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In the U.S. alone, more than $1.4 billon is spent on acne medications and treatments each year. In many instances, the money spent yields less than satisfactory results and causes bothersome or dangerous side effects. Most prescription medications, such as antibiotics, require at least three months of continuous treatment before any improvement can be expected. Often, a second, third or fourth cycle of therapy is needed.

Over-the-Counter Acne Products

There are numerous non-prescription acne cleansers, astringents, moisturizers and pimple creams available at local drug stores. Some help unplug whiteheads and blackheads while others help encourage the skin to shed. It's important to use all products as directed. Many experts recommend giving over-the-counter products no more than six to eight weeks to work. If there is no improvement in acne during that time period, a dermatologist may be seen to explore other treatment options. Many over-the-counter products are available in stronger "prescription only" formulas.

Prescription Acne Products: Gels, Creams and Lotions

Topical Antibiotics: These "prescription only" products help fight acne by killing the bacteria that infect the pores. Sometimes acne may become resistant to the antibiotics, rendering them useless. Side effects can include dry, red skin and an increase in sun sensitivity. Commonly prescribed topical antibiotics include Cleocin T and Azelex.

Oral Antibiotics: These systemic medications affect the entire body and therefore can cause serious side effects. Some antibiotics, such as tetracycline, need to be taken on an empty stomach. Side effects can include nausea and dizziness.

Vitamin A Derivatives: These retinoid medications prevent skin cells from clumping together and encourage shedding. Usually applied once a day, these medications can increase sensitivity to the sun, so it's important that patients use sunscreen. Other side effects can include dryness, redness and irritation. Common Vitamin A derivatives include Retin-A, Differin and Tazorac. One particular retinoid, Accutane, has been shown to cause more serious side effects, including psychological disorders and, in rare cases, birth defects. Sexually active women who take this medication must use contraception during treatment and have monthly lab work performed.

Birth Control Pills: These are prescribed for women who have flare-ups that occur at the same time each month during the menstrual cycle. The pills help control the hormones that prompt oil production in the skin. Women should consult their physician to determine which birth control pills are most appropriate for particular skin conditions.

Before you buy any acne product you should take the following into consideration:

Know your skin type. People with oily skin should choose a gel based product; those with dry skin should choose a cream. If you are like most people and have combination skin, choose the product that best works with the afflicted area. If your acne flares up in the oily spots, choose a gel, if it is the dry skin that gets the zits, choose a cream.

The more sensitive your skin, the lower concentration of active ingredient you will need. Choosing a product that is too strong could actually make the situation worse by over drying the area and causing the skin to react by increasing oil production. This can end up causing more acne. If you have sensitive skin, stick with the milder formulations.

Some mild creams can be used as a preventative measure, but most acne creams are too harsh to be used before you see or feel a zit. Read the labels carefully and only apply the medication to places that are acne prone or actually have acne present.

If the acne is excessively painful, or if it becomes painful after trying an OTC product, try taking an anti-inflammatory medication like ibuprofen and get to a doctor ASAP.

If your skin has large pustules that appear in clusters, if they are painful, if your acne causes scars, or if you can't seem to get rid of a blemish (it starts to go away only to reappear just when you thought it was gone), your acne may require treatment by a doctor.
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