PROJECT CLEAR SKIN
your source for clearer skin
Prescription Treatments
For some people, using acne treatment you can find at the store isn't enough to help them get clear skin. These individuals may need to visit a dermatologist (a kind of doctor who specializes in treating skin conditions) to get a skin evaluation and prescription medication for their skin. Remember that these medications need time to work as well, usually about 12 weeks. Read more about different types of prescription acne medications below:
Topical Retinoids
Topical retinoids are a type of acne medication that is applied to the skin. Retinoids are derived from vitamin A. Topical retinoids are produced as gels and creams and are particularly effective for preventing comedones (“blackheads” and “whiteheads”). Examples include tretinoin (Retin-A), adapalene (Differin; above), and tazorotene (Tazorac). Side effects of topical retinoids include dryness and irritation, usually worst in the first 1-2 weeks.
Topical Antibiotics
Topical antibiotics are applied to the skin and work by the bacteria on the skin that can lead to acne. It's usually combined with another medication (like benzoyl peroxide) to prevent the bacteria becoming resistant to the antibiotic. Examples include erythromycin and clindamycin.
Oral Antibiotics
Oral antibiotics, such as tetracycline, reduce the amount of bacteria on the skin and have an anti-inflammatory effect. There are several members of the tetracycline family, including tetracycline, doxycycline, and minocycline (pictured above). All of these medications have been used for many years to treat acne (as well as bacterial infections). Common side effects of tetracycline antibiotics include tummy aches (gastrointestinal upset) and it may be easier for the sun to irritate your skin (increased sun sensitivity). Because it can cause tummy aches, you should take tetracyclines with means (not immediately before bed) and regularly use of sunscreens to prevent sunburns.
Isotretinoin
Isotretinoin is also known as Accutane. It is used mainly for severe, nodulocystic acne that has not improved after using other treatments. This medication has many side effects, including birth defects (if taken while a woman is pregnant), dry lips, dry mouth, nosebleeds, decreased night vision, gastrointestinal irritation, elevation of triglyceride and cholesterol levels, abnormalities in blood counts, and severe headaches. Due to the risk of birth defects while on this medication, patients are required to register for the iPledge program (www.ipledgeprogram.com), which helps ensure pregnancy prevention. Patients on this medication are required to follow-up with their doctor on a monthly basis and obtain lab tests prior to each visit. Each treatment course lasts on average 4-5 months.