The most effective ways to quickly get rid of acne. Acne (acne) - methods of treatment. Complications and consequences. Prevention and prognosis Oily skin and facial acne medication

The main causes of acne on the face are bad ecology, dirty air, malnutrition, stress, etc. All these and other factors affect the functioning of the sebaceous glands. As a result, they begin to work harder, and the body can not cope with the load. The result is manifested on the face in the form of acne.

Rashes on the face must be treated with special means, otherwise even bigger problems may appear in the form of scars and scars. In the future, the skin will begin to deplete and it will be much more difficult to cope with the problem.

It is forbidden to squeeze acne on your own, as there is a risk of infection, and this contributes to even more formation of purulent rashes or can lead to the formation of scars and scars. It is very difficult to cure the consequences of squeezing rashes.

Types of acne on the face

The appearance of imperfections on the skin may be due to a genetic predisposition or a bacterial infection. All rashes are divided by specialists into different categories and types, therefore, when choosing a treatment, one should focus on the nature of the imperfections of the dermis that have appeared.

There are the following types of acne:

• black dots, or otherwise comedones;
• papules;
• pustules;
• acne.

Acne types.

Let's take a closer look at each type.

Comedones

Comedones are a type of non-inflammatory acne that are most often localized on the face. They are formed at the mouth of the hair follicles, which is subsequently clogged with sebum and dead cells of the dermis. In appearance, comedones look like small elevations above the skin with a white or black center. The growth of such acne can also provoke fatty or spicy foods eaten.

Comedones with a black center are also called "black dots". They form mainly on the chin, on the forehead or on the nose. Their dark color is not due to pollution. In fact, blackheads are clogged with colorless sebum and cells, but when light reflects incorrectly from the hair follicles, they appear dark. Also, upon contact with air, gradually accumulations of excess fat begin to darken.

This type of acne does not require special prescription drugs for treatment. It is enough to pay increased attention to cleansing the dermis and use cosmetics that do not clog pores.

Papules

Papules are formed as a result of inflammation of comedones. This is due to the fact that bacteria begin to multiply in the sebaceous glands, which subsequently contribute to the inflammatory process and the formation of pus inside.

In appearance, the papules look like red growths, are sensitive, and may be accompanied by pruritus. It should be remembered that squeezing such acne can provoke an inflammatory process and lead to scarring.

Read about creams for scars and scars on the face.

If a large accumulation of papules appears on the face, then it is necessary to seek treatment from a dermatologist, as this is a sign of a skin disease.

Treatment of this type of inflammation is more difficult than the treatment of comedones. Prescribed drugs based on benzoyl peroxide, as well as antibiotic therapy inside and locally.

Pustules

The formation of pustules is not necessarily associated with a bacterial infection. Most often, they form from comedones that have white heads. The pustule is filled with white or yellow pus and has a red inflammatory rim around the head.

Pustules can merge with each other, forming raised bumps above the skin with pus inside.

You should avoid squeezing this type of acne, as there is a risk of intensifying the inflammatory process.

acne

Generally, acne is considered a disease that is caused by inflammation of the hair follicles. The inflammatory process occurs as a result of clogged pores. In other words, acne is called acne.

Acne can appear at any age, but most often appears in adolescence, when the body is restructured and hormonal imbalances are observed. Acne can appear in the form of comedones, papules, and also pustules.

A list of the best acne creams can be found.

Types of acne remedies

Any kind of acne needs to be treated. For efficiency, it is better to contact a specialist who will select the necessary drug based on the picture of the disease. There are several types of drugs for the treatment of acne:

• ointments;
• gels;
• cream;
• with antibiotics, etc.

Ointments for acne treatment

The most common and effective ointments for treating acne are:

• . The drug is used to treat acne, acne or acne. It has established itself as the most effective drug, which contains two active components. First of all, it is the antibiotic erythromycin, which fights microbes and bacteria. The second active ingredient in the composition is zinc. It has an anti-inflammatory effect, prevents inflammation from spreading further, promotes the healing of the formed papules.

The average price of Zinerit is from 500 to 700 rubles.

• Salicylic ointment. Used to treat acne, eczema, psoriasis, etc. The product contains salicylic acid, which has an anti-inflammatory effect. As a result of the use of the product, pathogenic microorganisms are destroyed, the production of sebum decreases, the focus of inflammation is stopped, and the regeneration of the dermis is stimulated. Salicylic ointment is an excellent budget tool that has proven to be effective. The price of the drug is from 20 to 50 rubles in the pharmacies of the city.
• Zinc ointment. Zinc, which is part of the product, disinfects, absorbs, dries up rashes, has an astringent and antimicrobial effect. Dermatologists often prescribe this remedy in the fight against imperfections in the dermis. The drug is suitable for the treatment of acne, anke, inflammatory acne.

The approximate price of zinc ointment is 45 rubles.

Ointment with antibiotics

For the treatment of some types of acne, it is necessary to use products that contain antibiotics. The most effective drugs include:

• Levomekol. The composition of the product includes chloramphenicol - a broad-spectrum antibiotic, and dioxomethyltetrahydropyrimidine – a component that helps stimulate the regeneration of the dermis. The drug has an anti-inflammatory and antimicrobial effect. The antibiotic included in the composition is active against various microorganisms, including staphylococci. The tool is used to treat acne, including the treatment of purulent rashes. Cream has a similar effect. Also, the remedy is used to heal wounds after acne, since dioxomethyltetrahydropyrimidine penetrates deep into the dermis and promotes skin regeneration. The price of the product is 150 rubles.
• Erythromycin ointment. The composition of the drug contains the antibiotic erythromycin. The drug is prescribed for the treatment of acne, which are caused by bacterial microorganisms, as well as for the treatment of chronic forms of acne. As a result of application, purulent inflammation resolves, inflammation decreases, redness disappears. After using this drug, new rashes do not appear.

You can familiarize yourself with the instructions for using Radevit ointment.

The cost is about 150 rubles.

• Synthomycin ointment. The main active ingredient in the product is the antibiotic chloramphenicol. The drug has proven itself in the treatment of purulent acne, boils, pustules. The substance is able to penetrate deep into the dermis, due to which the best therapeutic effect is achieved. Also in the composition of the drug there is castor oil, which moisturizes the dermis, relieves inflammation, stimulates the regeneration of dermal cells. The average price is 55 rubles.
• Clindamycin. The composition of the drug includes the antibiotic clindamycin (it is also the main active ingredient of the gel), which is used to treat fungal diseases and to treat acne. The drug is prescribed for the treatment of acne, boils. Also used for such diseases. The active substance penetrates deep into the dermis, accumulates in the pimple, which contributes to a speedy recovery and has a long-term effect.

The ointment costs about 300 - 400 rubles.

The most effective creams

Face cream costs about 400 rubles.

• Bodyaga from acne and blemishes on the face. As a result of the use of bodyaga, inflammation decreases, the processes of regeneration of the dermis are launched, and due to the fact that bodyaga has bactericidal properties, comedones and black spots are removed.
• Chinese cream for acne ROLANJONA DOCACNE. A remedy containing an extract of bitter cucumber, known for its pronounced instant action in the fight against rashes. After applying the cream, an instant effect is observed - acne inflammation decreases, skin tone evens out, and sebum production decreases.

The average cost of a Chinese acne cream is from 300 to 400 rubles.

• Thai cream Isme Acne Spots Cream with tea tree oil and aloe vera. Product containing natural plant extracts. Cream of point action, after application of which inflammation decreases, acne is dried, the structure of the skin is leveled, black spots, comedones are eliminated, purulent formations are treated. The price of the product is 300 rubles.
• Faberlic anti-acne cream for problem skin with Novaftem-O2. A new caring series of cosmetics that are aimed at combating skin imperfections. The composition of the products includes zinc oxide, which regulates the work of the sebaceous glands, dries out rashes, narrows enlarged pores. Thanks to the patented formula, the active ingredients are able to penetrate deep into the epidermis.

The best face acne creams for teens are described.

For the treatment of acne, it is best to contact a specialist who will help you choose the right remedy based on the clinical picture of the disease.

Choosing from cheap ointments, the best effect is provided by agents with active substances of antibacterial action. Such means include Levomekol ointment, Synthomycin or erythromycin ointment. These remedies should be chosen if the cause of acne is associated with bacteria or infections of a bacterial nature.

Of the expensive cosmetics, pharmacy products are best at coping with acne. These drugs include Avene cosmetics, Bioderma, Skinoren gel.

Bepanten is distinguished by good healing properties, the instructions for use of which are described.

Video

This video presents the best ways to deal with post-acne.

conclusions

1. You can not squeeze acne yourself, as this can cause the spread of infection and wounds on the face.
2. Before starting treatment, it is recommended to consult a dermatologist who will be able to choose the right treatment.
3. Effective means in the fight against imperfections are drugs containing an antibiotic, since the main cause of acne is bacteria and microbes.
4. The main active ingredients aimed at combating acne are erythromycin, adapalene, zinc oxide, benzoyl peroxide.

How to get rid of acne with the help of medications, cosmetic procedures and at home.

Acne, pimples, rashes and skin lesions of a different nature are a problem not only for teenagers, but also for many adults. All skin problems can be combined into one big group - acne.
Lesions are manifested as black dots and pustules. In addition, it looks unsightly, can also cause serious problems and indicates diseases inside the body.

Rashes are on the back, chest, but more often on the face. The main reason for the occurrence is increased oiliness of the skin. However, malnutrition, adverse environmental factors, genetics, hormonal disorders affect no less.

Whatever the reason for the development and whatever type of rash occurs, the treatment of acne on the face should be comprehensive and immediate. Moreover, there are many ways of home, medical and cosmetic treatment. But, before treating the problem, you need to understand the cause of the occurrence.

Reasons for the appearance

Acne is often referred to as "the second disease of dirty hands." However, many factors can serve as the cause of the occurrence, and dirty hands will only aggravate an already existing problem.
Hormonal disruptions are possible, due to a number of circumstances, and non-hormonal, depending on the work of the body.

Non-hormonal causes of acne

1. Genetic predisposition (more often in men). The work of the sebaceous glands is laid down by nature, you only need to properly monitor a certain type of skin.
2. Improper hygiene. With oily skin type, washing more than twice a day is highly not recommended, so as not to overdry the skin and not provoke an accelerated work of the sebaceous glands, which will lead to acne. In addition, it is advisable to use special products for the fatty type. It will not be superfluous to use antibacterial tonics and cleansers.
3. UV rays. Many mistakenly believe that the sun or a solarium can literally “dry out” acne. However, it only masks the problem. Excess sunlight, on the contrary, provokes increased work of cells that are “trying to get rid of” ultraviolet radiation.
4. Disruptions in the endocrine system which are most often caused by stress and depression. Less nerves means less acne. We can say that acne is directly related to the emotional background.
5. Improper functioning of the digestive tract. The main reason is an improper, unbalanced diet. As a result - acute, then chronic gastritis, stones, dysbacteriosis and acne.

Hormonal causes

For the first time with a hormonal failure, you can "meet" during age. Over time, the hormones calm down and the rash goes away.

However, in almost 50% of people, acne is carried into adulthood and this is due to disruption of the endocrine system and increased production of hormones. Moreover, it has been proven that skin rashes are a “map” by which you can find the problem inside.

• Acne on the back indicates an overabundance of steroids;
• in the T-zone - about malfunctions of the digestive tract;
• on the chin - about gynecological and ENT diseases;
• on the forehead - about problems with the intestines.

Also, rashes are divided into types, from harmless to rather severe forms.

Types of acne

At the moment, a great variety of types and types of acne have been identified, which are classified by origin, course of the disease, color, presence or absence of infection. The most common:

1. Black dots. These are congestions in the upper part of the pore. At first, the cork is transparent watery, then, when the fat hardens, the dot becomes white or yellow, becomes cloudy and thickens. Under the influence of oxygen, the liquid oxidizes, resulting in a characteristic black color.
2. white dots. Fat collects in the lower part of the pore, forming dense clots. Expanding, they become visible on the surface in the form of white subcutaneous pimples or tubercles, felt with fingers. They have no way out.
3. papules. Formed as a result of infection in subcutaneous acne. A nodule up to 3 cm is formed, accompanied by redness, suppuration, swelling. Edematous ball from light pink to bluish color without an inflammatory head.
4. Pustules. There are different regular and irregular shapes with purulent contents inside. They are formed either independently or when an infection is introduced into a pimple. Usually up to 1 cm. Red, inflamed circumference with white, clear, yellow or greenish visible pus. Turbidity and all shades except white indicate re-infection.
5. Dermatoses. They occur with inflammation of the hair follicles, but usually without acne. This type is characterized by inflammatory spots, redness (rosacea and various dermatitis), other than acne.
6. Comedones. Formed as a result of blockage of hair follicles with sebum. Without inflammation, there is no threat.
7. Papulopustular acne. Occur at . In their place, pustules and nodes are formed.
8. nodular cystic acne. This is a cystic accumulation of abscesses under the skin with access to the outside. Usually proceeds hard and long. Subject to mandatory treatment.

There are other, less common types that only a dermatologist can determine: fulminant, steroid (bodybuilding acne), late, inverse, spherical (heaped), adult acne, newborn acne, cosmetic, professional, solar acne and others.
Diagnosis and treatment also depends on the severity and stage of development.

Stages of development

Acne affects everyone, even healthy people. This is due to various factors. The initial stages, as a rule, do not require serious treatment.

1. The occurrence of small minor rashes associated with a temporary hormonal failure (menstruation) or mechanical damage. Usually it is from 1 to 10 whiteheads. For this stage, the correct cosmetic procedures are sufficient.
2. The breakouts are increasing. The number of rashes reaches 30 pcs. The lesions are painful, and red, with pustules. Requires specialist advice and medication.
3. Multiple pustules, papules, nodes are formed. The defeat occupies a fairly large area. Inflamed places are painful, often indicating serious violations of the internal organs. Requires mandatory intervention of a specialist and the appointment of antibiotics.
4. The stage at which cystic multiple and extensive acne areas are formed. There are both cutaneous and subcutaneous abscesses. In addition to very painful sensations, the patient may develop stress against the background of a psychological factor. Since at the 4th, very difficult stage, the face, to put it mildly, looks unsightly.

Attention! Stress and depression, which often accompanies the presence of multiple acne and knots, exacerbate the situation. Therefore, in the 3rd and 4th stages, in addition to external and internal treatment, it is very desirable to consult a psychologist.

However, in order to prevent the last stages, it is necessary to diagnose the disease in time.

To diagnose the disease, it is enough to contact an endocrinologist and take blood tests: general, for hormones (on the 5-7th day of menstruation for women), for progesterone levels. You can additionally undergo an ultrasound of the adrenal glands, testicles, prostate gland.

Only when the diagnosis is made and the type, stage and severity of the disease is identified, treatment can begin.

Methods of treatment

Sometimes treatment with properly selected cosmetics is enough, in other cases additional drugs are used. Sometimes complex treatment, which includes both cosmetics and medications. It is not uncommon that there are cases of deliverance only with the help of home treatment with actually prepared means.

Preparations

In each individual case, drugs should be prescribed by a specialist. However, there are those who have proven themselves worthy.

benzoyl peroxide

Inhibits and blocks inflammation in the hair follicles. In addition, it exfoliates dead epidermis. The recommended dose of the concentration of the drug in creams and ointments is up to 5%. According to numerous studies, it has been revealed that a large concentration is meaningless.

Showed themselves well Proderm cream, Proactive, Persa-gel 5. But, drugs with antibiotics and retinoids are considered the best, for example Epiduo (France), Duak-gel (UK).

Usually applied 2 times a day for 1-1.5 months. Apply only to affected areas.
Benzoyl peroxide has a bleaching effect, so you need to be careful with clothes.

Salicylic acid

It is considered a classic in the fight against skin problems. However, salicylic only works on acne. On acne, except for the drying effect, it does not. In addition, the application causes peeling, itching and the possible appearance of pigmentation on dark skin.

The most famous remedy based on salicylic acid is Klerasil. However, with regular use, it still has an effect many times weaker than retinoids.

Retinoids

These are derivatives of vitamin A, which not only prevent the occurrence of acne, but also contribute to the removal of purulent accumulations. Effective against acne and pimples at different stages. The most effective - with the addition of benzoin peroxide and antibiotics ( Klenzit-S, Deriva-S, Izoterixin.

One application per day is enough, but a lasting result will remain only after 3 months of use.

Products with sulfur

Used to treat only acne with an inflammatory process. They don't work on acne. They have a very unpleasant odor, and the only plus is that you can replace one time use of benzoyl, which will reduce the addiction of the infection to peroxide. Example − Delex Acne different directions (from acne, blackheads, forte).

cortisone injections

They are used to avoid surgical intervention in severe forms of acne with cystic formations. These are steroidal anti-inflammatory drugs that quickly relieve symptoms. Of the side effects: thinning of the skin and other minor ones, which, compared with cystic acne, can be considered a trifle.

In some cases, cosmetic procedures are used as a substitute or joint remedy for acne.

Cosmetic procedures

Most often, mesotherapy, laser resurfacing and chemical peeling are used to combat this problem.

Mesotherapy

This is an infectious introduction under the skin of special healing, so-called cocktails. Mesoctail consists of biologically active components: ready-made or hand-mixed. The composition includes vitamins, minerals (most often sulfur, cobalt, magnesium, selenium, hyaluronic acid, elastane, collagen, antibiotics, immunomodulators). The composition is selected individually, based on a specific problem. The drug is administered manually or with a mesoyler. The effect is affected not only by the cocktail itself, but also by skin irritation with micropunctures.

The procedure is not very painful, rather unpleasant, but gives a good result. increases local immunity of the skin, relieves inflammation, removes pustules and prevents the formation of new ones, in addition, it is able to smooth out the relief and dissolve the scars left after acne.

Face grinding

It is often used to treat post-acne. However, with acne and acne, no less effective method. Occurs by non-contact (thermal) and contact radiation.

In any case, the laser acts on the cells of the sebaceous glands destructively. This reduces the production of sebum, relieves redness, inflammation, swelling. The fungus, bacteria are killed, the upper layer of the epidermis is somehow removed, thereby contributing to the speedy regeneration. Diseased cells are replaced with healthy ones.

Chemical peel

The name speaks for itself. This is peeling with organic acids. An acid composition is applied to the skin, which breaks down the epidermis. The procedure for action is comparable to, but an impressive affected layer is removed. Roughly speaking, diseased skin is removed, and in its place, healthy cells multiply intensively. However, the method is applied after the complete removal of inflammation and removal of abscesses.

Any procedure will require a course of treatment up to 10-15 sessions in 1-2 weeks until the skin is completely restored, but the result is visible after the first session.

With properly performed cosmetic procedures, it is possible to get rid of acne forever, but sometimes preventive periodic supportive repeated sessions are required.

To maintain the result, proper skin care and the so-called maintenance correction of the skin are required approximately once every 6-12 months.

For those who are afraid of injections or don't really like people in white coats, there are home treatments that can also reduce or completely get rid of acne.

Treatment at home

It is worth noting that in the last stages with a large number of pustules and a vast area of ​​​​inflammation, it is better to contact a dermatologist and endocrinologist. Then you can combine drug treatment and folk recipes. In the initial stages (acne and small ones), it is quite possible to get by with only scrubs.

Face masks

Masks based on bran, garlic, soda and salt have proven themselves well.
For the base, you can prepare a blank and store it in a tightly closed glass container: any bran and soda ground in a coffee grinder in equal parts.

Acne fruit mask

Ingredients:

• bran and soda base - 1 tbsp;
• any sour fruits - 3 pcs.

From fruits (lemon, sour apples, kiwi, orange, from berries - red and black currants, gooseberries, strawberries), squeeze the juice and pour the base. Grind soft fruits into a puree, add to the gruel of bran and juice. Apply the mass on the face with massage movements. Leave for 15 minutes, rinse with warm water and apply a nourishing cream.

Garlic

• garlic - 1 head;
• salt - 1 tsp;
• protein - 1 pc.

Pass the garlic through a press, add the beaten protein and salt. Apply to the face, massage for at least 2-3 minutes and leave for 15. Rinse with warm water and apply a moisturizer.

Potato

• potato juice - 3 tablespoons;
• oatmeal - 1 tbsp;
• aspirin - 2 tablets.

Pour oatmeal with potato juice and leave for 15 minutes. Add powdered aspirin to the swollen gruel. Keep the mass on the face for at least 25 minutes.

In addition to masks, it is advisable to use scrubs 1-2 times a week.

Scrubs

You can take honey as a basis, which is an excellent viscous antibacterial, anti-inflammatory agent.
As an additive, any components with grains are suitable: ground bran, oatmeal, strawberries, strawberries, cinnamon, salt, soda. You can add pharmacy vitamins and.

The scrub is applied to the face with massage movements. Massage is carried out for 5-7 minutes (with nicotine no more than 3). The mass can be left for 5 minutes on the face or immediately washed off with cool water.

In order for all of the above methods to retain their result for a long time or forever, you must adhere to an appropriate diet. Since acne often indicates a malfunction in the internal organs.

Diet

Diet is nothing more than proper nutrition. It is worth eating lean meats and fish, cottage cheese, vegetables, fruits and cereals. To reduce to reasonable limits the consumption of coffee and milk.

Exclude: fatty, fried, overly salty, canned, starchy, sweet (except honey).

Diet will help get rid of not only acne, but also overweight and health problems.

However, in addition to treatment, preventive measures should also be followed, which include:

• selection of individual hygiene products for the care of a certain type of skin;
• adhering to proper nutrition;
• use of antibacterial agents for oily skin;
• periodic consultation of a dermatologist, endocrinologist and cosmetologist to prevent relapse.

Acne on the face is not a sentence, even in advanced stages. With the right treatment, maintenance, and a diet that prevents recurrence, it is possible to get rid of

Acne is an inflammatory process on the skin of the face, provoked by various external or internal factors. Drugs for treatment are selected depending on the form and severity of acne.

Pathology is divided into several forms and types depending on the course of the process and manifestations. The non-inflammatory form of the pathology is expressed in the formation of comedones - areas on the skin in the form of small spherical shapes filled with secretions of the sebaceous glands. The passage into the papule is practically absent or completely absent.

In the future, under increasing pressure, the foci break into the inner tissue of the skin, forming a papule. Also, the group of non-inflammatory forms of acne includes milia (whiteheads) - miniature formations on the skin resulting from excessive secretion of the sebaceous glands.

In the absence of timely therapy, papules develop into a closed form of an inflammatory phenomenon called rosacea or rosacea. Over time, purulent masses - pustules - form in the papule. When the process advances deep into the pores, a complicated form of acne is formed in place of the pustules - phlegmous acne.

The type of inflammatory forms of acne includes scarring acne, keloid, fulminant. With improper treatment of acne or no therapy at all, post-inflammatory traces (post-acne) appear in the form of microscars of red or pale pink color at the site of inflammatory foci.

Classification of acne by age of a person

Acne can occur at any age regardless of gender.

Pathology is divided into 2 categories - juvenile acne and age. Type 1 - acne vulgaris. Occurs in adolescence and adolescence. Mostly affects the male part of the population. A distinctive feature is the development of seborrhea against the background of acne.

Classification:

The second type (age). It is called acne adultorum. Mostly observed in people over 40 years of age.

Classification:

• Late acne. Rashes are characteristic of the female half of the population. Formed before the onset of menstruation, pass on their own at the end of the cycle. They can signal internal sexual problems.
• Spherical. Abundant accumulation of cystic acne, in place of which, after opening, numerous scars and microscars remain. The process in the vast majority of cases develops in men prone to the development of seborrhea.
• Pyodermatitis. There are no comedones in the development of acne. Formations merge with each other. The regeneration processes can be delayed and last at least a year.
• Anabolic acne. It develops against the background of the use of anabolic, corticosteroid drugs.

A specialist in cosmetology or dermatology can determine a specific type of pathology through a visual examination.

Types of treatment depending on the type of acne on the face

Treatment of acne on the face, drugs and other methods of exposure are selected individually, depending on the form and degree of neglect of acne.

Possibly in several ways:

Some procedures and treatments have contraindications, which is why it is recommended to consult a specialist before use.

Acne open and closed

Treatment of acne on the face, the preparations for which are selected after determining the exact form of the pathological process, is carried out using means, both local and systemic. The most effective are retinoids - retinol acetate, Differin.

With mixed types, it is recommended to carry out ozone therapy and use various lotions for local treatment of the affected area. Thus, powdered tablets of trichopolum and chloramphenicol (ratio 10: 2) must be mixed with calendula tincture. Apply until complete cure.

Among the gels, it is recommended to use Skinoren, Baziron, Dermazin. Ointments - zinc, sulfuric, salicylic. When demodex is affected, a whole range of measures may be needed, including dietary nutrition and adjustment of the psycho-emotional background.

Only pimples

For acne, local remedies based on salicylic acid are effective - lotions, talkers, salicylic ointment. Oral medications may be prescribed. Antibiotics are usually not prescribed. The scheme is developed depending on the cause. In case of failures in the hormonal system, steroid drugs can be used.

Cystic and nodular forms

Benzoyl peroxide is the main remedy for cystic or nodular acne. The tool can be used in any of the available forms.

Treatment of acne on the face with cystic or nodular forms of rashes can be carried out using a special drug - Isotretinoin. For systemic use, injectable solutions of corticosteroids are used.

The most effective drugs in cosmetology for the treatment of acne

Depending on the form and severity of acne, certain drugs are selected.

Only a specialist should deal with the appointment of the remedy, since an incorrectly selected method of treatment can cause complications and only increase the manifestations of acne.

Hormones

Steroid drugs are prescribed only for severe forms, accompanied by infectious or inflammatory processes. In other cases, hormonal therapy with external agents on the face is not carried out due to the development of side effects or the so-called withdrawal syndrome.

List of funds:

• Advantan. Produced in the form of a greasy ointment. The active substance is methylprednisolone. Fights inflammation, has an antihistamine effect, eliminates puffiness. Can be used in both adults and children. The agent is applied to the affected areas 1 time per knock. The duration of treatment is no more than 10-12 weeks. It is contraindicated in acne, comedones. It can be applied pointwise at the sites of inflammation or infection strictly according to the doctor's indications. The cost is 300-400 rubles.
• Akriderm. Available in the form of an ointment for external use. It has anti-inflammatory and antipruritic action, is effective in allergic dermatitis. Used locally once a day. The drug is contraindicated in non-inflammatory acne, black spots, comedones.

In the presence of contraindications, agents without the content of corticosteroids are prescribed.

Antibiotics

Treatment of acne on the face, in which drugs are prescribed strictly by the attending dermatologist, can be carried out using antibacterial agents. Topical preparations have the greatest therapeutic effect.

Among the most effective, there are several such forms:

• Synthomycin ointment. The composition of the product includes castor oil and the antibiotic synthomycin. It is prescribed for acne, accompanied by a bacterial infection. Eliminates inflammatory reactions, inhibits the vital activity of pathogenic microflora. On the face, use pointwise for no more than 5-7 days.
• Doxycycline. Available in the form of capsules for oral administration. The active ingredient is doxycycline. Effective for acne rashes of various forms. Assign 0.5 tablets 1 time per day. The duration of therapy is from 6 to 14 weeks. Contraindicated during pregnancy, as well as children under 12 years of age. Cost - 50-70 rubles.

If there is no result, stop using the product and consult a doctor.

Creams

This type of funds is selected individually for mild and moderate severity of acne lesions.

Preparations:

Before using creams that contain an antibiotic, it is recommended to consult a cosmetologist or dermatologist.

vitamins

Vitamin complexes for acne are prescribed to restore the functioning of the immune system and saturate the body with useful elements:

• Vitamin A has a regenerating effect, heals damaged areas. It can be used both inside and for topical treatment of problem skin.
• Vitamin E is prescribed in combination with vitamin A. It belongs to the group of retinoids, participates in the processes of skin regeneration, and exhibits an antioxidant effect. Eliminates inflammation and relieves puffiness. Used in complex treatment in the form of tablets - Aevit.
• Vitamin C has a pronounced anti-inflammatory effect. It is used for various forms of acne. Fights infections and viruses.

Ointments

One of the most effective remedies for external use is Retinoic ointment. It is prescribed for cystic-nodular forms of acne, as well as in the treatment of rosacea. Causes slight irritation or burning when applied. Apply to the affected area 1-2 times a day. The tool is contraindicated in allergic reactions on the skin.

Roaccutane. Powerful drug based on retinoids. It is prescribed by the treating specialist for severe and complex forms of acne. Has many side effects. Not prescribed in the presence of allergies. Apply 1-2 times a day. The course of treatment depends on the severity.

Products with a degreasing effect

homemade talkers, infusions and lotions help reduce excessive production of sebaceous glands, which allows you to narrow pores and dry out existing rashes.

Salicylic acid. Apply locally with a cotton swab. Apply pointwise to each boil 1-2 times a day. The tool helps to reduce inflammation, dry and disinfect the affected area. The infusion may cause a short-term burning sensation. Apply with extreme caution, as the tincture can cause burns.

Tincture of calendula. Relieves inflammation, fights infections, dries, helps reduce oily skin. Apply pointwise with a cotton swab or stick 1-2 times a day.

Cosmetics

Treatment of acne on the face, drugs in which may belong to the group of cosmetics, should be carried out after consultation with a cosmetologist.

Antibacterial foam is a multi-component cosmetic product for problem skin from the Dead Sea Pharmacy Cosmetics series. Effective for acne, blackheads, comedones. The composition includes zinc, aloe vera, extracts of sage, chamomile, calendula and more than 20 useful minerals. Reduces oily skin, dries, can be used as a prophylaxis.

Janssen Cosmetics is a natural product based on yeast components from Germany. It has anti-inflammatory and immunocorrective action. Eliminates oily sheen, regulates the sebaceous glands. It is used for various forms of acne. Cost - from 2000 to 2400 rubles. for the remedy.

Antiandrogens

For acne caused by hormonal changes, antiandrogenic drugs are often used.

Diane-35 is a combined hormonal contraceptive based on estrogens. Effective in the treatment of acne, prevents the formation of new acne. Contraindicated during pregnancy and lactation. Take 1 capsule daily, from the 1st to the 25th day of menstruation. The scheme is developed by a specialist based on the course of the pathology.

Jeanine is a contraceptive that belongs to the group of progestogen and estrogenic drugs. Suppresses the excessive production of male sex hormones that provoke the development of acne. It has multiple contraindications, a mandatory consultation is required. Standard scheme of application: 1 tablet 1 time per day for 3 weeks.

Specific immunotherapy

Immunotherapy is prescribed for the relationship between the clinical manifestations of acne and the functioning of the immune system. Weakened protective functions of the body can affect the reproduction of bacteria that provoke the disease.

Inadequate work of the immune system can also cause the development of the disease. For the treatment of acne and acne on the face, drugs belonging to the group of cytokines or cytomedines are often used.

Video about acne treatment after 30 years

How to treat adult acne:

Updated: 01.02.2019 12:46:12

Judge: Anastasia Mayer

*Overview of the best in the opinion of the editors of the site. About selection criteria. This material is subjective, is not an advertisement and does not serve as a guide to the purchase. Before buying, you need to consult with a specialist.

Acne or acne is a well-known inflammatory disease of the skin appendages. It was probably first described by Byzantine court doctors as early as the middle of the first millennium AD. Advanced cases lead to the formation of a cosmetic defect, serve as a source of chronic skin inflammation and scarring. Severe acne is a constant source of stress, development of dysmorphophobia, feelings of inferiority and significantly worsens the quality of life, in extreme cases leading to suicide.

The essence of acne is in the inflammation of the glands that produce sebum and bring it out, in the blockage of the excretory duct of the sebaceous gland and the concomitant inflammation of the hair follicle. Acne almost never occurs in the form of a single formation. In the event that there are no more than 10 acne on the skin of the face, shoulders, neck or chest (without symptoms of inflammation), then such a rash is considered mild. And if there are more than 40 acne, and almost all of them are surrounded by a halo of inflammation with the phenomenon of pain and swelling, merge (conglobates) and proceed with symptoms of general intoxication, then this is a serious condition that requires serious and long-term treatment.

Dermatologists list many causes of acne, among which the most common is hormonal changes in the body during puberty. The appearance of inflammatory changes in the sebaceous glands often leads to low immunity, pregnancy, poor diet and constipation, the use of low-quality cosmetic preparations.

This review includes drugs that are intended for both topical application by application to the skin and systemic drugs in the form of tablets. The second group of medicines can be prescribed only by a doctor, according to indications and in the absence of contraindications. Any self-treatment is dangerous and categorically contraindicated. The rating will not list traditional medicine, as well as numerous physiotherapy procedures that are widely used in beauty salons in order to eliminate the effects of long-term, chronic acne during the formation of scar tissue. These include a variety of masks, peels, cryotherapy and ozone treatment, darsonvalization, various types of cleansing, phototherapy, dermabrasion and many other means. Their consideration is not the purpose of this rating.

First, those topical medicines that are well suited for the treatment of mild forms of acne will be considered, and creams, gels and ointments are used for this. But the composition of local remedies for the treatment of acne includes antibacterial agents and antibiotics, so even in this case, a specialist consultation is necessary before use. All prices listed in the rating are relevant for large cities of the Russian Federation at the beginning of 2019, and for pharmacies of all forms of ownership.

Rating of the best drugs for the treatment of acne

The best topical products

The purpose of the use of topical agents is to reduce the secretion of sebum, reduce the number of populations of bacteria that are on the surface of the skin and are involved in the formation of secondary inflammation, and the fight against follicular hyperkeratosis. Hyperkeratosis leads to a slow removal of dead epidermal flakes from the skin surface. Hyperkeratosis gives food to bacteria and pathogenic fungi, the epidermis clogs the ducts of the sebaceous glands, creating plugs. All topical drugs are used in the treatment of acne for a long time, they are applied to the affected skin, with the exception of the eyelids and the area around the eyes.

The best antibiotics and antiseptics

Antibacterial drugs and antibiotics will be considered first. They largely inhibit the reproduction of bacteria and suppress the very cause of inflammation. However, antibiotics should not be abused, since if they are applied to large areas, resorption and systemic action are possible. It is also recommended to regularly change the regimens for the use of antibacterial drugs, in order to avoid the development of microflora resistance to the agents used. For this, it is recommended to periodically take discharge from the surface of the foci and conduct a bacteriological study with the isolation of a pure culture and the determination of the sensitivity of microbes to antibiotics.

Zenerite (erythromycin + zinc acetate)

Erythromycin, which is part of Zinerit, is a dermatotropic antibiotic. It does not kill microorganisms, but inhibits their reproduction. Acetic acid zinc salt has astringent and drying effect, reduces the secretion of sebum and is suitable mainly for oily skin. Especially well, erythromycin suppresses the reproduction of epidermal streptococci and propionic bacteria, which are most often the main consumers of sebum, responsible for the appearance of acne.

Zinerit is produced in the form of a liquid, in a bottle with an applicator. Zineryt should be applied to acne twice a day, morning and evening. By pressing the applicator, you can dose the amount of liquid. The average daily dose is 1 ml of solution. The average course duration is 3 months. As a rule, a visible improvement in mild to moderate acne can be noticed after 2 weeks. Zinerit is produced by the pharmaceutical company Astellas, the Netherlands, and the average cost of one bottle, which is enough for a month's use, is 735 rubles.

Advantages and disadvantages

The advantage of Zinerit can be considered its high safety. Erythromycin can be used even in pregnant women and when breastfeeding, and occasionally a burning sensation and dryness may occur from local side effects. These symptoms are mild and soon disappear without requiring discontinuation of the drug. A big plus is the fact that after drying on the skin, the solution becomes invisible, and the patient can safely apply Zinerit on the face, it will not be covered with any white spots of zinc ointment, as many people think. The relative disadvantage of the product is the high price and small volume of the bottle, but the effectiveness redeems this small drawback.

Dalacin gel (clindamycin)

This local remedy in the form belongs to antibiotics from the group of lincosamides, and is a monocomponent medicine. It is this antibiotic that quickly acts in the ducts of the sebaceous glands, since it is activated by skin enzymes. Almost all known strains of propionic bacteria are sensitive to its action. The second positive effect of clindamycin will be to reduce the fat content of the skin by reducing the amount of fatty acids. It is necessary to apply the gel in the same way as Zenerit, 2 times a day, applying it in a thin layer on the surface of the acne. The course of treatment is long. The first results will be noticeable after at least a month and a half, and the duration of the course of treatment can be up to 6 months. This highly effective gel is produced by the American company Upjohn, and a tube weighing 30 grams costs 925 rubles.

Attention! When buying Dalacin, do not confuse, since it is also available in the form of a cream, but the cream is intended only for intravaginal use. This is all the more important because the cost of gel and cream is almost the same, and it is very easy to get confused.

Advantages and disadvantages

The advantage of Dalacin can be considered its high activity and ability to dry the skin without clogging the pores, simply by reducing the secretion of fatty acids. When treating, it is imperative to take into account the fact that Clindamycin and Erythromycin should not be used together, since there is a phenomenon of antagonism between them. Clindamycin can often cause dryness and irritation when applied to the skin. When treating, it is necessary to carefully avoid applying the product to the conjunctiva of the eyes and the oral mucosa. If this happens often enough, and Clindamycin is systematically ingested, then severe and prolonged diarrhea may develop.

Clenzit C (clindamycin + adapalene).

This is a combination drug that, in addition to the already mentioned clindamycin, contains adapalene. This substance belongs to retinoids, relatives of vitamin A. It is known that they are highly effective in the treatment of acne, and have a pronounced anti-inflammatory effect, eliminate the so-called comedones. Comedones are a cystic expansion of the mouths of the sebaceous glands, which turned out to be blocked by the very poorly exfoliated superficial epidermis, and hyperkeratosis is to blame for their formation.

Comedones in acne are a risk factor that leads to a chronic process and retention of inflammation in the depths of the skin. It is adapalene that improves the cellular composition of hair follicles, which reduces the likelihood of their blockage. In addition, adapalene reduces the severity of cellular inflammatory reactions. The second component is again clindamycin, which was mentioned above. Together, these two components produce a more pronounced effect than alone.

The drug is applied to dry and clean acne once a night. You can notice the effect of the application on average after two weeks, the course usually lasts no longer than a month under the supervision of a dermatologist. Persistent improvement develops after several courses, with a total duration of about 3 months.

The Glenmark pharmaceutical company from India produces Klenzit C gel, and the average cost of a 30 g tube is 830 rubles.

Advantages and disadvantages

The advantages of Klenzit C are the combination of two highly active components in one relatively inexpensive product. The medicine is highly effective because it only needs to be applied once a day, resulting in significant savings. However, the drug can cause side effects, mainly due to clindamycin. Klenzit S is contraindicated during pregnancy and lactation, and is prohibited for use in patients with Crohn's disease who have not reached the age of 12 years, due to the lack of necessary studies.

Baziron AS (benzoyl peroxide)

This drug with a pronounced antimicrobial effect is a gel, but not colorless, but white. It is produced in a tube weighing 40 g, both in a concentration of 2.5% and 5%. The cost of these two varieties is approximately the same: 900 rubles per pack. Produces a cure for acne known French company Galderma. Baziron has not only antimicrobial, but also keratolytic action, removing excess keratinized skin. This allows you to eliminate the formation of cysts, or comedones, improve the blood supply to tissues and reduce the synthesis of sebum. Baziron AS should be applied 1 to 2 times a day on dry and clean skin, the effect will be visible in a month. Persistent clinical remission usually occurs three months after treatment.

Advantages and disadvantages

Plus Baziron AS is a double action: keratolytic and antiseptic in one. Benzoyl peroxide has a very low resorption coefficient, and even if it enters through the skin, it is quickly excreted by the kidneys and does not accumulate in the tissues. The drug does not have a harmful effect on the fetus, and can be used during pregnancy and lactation. Adverse reactions include mild redness, dryness, or burning of the skin, which usually do not require discontinuation. As in other cases, Baziron should not be applied to the conjunctiva of the eyes, the mucous membrane of the mouth and nose, and due to accidental contact, they must be washed with plenty of water. The price range of this medicine is average (among acne treatments), the quality is European. Baziron can be combined with other local preparations because it does not contain antibiotics.

Skinoren (azelaic acid)

Skinoren is a highly effective dermatoprotective agent that protects the skin from microbial aggression and is used as a gel and cream. At the same time, the cost of cream and gel (30 g) is approximately the same: about 1400 rubles. The actions of azelaic acid are improving the function of keratinization in the sebaceous glands, reducing skin oiliness and antimicrobial activity. At the same time, Skinoren is not considered an antibiotic. Also, the tool has an anti-inflammatory effect, regulates cellular immunity.

It is necessary to apply the cream on previously cleansed and dried skin, rubbing lightly, 2 times a day, preferably in the morning and evening. The remedy is economical: a strip about 2 cm long is enough to apply to the entire face. With acne vulgaris, clinical improvement is usually noticeable after a month, but the course should be longer, usually two or three months. Skinoren is produced by the well-known pharmaceutical company Bayer.

Advantages and disadvantages

The advantage of Skinoren is the possibility of its wide use in cosmetology, it is not only an anti-acne agent. It has been successfully used in rosacea. Skinoren has an antimicrobial effect and does not have the side effects of antibiotics. Skinoren does not require skin protection from ultraviolet radiation during treatment, and is successfully used in the complex therapy of various types of acne, ranging from vulgar to severe.

The Best Inflammation Remedies and Reparants

Some of the remedies discussed in the previous section of the rating already contain anti-inflammatory components. But there are also special prescriptions that have an anti-inflammatory effect, and at the same time do not contain antibacterial components and antibiotics. However, in this case, there will be an antiseptic effect, but at the expense of other ingredients. They can be sulfur preparations, boric acid. Antifungal drugs are also widely used, which are used for prophylactic purposes.

This gel, produced by the well-known Hungarian company Gedeon Richter, belongs to reparants, that is, it restores tissue and stimulates its healing. Curiosin contains hyaluronic acid in combination with zinc. The use of Curiosin contributes, in addition to improving tissue regeneration, reducing inflammation, the agent has an antiseptic and bacteriostatic effect.

The use of Curiosin improves local cellular immunity, promotes the proper differentiation of fibroblasts in the focus of inflammation. The introduction of zinc in combination with hyaluronic acid made it possible to obtain activity against pathogenic microorganisms, which is not observed when using other hyaluronic acid compounds (for example, sodium hyaluronate). Shown, first of all, Curiosin in the event that the patient has a large number of comedones, pustular acne, that is, in the presence of a blistering rash containing pustules, or pustules.

It is recommended to prescribe this remedy for uncomplicated acne immediately after a decrease in inflammation, and after the manifestation of the action of antibacterial drugs. The presence of hyaluronic acid allows the formation of minimal, cosmetic and hardly noticeable scars, since the connective tissue fills the entire skin defect with regular use of Curiosin. Curiosin should be applied morning and evening, 2 times a day on clean, affected skin. It dries quickly enough, and the duration of the course of treatment is determined by the form and severity of acne. The cost of one package of gel weighing 15 g is, on average, 570 rubles.

Advantages and disadvantages

Curiosin's plus is the ability to ennoble young scars, but for this it is necessary to apply it after the first fight against inflammation. Curiosin does not stain the skin, does not leave marks on the linen. The safety of Curiosin is high; when applied topically, it is practically not absorbed into the blood, and it is contraindicated only in case of individual intolerance, in pregnant and lactating women, but due to the lack of data.

We present in the rating, finally, a domestic drug. The manufacturer Helsey LLC - gel produces a whole line of cosmetics. These are gels and lotions for acne, which include plant extracts, menthol, and sulfur. The manufacturer does not describe in detail which herbal formula is contained, so this remedy and the entire line can be considered not medicinal, but parapharmaceutical. This gel and acne lotion is used not so much for treatment, but as a preventive measure, and especially in patients with oily skin. As a result of care, the secretion of sebum decreases, and in some cases Delex - acne gel is able to cope with acne, but only if it occurs in a mild form.

This gel should be applied to the skin of the face one to two times a day, usually in the morning and evening. You should not rub the gel, but you can only apply it. In the event that the gel is used for treatment, then it should be applied only to areas with acne, but not to healthy skin. The manufacturer does not limit the duration of the course of application: from a week to the complete disappearance of symptoms of inflammation. It costs one package of 30 ml on average, about 210 rubles.

Advantages and disadvantages

The disadvantage of this drug is the fact that it is a cosmetic product, not a medicine, and according to the strict rules for rating the best products, it should not be in it at all. But still, we will make an exception for him, since acne has periods of not only exacerbation but also remissions, it is at this time that skin care is required for preventive purposes. It is prevention that is considered the strength of all parapharmaceuticals, including this line of products. This gel or lotion is not capable of coping with a sufficiently pronounced acne on its own. The fact that the manufacturer did not limit the duration of the course of treatment indicates that the remedy does not have a particularly strong effect. But on the other hand, it is available in pharmacies, is well tolerated, has no contraindications, except for individual intolerance, and has a very low price.

Another example of high-quality parapharmaceuticals used for the treatment and prevention of acne. This tool is available in the form of two forms: cream and emulsion for the face. This preparation contains esters of alpha-hydroxy acids, which have the ability to dissolve comedones, and are used in cosmetics for the so-called acid or glycol peeling. The source of alpha hydroxy acids are natural weak organic acids. These include, for example, malic, citrus and lactic acids. The emulsion also contains beta-hydroxy acid, namely salicylic acid. This remedy has long been used in medicine as a keratolytic drug, it normalizes follicular keratinization, preventing hyperkeratosis, improves exfoliation of dead particles of the epidermis, and has an anti-inflammatory effect.

It is necessary to apply this emulsion on pre-cleansed skin once or twice a day daily, they should be prescribed to patients with acne for several weeks after stopping the exacerbation. Treatment is preferably carried out under the guidance of an experienced dermatocosmetologist. The emulsion is produced by the well-known French company Bioderma, and a 30 ml tube costs an average of 1000 rubles.

Advantages and disadvantages

Bioderma is a very good parapharmaceutical and will ideally prevent the formation of new blackheads and comedones, but only if the inflammation is cured first. Therefore, before purchasing this remedy, it is necessary to consult a dermatologist or dermatocosmetologist and find out if complex treatment is needed first. You can get confused on your own, because there are products that include a different concentration of hydroxy acids. So, products with a high concentration are used for peeling, medium-concentrated ones are prescribed for a longer period, and drugs with a low concentration of acids are indicated in the inter-relapse period, as well as for the prevention of scarring. In the same case, if after the treatment of acne the so-called “problem” skin remains, then this care product will be ideal.

The best systemic drugs: contraceptives, retinoids, antiandrogens.

Finally, we proceed to the description of "heavy artillery", or drugs of systemic action. They are used exclusively on prescription, and almost all are prescription. These are pretty serious tools. Among them there are contraceptives, or contraceptives, drugs that affect male sex hormones and suppress their activity (strict antiandrogens), as well as systemic retinoids, of which Roaccutane will be the most active - the "gold standard treatment" for severe acne. Let's consider these tools in more detail. In this section of the rating, we will not list in detail each of the many drugs within the groups, since their specific selection is carried out only by a doctor. Let's give one characteristic and the brightest representative.

Jess (Yarina, Janine)

It goes without saying that hormonal contraceptives were originally created for women, and not only to prevent pregnancy, but also to normalize the cycle, and therefore these drugs are used only to treat female acne. It is known that the activity of the sebaceous glands, and the subsequent blockage of the excretory ducts and inflammation associated with this, is regulated by the activity of the male sex hormones, testosterone.

Therefore, the use of certain drugs (Jess, Yarina) with a blocking androgenic effect from this group can reduce the severity of acne and the manifestation of secondary inflammation. These remedies are quite effective, they are able to treat acne that has already arisen, as well as reduce the formation of new elements. Since all these drugs were originally considered contraceptives, their appointment should not be only on the part of a dermatologist. The use of contraceptives Jess and its analogue, Yarina, should be monitored by a gynecologist.

The drug Jess, in addition to contraception and the treatment of severe forms of premenstrual syndrome, is officially indicated for the treatment of moderate acne. In this case, Jess is used according to a rather complex scheme, which we will not describe here. For this, there is a special rating of contraceptives, to which we refer the reader. This medicine costs from 1000 rubles per package, which is designed for a month of admission, and it is produced by the German company Bayer.

Advantages and disadvantages

Of course, the main disadvantage of all hormonal drugs will be strict indications and the need for medical supervision. Also, these drugs can have serious side effects, for example, those associated with the development of thrombosis and vascular complications. But if there is evidence, there is a choice. The drugs Jess and Yarina are identical in composition, but the concentration of hormones in the first of them is less than in the second, and the risk of side effects is proportionally reduced, and Jess acts more gently.

On the other hand, Yarina's drug acts more strongly, clearing the skin of acne elements faster, but at the same time, its use is associated with a higher risk. Of course, the ideal option for prescribing the drug is a combination of a direct indication, that is, the need for hormonal contraception and the simultaneous presence of acne. Also, hormonal drugs are perfect for all patients who have functional menstrual disorders and acne development, in which case hormonal drugs will help establish a normal cycle and get rid of acne along the way.

Systemic retinoids (Roaccutane, Acnecutane, Sotret)

Above, a little was said about retinoids in the description of topical agents. So, the drug Klenzit-s contains adapalene, which is a mild retinoid. Roacutane is much more powerful. It acts by suppressing the activity of sebum production, with a pronounced anti-inflammatory effect on the skin, effectively combats hyperkeratosis of epithelial cells. Roaccutane improves the process of differentiation of skin cells.

This remedy is shown only for severe types of acne, which are absolutely not sensitive to other types of treatment. It is necessary to apply Roaccutane with meals once or twice a day, during the treatment the dose is adjusted. Quite often it is possible to achieve very good results for four or six months of continuous treatment, during which the individual dose is gradually selected.

The standard dosage for most patients does not exceed 1 mg per kilogram of body weight per day. The average course dose is 135 mg per kilogram of the patient's body weight throughout the course. One pack of 30 capsules, 100 mg each, costs 1,800 rubles on average. Roaccutane is manufactured by Hoffmann la Roche from Germany. According to calculations, for a patient with an average body weight of 70 kg, 9450 mg of Roaccutane should be taken during the course. Accordingly, these are 94 tablets, or 5640 rubles for the entire course lasting three months, about 1900 rubles a month, which is not very expensive for the successful treatment of severe skin lesions.

Advantages and disadvantages

Perhaps, the advantage of Roaccutane is the fact that it is one of the last "magic wands" for severe forms of acne, disfiguring the skin, and completely refractory to all other methods of treatment. The high cost of the drug, divided by several months of taking, is not so big. Much more serious are the side effects that it can cause. Roaccutane in this sense is a very serious drug.

So serious that before starting treatment for a sexually active woman, she needs to submit a certificate from a gynecologist that she is not pregnant. Also, the patient must bring a written consent that she understands the danger of pregnancy, is fully informed about the possible consequences of pregnancy, and bring a certificate that already a month (!) Before the planned intake of Roaccutane, she began to take contraceptives, and preferably two different contraceptives. At least 11 days before the start of taking Roaccutane, the test must confirm the absence of pregnancy, and such testing in the case of sexual activity should be carried out monthly during treatment. Why are all these unusual conditions for any drug necessary?

The fact is that isotretinoin is not only a highly effective drug for the treatment of severe acne, but also a drug that not only can cause congenital malformations of the fetus, but is almost guaranteed to cause them. In the event that Roaccutane or its analogues are prescribed to men, then the patient should completely exclude the possibility of taking at least one - the only tablet for use by women. Therefore, it is much “easier” with men.

It should also be remembered that during the treatment of acne, usually in 10-15 days, an exacerbation of the disease occurs, and this is normal. But throughout the entire period of treatment, the entire skin becomes very sensitive, prone to wounds, abrasions, so you can not carry out planned operations and you should try not to get injured. While the patient is taking Roaccutane, one should not sunbathe, take alcohol, quite often such a side effect as dry lips and mucous membranes is a sign of vitamin A hypervitaminosis. In very simple words, synthetic systemic retinoids are means of introducing the patient into artificial hypervitaminosis, which helps to get rid of acne.

Cyproterone (Androcur)

Finally, in conclusion of the rating of effective drugs for the treatment of acne, or acne, it is necessary to highlight infrequently used individual antiandrogenic drugs. Oral contraceptives have already been described above, with a certain blocking effect on androgenic activity. But antiandrogens are specifically designed to block the action of testosterone. Initially, drugs are used to treat malignant neoplasms of the prostate gland, since the prostate is an organ that responds extremely strongly to changes in the concentration of male sex hormones. The most famous of the group of these funds is Androkur.

Official indications for the use of the drug Androkur or its analogues in women are hirsutism, androgenic alopecia, as well as severe forms of acne. It should be noted that the treatment of acne is possible only with a minimum dosage - this is 10 mg. The fact is that there are 50 and 100 mg tablets on sale, they are created specifically for the treatment of prostate cancer, to reduce sexual desire during sexual dysfunction, as well as for other special purposes that are not related to acne.

In women, the drug is used in conjunction with hormonal contraceptives, such as Diane-35. The purpose of this combination is to prevent bleeding in women on antiandrogens. It goes without saying that the control of treatment together with a dermatologist should be carried out by a gynecologist, since women take Androkur on certain days of the cycle, and according to special rules.

Androkur is produced by the well-known company Shering, and the cost of 15 tablets calculated for monthly intake in the appropriate dosage of 10 mg is, on average, 1500 rubles. They are used daily for the first 15 days of the cycle, and then the contraceptive Diana is connected - 35.

Advantages and disadvantages

Perhaps Androkur is an alternative to Roaccutane for severe acne, but only in women. If we take men, then almost all of them will prefer to use Roaccutane. It is better to protect the skin and have the risk of developing any systemic effects than to lose male sexual characteristics for the duration of treatment, acquire impotence and suppress sexual desire for a long time. After all, usually antiandrogenic drugs for men are indicated only for a very serious reason, for example, the goal of prolonging life in severe, inoperable forms of prostate cancer.

In conclusion, it should be recalled that it is better from the very beginning to properly deal with the first manifestations of acne in adolescence, and not bring the matter to severe forms. To this end, regular hygiene procedures are recommended, it is important to follow the principles of proper nutrition. Very important for maintaining healthy skin is the complete rejection of bad habits.