Salicylic acid
One of the most inexpensive drugs for the treatment of acne is salicylic acid. It destroys the acne causing bacteria, reduces inflammation, reduces excessive cornification of the epithelium and lightens dark spots from acne. Effective in treating mild forms of acne.
Salicylic acid is usually sold in the form of alcohol solution with different concentrations. For acne treatment it is better to choose a one percent alcohol solution. More concentrated solutions of salicylic acid can cause severe peeling of the skin. In addition, there are alcohol-free cosmetic lotions, peels and a cleanser with salicylic acid.
Antibiotics
Drugs with antimicrobial activity destroy microorganisms that cause acne. Usually used topically in form of ointments, creams, and lotions, but can also be assigned in the form of tablets. The most popular antibiotics for acne treatment are: tetracycline (lotion and pills), clindamycin (gel "Dalacin T" and capsules "Clindamycin", "Dalacin"), metronidazole (gel "Metrogyl" and tablet "Metronidazole", "Trichopolum") and erythromycin (lotion "Zener" and "tablets " Erythromycin").
Lotion Zineryt is a combined drug, the antibiotic it contains zinc acetate, which reduces sebum production and reduces inflammation. "Zener" is effective in the treatment of moderate to severe acne, however it can be addictive. So the lotion it is advisable to alternate with other agents for the treatment of acne. In General, all antimicrobials from acne have a high enough efficiency, but as a rule, after treatment acne returned.
Benzoyl peroxide
External products containing benzoyl peroxide kill the bacteria causing acne. In addition, benzoyl peroxide improves tissue oxygenation, reduces sebum production and keratinization of the epithelium. To preparations containing benzoyl peroxide are gel Baziron AU" (concentration of active ingredient of 2.5 %, 5% and 10 %), gel "Aclarar" ( 5% and 10 %), gel "Desquam" (5% and 10 %), gel "Proderm" (5% and 10 %) and this lotion Presol" (5% and 10 %).
Benzoyl peroxide is suitable for the treatment of moderate and severe forms of acne. The effect of the treatment remains much longer than after use of antibiotics. A tolerance to benzoyl peroxide is rare, but possible after long use. Treatment should begin with means having a weaker concentration, and then move on to more concentrated drugs.
Azelaic acid
Remedies for acne contain azelaic acid, prevent multiplication of germs, normalize the disturbed keratinization processes of the epithelium, reduces greasiness of the skin, smooth out scars and reduce pigmentation after acne. Azelaic acid is effective in mild and moderate form of acne. Preparations with azelaic acid available under the following trademarks: gel "Skinoren" 15% cream "Skinoren" 20 %, gel "Azelic" 15% cream "Azelex" 20 %, the cream of Finevin" 20 %, gel "Finacea" 15 %.
Retinoids
Effective against light and medium forms of acne have medicinal drugs based on retinoids synthetic analogues of vitamin A. these drugs have anti-inflammatory action and regulates the process of keratinization of the epithelium, preventing the clogging of pores and acne formation. Most popular products with retinoids are cream and gel "Differin" 0.1 %, gel "Clinit" 0,1 %, gel "Zorak" 0.1 %, cream, Adclin" 0,1 %, gel "Udalen" 0.1 Percent, "Retinoic ointment 0.05% and 0.1 %, gel "Isotrexin" of 0.05 %.
For the treatment of severe acne it is best to choose a combination of drugs, which in addition to retinoids are composed of other substances against acne. For example, the gel "Effete contains the retinoid adapalene and benzoyl peroxide, and gel "Klinit With adapalene and clindamycin antibiotic.
In addition to external means with retinoids, there are systemic medications with synthetic vitamin A for ingestion. These funds permanently eliminate acne, but they are very expensive and have dangerous side effects. The most famous drug of this group is Roaccutane.