Patients with mild acne usually receive topical therapy; patients with moderate acne receive topical and some time with oral therapies; patients with severe acne should immediately receive oral therapies.. The severity assessment should include not just the extent of the inflammatory and comedonal lesions, but also the presence of scarring, the psychological effects of the disease, and the lack of success with previous treatment.
In general treatments are believed to work in at least 4 different ways (with many of the best treatments providing multiple simultaneous effects).
1.Anticomedonal: Adapalene, tretinoin, azaleic acid and isotretinoin
2.Antimicrobial: Erythromycin, clindamycin,azaleic acid benzoyl peroxide.
3.Anti-inflammatory: Adapalene, erythromycin, clindamycin, Nicotinamide.
4.Antiandrogen; Cyproterone acetate.
In general treatments are believed to work in at least 4 different ways (with many of the best treatments providing multiple simultaneous effects).
1.Anticomedonal: Adapalene, tretinoin, azaleic acid and isotretinoin
2.Antimicrobial: Erythromycin, clindamycin,azaleic acid benzoyl peroxide.
3.Anti-inflammatory: Adapalene, erythromycin, clindamycin, Nicotinamide.
4.Antiandrogen; Cyproterone acetate.
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