Adult-Specific Treatments
Caring and treatments for acne-prone skin is similar for children and adults. For more information,
visit Treating Acne. Because adult acne can be stubborn, it may require the use of two or more types of medications, as well as the help of a dermatologist.
Over-the-counter treatments include topical creams, lotions and gels that may contain benzoyl peroxide, a retinoid, salicylic acid or sodium sulfacetamide combined with sulfur. Many of these ingredients are found in cosmetics made for women with acne and are less drying than those in products formulated for kids. As a bonus, topical retinoids also reduce fine lines and wrinkles.
Over-the-counter treatments are worth a try, but may not control adult acne. If treatment is not successful after eight to 10 weeks, the different concentrations found in prescription medications may be needed.
Treatments a dermatologist may prescribe for adult acne include:
- Topical medications, including:
- Antibiotics (such as clindamycin or erythromycin)
- Retinoids, or
- Combinations of two ingredients, typically an antibiotic and either benzoyl peroxide or a retinoid
- Oral medications that control hormone fluctuations, including:
- Oral contraceptive pills
- Spironolactone
- Hormone replacement therapy
- Oral antibiotics may be used in combination with a topical retinoid.
- Oral isotretinoin: if acne is especially severe or resistant to treatment, the dermatologist may prescribe isotretinoin, which is one of the most effective therapies available. However, it can cause potentially serious side effects, which you should discuss with the dermatologist. Because it also can cause serious birth defects, female patients taking isotretinoin must have a pregnancy test and use contraceptives, and all patients must enroll in a patient registry.
- A corticosteroid injection can reduce the pain and swelling of a more severe type of pimple.
Next: Treating Acne Scars
