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Current Oral and Topical Treatments for Acne

What treatments should I use for my acne? There is no “cookie cutter” regimen that works well for all patients.  It is imperative to have an evaluation in the office to determine what the best regimen is for you.  Sometimes, the best regimen may be a combination of prescription medications and in-office treatments, such as photodynamic therapy.  Other times, the best regimen is just prescription or even an over-the-counter acne medication. Who is an appropriate candidate for prescription acne medications? Any patient who is having acne flares is an appropriate candidate for prescription acne medications.  Prescription acne medications are generally more effective than the over-the-counter alternatives, even for those patients with very mild acne.  It is advisable that all patients, even those with mild acne, have a consultation to determine whether prescription medications are appropriate for them. What are the most common prescription acne medications? Topical antibiotics – ie. Clindamycin, Clindagel, Erygel.  Topical antibiotics can be very effective at treating the p. acnes bacteria that causes acne.  Aczone is another common topical medication; it is not an antibiotic, though it may have antibacterial and anti-inflammatory properties. Topical antibiotic and benzoyl peroxide combination products – ie. Benzaclin, Duac, Acanya, Benzamycin.  These combination medications are often more effective than topical antibiotics alone. Retinoids – ie. Atralin, Differin, Retin-A Micro, Tazorac, Tretinoin.  Retinoids reduce the microcomedones that lead to larger acne lesions and provide an anti-inflammatory effect. Retinoid combinations – ie. Ziana, Veltin, Epiduo.  These are medications that combine retinoids with either Clindamycin or Benzoyl Peroxide in order to add an antibacterial effect to the retinoid medication without adding additional topical creams. Oral antibiotics – ie. Doryx, Doxycycline, Minocycline, Monodox, Morgidox, Solodyn, Zithromax.  Oral antibiotics are very safe and effective to use in the treatment of inflammatory acne. Anti-androgen medications – ie. Aldactone (Spironolactone).  Spironolactone is used in the treatment of female acne for its anti-androgen (male hormone) effect. Isotretinoin – ie. Accutane, Sotret, Amnesteem.  Isotretinoin is used in the treatment of severe acne vulgaris, often in patients who have failed other therapies.  Isotretinoin decreases sebum production in the sebaceous glands and has an antimicrobial effect on the p. acnes bacteria that causes acne. What will the cost be for these prescription acne medications? Most prescription acne medications are covered by your insurance plan, so the cost should be no more than your copay. What are the side effects to expect while using prescription acne medications? Some of the topical acne medications can cause dryness and redness on the treated area of the skin.  During your appointment, we will review exactly how to apply these medications in order to avoid excessive irritation.  Oral acne medications may have specific potential side effects, we will review these during your consultation. How can I begin a prescription acne regimen? It is important to have a consultation prior to beginning any prescription regimen.  All acne consultations are performed at Schweiger Dermatology in midtown, NYC. Click here to schedule an acne consultation at Schweiger Dermatology in Midtown Manhattan.  

Schweiger Dermatology

110 East 55th Street
New York, NY 10022
212.283.3000
contact@schweigerderm.com

Everything you need to know about acne!

Subscribe to the Schweiger Dermatology newsletter to receive our Acne Information Guide! Get tips on what causes acne and how to prevent it! Could your diet be causing your break out? Find out in our comprehensive guide!
  • Everything you need to know about acne!

    Subscribe to the Schweiger Dermatology newsletter and receive our Acne Information Guide!

    Tips on what causes acne and how to prevent it! Could your diet be causing your break out? Find out in our comprehensive guide!


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We Serve the following areas within New York City: Midtown East, Midtown West, Upper East Side, Upper West Side, Midtown Manhattan, Greenwich Village, East Village, West Village, Soho, Tribeca, Murray Hill, Gramercy, Wall Street, Hell’s Kitchen, and the Burroughs of Queens, Bronx, Brooklyn, and Staten Island.


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