Salicyclic Acid: The chemical is very effective in treatment of blackheads. It can loosen and soften thick, clogged pores. However, it does little to prevent development of new blemishes.

Retinoic Acid: This medication may be used alone or in combination with a benzoyl peroxide preparation. Retinoic acid is derived from vitamin A, which is an important nutrient in maintenance of healthy skin. Vitamin A reduces blockage of oil glands and is therefore very useful in treatment of whiteheads and blackheads. It can cause itchiness and redness, especially if skin is exposed to strong amounts of sunlight. As with benzoyl peroxide, retinoic acid needs to be used for an extended period of time (at least six months) and it may be several weeks before any initial improvement is noticed.

Prescription Medications can be toxic to skin over a period of time. (Not Recommended for Use).

Tetracycline: This antibiotic is most popular conventional treatment for acne. It may be used alone or in combination with benzoyl peroxide. Food, antacids, iron supplements, and milk can interfere with absorption of this antibiotic, so it is important to remember to take it alone. This medication must be taken for a minimum of three months, and it often needs to be continued for even longer. It will take at least two months before any improvement is noticed. Other antibiotics may also be prescribed if tetracycline is not effective. These include: trimetoprim-sulfamethoxazole, minocycline, doxycycline, and erythromycin. Antibiotics also kill good bacteria in your bowel and can cause your teeth to turn gray.

Oral contraceptives: For women with acne who also need birth control, some doctors will prescribe an oral contraceptive that contains either mestranol or ethinylestradiol. These drugs interfere with androgen hormone that causes acne.

Therapeutic Injections: In severe cases of acne where cysts form, doctors have had some success with injecting steroids directly into cyst to resolve them.

Isotretinoin: Like topical retinoic acid, this medication is a derivative of vitamin A and it works to prevent blockage of oil glands. Blocking glands does not fix problem.

Dr. Group heads Research and development division for http://www.acne-answers.org.

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