Topical Treatments

 

Benzoyl Peroxide (BPO) is a widely recognised topical treatment for acne vulgaris, valued for its versatile properties including sebostatic, comedolytic and antibacterial effects [1]. Since its introduction in the 1950s, BPO has remained a cornerstone in acne treatment, largely due to its efficacy against Propionibacterium acnes, the bacteria involved in acne pathogenesis [2]. The advantage of BPO lies in its ability to prevent bacterial resistance, making it a reliable option for long-term use [2]. The combination of benzoyl peroxide with topical antibiotics such as clindamycin increases its efficacy and reduces the risk of antibiotic resistance, which is a major concern in acne treatment [3]. This dual action not only addresses the bacterial component but also the inflammatory and congestion aspects of acne, providing a comprehensive treatment approach [3].

Salicylic Acid is another important topical treatment used in the treatment of acne, known for its keratolytic properties [4]. Salicylic acid promotes the shedding of dead skin cells, helping to unclog pores and reduce comedone formation, the precursor to acne lesions. Its integration into both pharmaceutical and cosmetic products underlines its versatility and efficacy in the treatment of mild to moderate acne [4]. Beyond its primary action, salicylic acid also exhibits anti-inflammatory properties that may help soothe inflamed skin and reduce the redness and swelling associated with acne lesions. This dual action makes salicylic acid particularly useful in keeping the skin clear and preventing future acne [6].

Retinoids have an important place in the treatment of acne vulgaris, primarily due to their ability to target microcomedones, the initial formations of acne lesions.

 

 

Frequently Asked Questions

 

Q: Can hormonal treatments be effective for acne vulgaris and who are they recommended for?

A: Hormonal therapies, such as oral contraceptives and anti-androgen medications, can be effective in treating acne vulgaris, especially in women whose acne is linked to hormonal fluctuations. These treatments help regulate hormone levels that may contribute to acne formation.

Q: How important is diet and nutrition in the treatment of acne vulgaris?

A: Diet and nutrition can play an important role in treating acne vulgaris. Consuming a balanced diet rich in fruits, vegetables, whole grains and lean proteins, while avoiding high glycaemic index foods and dairy products can help improve skin health and reduce acne breakouts.

Q: What lifestyle changes can help treat acne vulgaris?

A: Several lifestyle changes can help manage acne vulgaris, including maintaining a consistent skin care routine, managing stress and ensuring adequate sleep. Avoiding frequent touching of the face and using non-comedogenic skin care products may also be helpful.