topical solutions employ combinations of these ingredients. Topical remedies may not carry the punch of antibiotics, but they are typically free from side effects. |