Anti-acne creams treat acne without the side effects and risks of oral medications. Creams range from inexpensive over-the-counter lotions to powerful prescription medications. Whether you suffer from an occasional pimple, frequent breakouts or chronic severe acne, a dermatologist can recommend the appropriate cream for your condition.
Indications
Topical acne treatments are used to treat all types of acne. Salicylic acid is most effective at treating non-inflammatory acne like blackheads and white heads. Mild to moderate inflammatory acne might respond well to benzoyl peroxide treatment. Moderate to severe acne may require prescription creams called retinoids for satisfactory results. A dermatologist who can recommend the appropriate cream should evaluate chronic acne.
Salicylic Acid
According to the American Academy of Dermatology's AcneNet, salicylic acid most effectively treats non-inflammatory acne. Salicylic acid prevents dead skin cells from building up and clogging pores by correcting abnormal shedding of skin cells. Creams formulated with salicylic acid are mild for people with dry or combination skin, and will not cause the harsh drying effects of more potent acne medications. Over-the-counter lotions typically contain about 2 percent salicylic acid. Treatment may cause mild skin irritation or stinging.
Benzoyl Peroxide
The majority of over-the-counter acne creams contain benzoyl peroxide. This acne-fighting ingredient reduces excess oil and reduces the population of skin bacteria to prevent breakouts and reduce inflammation. Acne sufferers with oily skin are ideal candidates for benzoyl peroxide treatment. Benzoyl peroxide creams come in concentrations of 2.5, 5 and 10 percent. Treatment may cause over-drying of the skin, particularly with higher concentrations of benzoyl peroxide. Once the skin adjusts to the medication, over-drying of the skin often subsides.
Retinoids
Moderate to severe acne may warrant topical retinoid treatment. A doctor or dermatologist must prescribe retinoids. Retinoid medications include tretinoin, adapalene and tazarotene. Retinoids slowly unclog pores and encourage new skin growth. Acne may become worse temporarily when using retinoids, which is an expected effect of treatment and should not warrant stopping the medication. Retinoids can irritate the skin and cause excessive dryness, redness and peeling. Increased sun sensitivity may also occur.
Contraindications
Always speak to a doctor or dermatologist when initiating a new acne treatment regimen. Certain contraindications exist for each type of anti-acne cream. Pregnant women should avoid using salicylic acid until consulting with an OB/GYN. The oral form of salicylic acid has been linked to birth defects, and insufficient evidence exists as to whether or not topical salicylic acid is safe during pregnancy. According to Drugs.com, a possible link exists between topical retinoids and birth defects. Disclose pregnancy or any plans to become pregnant with your dermatologist prior to treatment.
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