New guidelines from the Academy of Dermatology (AAD) suggest that combination treatments are the best way to treat acne – and prevent it from coming back.
The list of recommended treatments today includes topical therapy, antibiotics, isotretinoin and oral contraceptives. Antibiotics should be used with topical therapy for mild-to-moderate acne, and topicals should be being continued once the antibiotic course is complete, the AAD suggests. What’s more topical medications, such as retinoids and benzoyl peroxide, also may be combined for maximum results.
The guidelines are published online in the Journal of the American Academy of Dermatology.
Larger Role Predicted for Newly Approved Aczone 7.5%
Different topicals work best for different types of acne, the guidelines state. For example, topical dapsone 5% gel is recommended for inflammatory acne, particularly in adult females.
But at least one dermatologist predicts an even greater role for this product now that a higher strength formulation has been approved by the US Food and Drug Administration. “In very short order, Aczone (dapsone 7.5%) is going be available,” says Judith Hellman MD, an associate clinical professor of dermatology at Mt Sinai Hospital in New York City.
Prescription-only Aczone is now approved for inflammatory acne and comedonal acne in individuals aged 12 and older, both male and female,’ she says.
Comedonal acne refers to non-inflammatory acne lesions that may be open or closed. Closed comedones are also known as whiteheads and open comedones are called blackheads. Inflammatory acne is red and/or tender, and starts off as a whitehead or blackhead.
“I have just returned from their training for experts and am very excited about this new formulation for my favorite acne topical, “ Hellman says about Aczone. “This is really a winner product!”
It is used once a day, she says. “We expect patients can incorporate its use better into their daily life, and it’s still the best tolerated topical in my practice,” she says.“ Using it together with Benzoyl Peroxide can result in a temporary orange tint, so careful! Since it’s not an antibacterial but an anti-inflammatory, it won’t promote any type of resistant bugs.