The results, published as part I and part II in the journal Dermatologic Clinics, indicate a new trend in acne therapy. Doctors are reducing the amount of antibiotics they prescribe for long-term acne treatment in favor of combination treatments, researchers say.
People are more aware of the concern about the development of antibiotic resistance, which is caused by the overuse of antibiotics. It is also important to realize that acne is an inflammatory disease and not an infectious disease.
Antibiotic overuse can also encourage the growth of resistant bacteria, which can make acne more difficult to treat. In the article estet-portal.com you can get acquainted in detail with new professional views on acne antibiotic therapy.
Negative effects of antibiotic therapy for acne
Prolonged use of antibiotics can affect the microbiome (the trillions of bacteria, viruses and fungi that inhabit our body) in areas other than the skin, leading to the development of pathological conditions.
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The report notes that people who use topical and oral antibiotics are more likely to develop a bacterial flora in the back of throat and tonsils are three times higher than in people who do not use antibiotics.
Long term use of antibiotics for acne treatment is also associated with an increase in upper respiratory tract infections and skin diseases and has been shown to affect the patient's blood sugar levels.
Antibacterial therapy for acne: modern alternatives
There has been renewed interest in the antibacterial drug benzoyl peroxide, which is often used in combination with topical retinoids, which are medicines derived from vitamin A.
Doctors are increasingly choosing combination treatments over antibiotics for long-term acne treatment.
The advantage is that benzoyl peroxide kills acne causing bacteria, reduces clogged pores and does not promote the formation of resistant strains of acne causing bacteria.
Combination therapy for acne: effectiveness of interaction between cosmeceuticals and mesotherapy
Antibacterial therapy for acne: can it be effective in hyperandrogenemia
While acne is common in adolescents, it can affect the patient in adulthood, affecting mostly women. About 50% of women in their 20s, 1/3 in their 30s and 1/4 in their 40s suffer from this disease.
The oral drug spironolactone is particularly effective in women.
While this medication, which is commonly prescribed for high blood pressure, heart failure, and swelling, is not FDA approved for acne, it is commonly used for androgen (sex steroid) disorders.
Because hormonal imbalances can be the cause of acne, doctors are turning to hormone therapy that targets androgens, a tactic that has been shown to be effective, safe, and requires little ongoing monitoring.
Later acne in women: non-adolescent problems and solutions
A worthy replacement for acne antibiotic therapy
Researchers said that laser and light therapy, as well as diet are promising non-antibacterial alternatives, but more research is needed.
There is some evidence that casein and whey in dairy products can cause clogged pores and that low levels of omega-3 polyunsaturated fatty acids in foods such as fish contribute to inflammation, which can lead to acne.
In severe acne, early isotretinoin is effective without antibiotics. This oral drug is unique because it has the potential to not only treat acne, but to eradicate it.
Isotretinoin is 80% effective. Research disproved Internet theories that the drug increases the risk of depression, ulcerative colitis and Crohn's disease.
The place of antibiotics in the treatment of acne
However, the researchers note that antibiotics remain highly effective in moderate to severe cases of acne flare-ups and are FDA approved as an adjunct to other treatments such as benzoyl peroxide or topical retinoid.
Multiple studies have shown these combinations to be fast, effective, and help reduce the development of resistant strains of acne-causing bacteria, but the Centers for Disease Control and Prevention recommends that antibiotics be used for no more than 6 months.
Thank you for staying with estet-portal.com. Read other interesting articles in the "Dermatology" section. You may be interested in What medications can cause drug-induced acne
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