How can acne be treated?

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Acne can be treated in different ways. The main thing to remember is that it will take about two months of any treatment before your skin starts to look better.

Benzoyl peroxide (in different strengths) clears up acne for many people. You can get benzoyl peroxide without a prescription. It comes in a cream, lotion, gel, soap or in pads. You spread it over the whole area where you have acne (not just dabbing it onto each blemish). Your doctor may tell you to use it once a day at first and then work you up to two times a day. If you start using benzoyl peroxide, begin with a lower strength. Use it once a day at bedtime. Before using it, gently wash the skin with soap and water. If benzoyl peroxide doesn't seem to help after two months or is very irritating to your skin, get advice from your doctor. Benzoyl peroxides can bleach your clothes, so be careful.

Antibiotics can be very good for acne. They can be taken by mouth, or used in a lotion, cream, or gel on the skin. Again, be sure to apply the lotion, cream or gel over the whole area where you have acne. Often doctors start with these but if they don't work, you may have to take the antibiotic as a pill over months.

Tretinoin (some examples are Retin-A, Stieva-A) can be a very good treatment for acne. It is often rubbed onto the skin once a day. Be sure not to get it near the eyes, mouth and area under the nose. It may seem at first that tretinoin is making your acne worse. Give it several weeks to start working. If you use tretinoin, you must avoid the sun or use a strong sunscreen. Tretinoin increases your risk of getting a very bad sunburn. Some come with sunscreen added to them. Pills are used to treat severe acne. Many creams/gels contain a combination of acne treatments such as vitamin A and an antibiotic.

Isotretinoin (Accutane) may be needed to treat severe acne. Accutane comes as a cream and may help less severe acne. It is best in treating cystic acne and to prevent scars. It is taken once a day by mouth for 15 to 20 weeks. Isotretinoin can cause serious side effects. It causes serious birth defects and miscarriages. It should never be taken during pregnancy or even one month before pregnancy. All women must use birth control while you take isotretinoin, as well as one month before and one month after you start taking it.

Talk to your doctor and follow directions carefully if he or she prescribes isotretinoin for you.