Consider topical retinoids like tretinoin or adapalene. These directly affect skin cell turnover, reducing acne breakouts. They’re available over-the-counter or with a prescription, depending on the strength.
Benzoyl peroxide is another topical option; it kills acne-causing bacteria. Look for products with a concentration of 2.5% to 10%. Start with a lower concentration to minimize irritation.
Salicylic acid is a beta-hydroxy acid (BHA) that exfoliates the skin, preventing clogged pores. It’s found in many cleansers, toners, and spot treatments.
Oral antibiotics other than doxycycline, such as minocycline or erythromycin, may be prescribed by your doctor. These work similarly to doxycycline but may have different side effects.
Isotretinoin (Accutane) is a powerful oral medication, generally reserved for severe, nodular acne. It carries potential side effects, so careful monitoring by a dermatologist is required.
- Hormonal therapies: Birth control pills or other hormonal treatments can help if hormones contribute to your acne. Azelaic acid: This topical treatment reduces inflammation and bacteria. Light therapy: Blue or red light treatments can help kill acne-causing bacteria and reduce inflammation.
See a dermatologist if:
Your acne is severe or doesn’t respond to over-the-counter treatments after several weeks. You have cystic acne (large, painful bumps). You experience significant scarring. You have concerns about potential side effects from medications. You have persistent or recurring acne despite trying multiple home remedies.
A dermatologist can assess your skin and recommend the most appropriate treatment plan for your specific needs.
