Understanding and Managing Acne: A Comprehensive Guide Part 4 Treatment

Posted by Behcet Bicakci on

Acne Treatment

Acne, a common skin condition affecting people worldwide, often requires tailored treatment based on its severity. Various treatment options, from over-the-counter remedies to prescription medications, cater to different forms and stages of acne. Understanding these treatment methods is vital for effective management and clearer skin. 

Over-the-Counter Solutions:

For Mild Acne: Initial episodes of acne, characterised by a few blackheads, whiteheads, and spots, can often be managed with guidance from pharmacists. Over-the-counter gels or creams containing benzoyl peroxide are recommended for their antibacterial and anti-inflammatory properties.

Prescription Medications:

Moderate to Severe Acne: If acne persists or worsens despite over-the-counter treatments, seeking advice from a General Practitioner (GP) becomes crucial. Prescription medicines available for treating acne include topical retinoids, antibiotics, azelaic acid, and in women, hormonal therapies like the combined oral contraceptive pill.

Combination Treatments: GPs usually initiate a combination of topical treatments or combine antibiotic tablets with topical remedies for moderate to severe cases. Hormonal therapies, especially for women experiencing acne flares around menstruation or conditions like polycystic ovary syndrome (PCOS), are also considered.

Understanding Topical Treatments:

Benzoyl Peroxide: Known for its antiseptic properties, benzoyl peroxide reduces bacteria on the skin's surface, curbing whiteheads and blackheads. It should be applied sparingly, post-cleansing and excessive exposure to sunlight should be avoided due to increased skin sensitivity.

Topical Retinoids: These remove dead skin cells, preventing their accumulation in hair follicles. Tretinoin and adapalene, common topical retinoids, are usually applied before bedtime to acne-affected areas, albeit sparingly due to skin sensitivity and sunlight exposure risks.

Topical Antibiotics: Available as lotions or gels, these target acne-causing bacteria on the skin's surface. However, prolonged usage can lead to bacterial resistance, necessitating a cautious approach and short-term usage.

Azelaic Acid: An alternative treatment, especially if benzoyl peroxide or retinoids cause discomfort. It aids in skin exfoliation and bacterial elimination without heightened sunlight sensitivity.

Oral Medications and Hormonal Therapies:

Antibiotic Tablets: Typically used alongside topical treatments for severe acne, these are prescribed for a course of 4 to 6 months, although prolonged use risks bacterial resistance.

Hormonal Therapies for Women: Oral contraceptives, especially the combined pill, have shown benefits in managing acne. However, some contraceptive methods like the progestogen-only pill or implant can exacerbate acne symptoms.

Emerging Role of Saliva Hormone Testing:

Saliva hormone testing is an evolving diagnostic tool that identifies hormonal imbalances implicated in acne development. By measuring hormone levels non-invasively, this method guides more targeted and effective treatment strategies.

Benefits and Limitations of Saliva Hormone Testing:

Benefits: Saliva hormone testing offers a non-invasive, convenient way to assess hormonal imbalances linked to acne. Results guide healthcare providers in selecting tailored treatments, including oral contraceptives or anti-androgen medications, based on specific hormone level measurements.

Limitations: Hormone levels fluctuate throughout the day, influencing test results. Lifestyle factors like stress and diet can also impact hormone levels, necessitating result interpretation within a broader context.


Understanding acne treatment options, from topical solutions to hormonal therapies, empowers individuals to manage their condition effectively. While over-the-counter remedies suffice for milder cases, seeking medical advice for moderate to severe acne ensures appropriate prescription-based treatments. Additionally, emerging diagnostic tools like saliva hormone testing offer promising avenues for targeted hormonal acne management, heralding more personalized treatment approaches in the future.

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