Treatment of acne with tablets - which are the most effective for acne?

Updated: 02/01/2019 12:46:12

Expert: Anastasia Mayer

*Review of the best according to the editors of expertology.ru. About the selection criteria. This material is subjective in nature, does not constitute advertising and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

Acne or acne is a long-known inflammatory disease of the skin appendages. It was probably first described by Byzantine court doctors back in the middle of the first millennium AD. Neglected cases lead to the formation of a cosmetic defect and serve as a source of chronic skin inflammation and scar formation. Severe acne is a constant source of stress, the development of dysmorphophobia, feelings of inferiority and significantly worsens the quality of life, in extreme cases leading to suicide.

The essence of acne is inflammation of the glands that produce sebum and remove it out, blockage of the excretory duct of the sebaceous gland and concomitant inflammation of the hair follicle. Acne almost never occurs as a single formation. If there are no more than 10 acne on the skin of the face, shoulders, neck or chest (without symptoms of inflammation), then such a rash is considered mild. And if there are more than 40 acne, and almost all of them are surrounded by a halo of inflammation with pain and swelling, merge (conglobates) and occur with symptoms of general intoxication, then this is a serious condition that requires serious and long-term treatment.

Dermatologists count many reasons for the appearance of acne, among which the most common is hormonal changes in the body during puberty. The appearance of inflammatory changes in the sebaceous glands is often caused by low immunity, pregnancy, poor diet and constipation, and the use of low-quality cosmetics.

This review includes drugs that are intended for both topical use by application to the skin and systemic drugs in the form of tablets. The second group of medications can only be prescribed by a doctor, according to indications and in the absence of contraindications. Any self-medication is dangerous and strictly contraindicated. The rating will not list traditional medicine, as well as numerous physiotherapeutic procedures that are widely used in beauty salons to eliminate the consequences of long-term, chronic acne during the formation of scar tissue. These include a variety of masks, peelings, cryotherapy and ozone treatment, darsonvalization, various types of cleansing, phototherapy, dermabrasion and many other means. Their consideration is not the purpose of this rating.

First, we will look at those topical medications that are well suited for the treatment of mild forms of acne, and for this purpose creams, gels and ointments are used. But topical acne treatments include antibacterial agents and antibiotics, so even in this case, consultation with a specialist is necessary before use. All prices listed in the rating are relevant for large cities of the Russian Federation at the beginning of 2019, and for pharmacies of all forms of ownership.

Rating of the best drugs for the treatment of acne

The best topical remedies

The purpose of using local products is considered to be to reduce sebum secretion, reduce the number of bacterial populations located on the surface of the skin and take part in the formation of secondary inflammation, and combat follicular hyperkeratosis. Hyperkeratosis leads to slow removal of dead epidermal scales from the surface of the skin. Hyperkeratosis provides food for bacteria and pathogenic fungi; the epidermis clogs the ducts of the sebaceous glands, creating plugs. All topical medications are used in the treatment of acne for a long time, they are applied to the affected skin, with the exception of the eyelids and the area around the eyes.

The best antibiotics and antiseptics

Antibacterial drugs and antibiotics will be discussed first. They significantly inhibit the proliferation of bacteria and suppress the very cause of inflammation. However, antibiotics should not be overused, since if they are applied over large areas, resorption and systemic effects are possible. It is also recommended to regularly change the use of antibacterial drugs in order to avoid the development of microflora resistance to the drugs used. To do this, it is recommended to periodically take discharge from the surface of the lesions and conduct a bacteriological study with the isolation of a pure culture and determination of the sensitivity of microbes to antibiotics.

Zenerit (erythromycin + zinc acetate)

Rating: 4.9

Erythromycin, which is part of Zinerit, is a dermatotropic antibiotic. It does not kill microorganisms, but it suppresses their reproduction. Zinc acetate has an astringent and drying effect, reduces sebum secretion and is especially suitable for oily skin. Erythromycin is especially good at suppressing the proliferation of epidermal streptococci and propionic bacteria, which are most often the main consumers of sebum and are responsible for the appearance of acne.

Zinerit is produced in liquid form, in a bottle with an applicator. Zinerit should be applied to acne twice a day, morning and evening. By pressing the applicator, you can dispense the amount of liquid. The average daily dose is 1 ml of solution. The average course duration is 3 months. Typically, visible improvement in mild to moderate acne can be seen within 2 weeks. Zinerit is produced by the pharmaceutical company Astellas, the Netherlands, and the average cost of one bottle, which is enough for a month's use, is 735 rubles.

Advantages and disadvantages

The advantage of Zinerit can be considered its high safety. Erythromycin can be used even in pregnant women and while breastfeeding, and local side effects may occasionally include a burning sensation and dryness. These symptoms are mild and soon disappear without requiring discontinuation of the medication. A big plus will be the fact that after drying on the skin, the solution becomes invisible, and the patient can safely apply Zinerit to the face; it will not be covered with any white spots of zinc ointment, as many people think. The relative disadvantage of the product is the high price and small volume of the bottle, but the effectiveness makes up for this small drawback.

Dalatsin-gel (clindamycin)

Rating: 4.8

This local remedy belongs to the lincosamide group of antibiotics and is a monocomponent medicine. It is this antibiotic that quickly acts in the ducts of the sebaceous glands, since it is activated by skin enzymes. Almost all known strains of propionic bacteria are sensitive to its action. The second positive effect of clindamycin will be a reduction in skin oiliness due to a decrease in the amount of fatty acids. The gel must be used in the same way as Zenerit, 2 times a day, applying it in a thin layer to the surface of the acne. The course of treatment is long. The first results will be noticeable in at least a month and a half, and the duration of the course of treatment can be up to 6 months. This highly effective gel is produced by the American company Upjohn, and a tube weighing 30 grams costs 925 rubles.

Attention! When purchasing Dalacin, do not confuse it, since it is also available in the form of a cream, but the cream is intended only for intravaginal use. This is all the more important because the cost of gel and cream is almost the same, and it is very easy to get confused.

Advantages and disadvantages

The advantage of Dalatsin can be considered its high activity and ability to dry the skin without clogging pores, simply by reducing the secretion of fatty acids. When treating, it is imperative to take into account the fact that Clindamycin and Erythromycin should not be used together, since the phenomenon of antagonism is observed between them. Clindamycin can often cause dryness and irritation when applied to the skin. During treatment, it is necessary to carefully avoid applying the product to the conjunctiva of the eyes and oral mucosa. If this happens often enough and Clindamycin is systematically ingested, severe and prolonged diarrhea may develop.

Clenzit C (clindamycin + adapalene).

Rating: 4.8

This is a combination drug that, in addition to the already mentioned clindamycin, contains adapalene. This substance belongs to retinoids, relatives of vitamin A. They are known to be highly effective in the treatment of acne, and have a pronounced anti-inflammatory effect, eliminating so-called comedones. Comedones are cystic expansion of the mouths of the sebaceous glands, which are clogged by the poorly exfoliated surface epidermis, and hyperkeratosis is to blame for their formation.

Comedones in acne are a risk factor that leads to chronicity of the process and retention of inflammation deep in the skin. It is adapalene that improves the cellular composition of hair follicles, which reduces the likelihood of their blockage. In addition, adapalene reduces the severity of cellular inflammatory reactions. The second component is again clindamycin, which was mentioned above. Together, these two components produce a more pronounced effect than alone.

Apply the drug to dry and clean acne once at night. You can notice the effect of use on average after two weeks; the course usually lasts no longer than a month under the supervision of a dermatologist. Persistent improvement develops after several courses, with a total duration of about 3 months.

Clenzit C gel is produced by the pharmaceutical company Glenmark from India, and the average cost of a 30 g tube is 830 rubles.

Advantages and disadvantages

The advantages of Klenzit S are the combination of two highly active components in one relatively inexpensive product. The medicine is highly effective because it only needs to be applied once a day, which leads to significant savings. However, the drug may cause side effects, mainly due to clindamycin. Klenzit S is contraindicated during pregnancy and lactation, and is prohibited for use in patients suffering from Crohn's disease under the age of 12 years, due to the lack of necessary studies.

Baziron AS (benzoyl peroxide)

Rating: 4.7

This drug with a pronounced antimicrobial effect is a gel, but not colorless, but white. It is produced in a tube weighing 40 g, both in concentrations of 2.5% and 5%. The cost of these two varieties is approximately the same: 900 rubles per package. The famous French company Galderma produces medicine for acne. Baziron has not only an antimicrobial, but also a keratolytic effect, removing excess keratinized skin. This allows you to eliminate the formation of cysts, or comedones, improve blood supply to tissues and reduce the synthesis of sebum. Baziron AC should be applied one to two times a day to dry and clean skin, the effect will be visible within a month. Persistent clinical remission usually occurs three months after treatment.

Advantages and disadvantages

Plus Baziron AS is a double action: keratolytic and antiseptic in one. Benzoyl peroxide has a very low resorption coefficient, and even if it enters through the skin, it is quickly excreted by the kidneys and does not accumulate in tissues. The medicine does not have a harmful effect on the fetus and can be used during pregnancy and lactation. Adverse reactions include mild redness, dryness or burning of the skin, which usually do not require discontinuation. As in other cases, Baziron should not be applied to the conjunctiva of the eyes, mucous membranes of the mouth and nose, and due to accidental contact, they should be rinsed with plenty of water. The price range of this medicine is average (among acne treatment products), the quality is European. Baziron can be combined with other local medications because it does not contain antibiotics.

Skinoren (azelaic acid)

Rating: 4.6

Skinoren is a highly effective dermatoprotective agent that protects the skin from microbial aggression and is used as a gel and cream. At the same time, the cost of cream and gel (30 g) is approximately the same: about 1,400 rubles. The effects of azelaic acid are to improve the function of keratinization in the sebaceous glands, reduce skin oiliness and antimicrobial activity. However, Skinoren is not considered an antibiotic. The product also has an anti-inflammatory effect and regulates cellular immunity.

The cream must be applied to previously cleansed and dried skin, lightly rubbing, 2 times a day, preferably in the morning and evening. The product is economical: for application to the entire area of ​​the face, a strip about 2 cm long is enough. With vulgar acne, clinical improvement is usually noticeable within a month, but the course should be longer, usually two or three months. Skinoren is produced by the well-known pharmaceutical company Bayer.

Advantages and disadvantages

The advantage of Skinoren is the possibility of its widespread use in cosmetology; it is not only an anti-acne agent. It has been successfully used for rosacea. Skinoren has an antimicrobial effect and does not have the side effects of antibiotics. Skinoren does not require skin protection from ultraviolet radiation during treatment, and is successfully used in the complex treatment of various types of acne, ranging from vulgar to severe.

What is a facial allergy, its signs

Allergy is a disease associated with disruption of the immune system and is expressed by the increased sensitivity of histamine compounds to repeated exposure to the allergen.

The reaction may be manifested by the presence of the following signs:

• the appearance of spots of various characteristics (small rashes, the formation of papules, blisters with liquid contents);
• increased dryness of the skin with the presence of peeling;
• itching and burning at the site of the rash;
• redness of the epidermis;
• nasal congestion or drainage;
• increased dryness and sore throat;
• watery eyes and redness of the eyes;
• coarsening of the upper layer of the epidermis;
• disturbance of rhythm and quality of breathing;
• swelling (can appear not only on the skin, but also in organs, disrupting their functioning).

The severity of symptoms depends on the amount of allergen that has entered the body or on the skin, as well as the presence of provoking factors.

When exposed to an allergen externally (contact with skin), the reaction appears within 5-10 minutes. If the pathogen has entered the body (food, medicine, alcohol), then the symptoms of the disease may appear within 30-90 minutes.

The best remedies for reducing inflammation and reparatives

Some of the products discussed in the previous section of the rating already contain anti-inflammatory components. But there are also special recipes that have an anti-inflammatory effect, and at the same time do not contain antibacterial components and antibiotics. However, in this case there will be an antiseptic effect, but due to other ingredients. They can be sulfur preparations, boric acid. Antifungal drugs are also widely used for prophylactic purposes.

Curiosin – gel

Rating: 4.9

This gel, produced by the famous Hungarian company Gedeon Richter, belongs to reparants, that is, it restores tissue and stimulates its healing. Curiosin contains hyaluronic acid in combination with zinc. The use of Curiosin, in addition to improving tissue regeneration, reduces inflammation; the product has an antiseptic and bacteriostatic effect.

The use of Curiosin improves local cellular immunity and promotes proper differentiation of fibroblasts at the site of inflammation. The introduction of zinc in combination with hyaluronic acid made it possible to obtain activity against pathogenic microorganisms, which is not observed with the use of other hyaluronic acid compounds (for example, sodium hyaluronate). Curiosin is indicated, first of all, if the patient has a large number of comedones, pustular acne, that is, if there is a vesicular rash containing pustules or pustules.

It is recommended to prescribe this remedy for uncomplicated acne immediately after inflammation has reduced and after the effect of antibacterial drugs has manifested itself. The presence of hyaluronic acid allows the formation of minimal, cosmetic and unnoticeable scars, since connective tissue fills the entire skin defect with regular use of Curiosin. Curiosin should be applied morning and evening, 2 times a day to clean, affected skin. It dries quickly enough, and the duration of treatment is determined by the shape and severity of the acne. The cost of one package of gel weighing 15 g is, on average, 570 rubles.

Advantages and disadvantages

The advantage of Curiosin is the ability to improve young scars, but for this it is necessary to use it after the first fight against inflammation. Curiosin does not stain the skin and does not leave marks on linen. The safety of Curiosin is high; when applied topically, it is practically not absorbed into the blood, and it is contraindicated only in cases of individual intolerance, in pregnant and lactating women, but due to the lack of data.

Delex – acne, acne gel

Rating: 4.8

Finally, we present a domestic drug in the ranking. Manufacturer Healthy Gel LLC produces a whole line of cosmetics. These are gels and lotions for acne, which contain plant extracts, menthol, and sulfur. The manufacturer does not describe in detail what herbal formula it contains, so this product and the entire line can be considered not medicinal, but parapharmaceutical. This gel and lotion for acne is used not so much for treatment, but as a preventative measure, and especially for patients with oily facial skin. As a result of care, the secretion of sebum is reduced, and in some cases Delex - acne gel is able to cope with acne, but only if it is mild.

This gel should be applied to the skin of the face one to two times a day, usually in the morning and evening. The gel should not be rubbed in, but only applied. If the gel is used for treatment, it should be applied only to areas with acne, but not to healthy skin. The manufacturer does not limit the duration of the course of use: from a week until the symptoms of inflammation completely disappear. One 30 ml package costs on average about 210 rubles.

Advantages and disadvantages

The disadvantage of this drug is the fact that it is a cosmetic product, not a medicine, and according to the strict rules of rating the best products, it should not be in it at all. But still, we will make an exception for him, since acne has periods of not only exacerbation but also remission, and it is at this time that skin care is required for preventive purposes. Prevention is considered the strong point of all parapharmaceuticals, including this line of products. This gel or lotion is not capable of treating severe acne on its own. The fact that the manufacturer did not limit the duration of the course of treatment indicates that the drug does not have a particularly strong effect. But it is available in pharmacies, is well tolerated, has no contraindications other than individual intolerance, and has a very low price.

Bioderma sebium AKN

Rating: 4.7

Another example of high-quality parapharmaceuticals used for the treatment and prevention of acne. This product is available in two forms: cream and facial emulsion. This drug contains esters of alpha hydroxy acids, which have the ability to dissolve comedones, and are used in cosmetics for so-called acid or glycolic peeling. The source of alpha hydroxy acids is considered to be natural weak organic acids. These include, for example, malic, citrus and lactic acids. The emulsion also contains a beta-hydroxy acid, namely salicylic acid. This remedy has long been used in medicine as a keratolytic drug; it normalizes follicular keratinization, preventing hyperkeratosis, improves exfoliation of dead particles of the epidermis, and has an anti-inflammatory effect.

This emulsion should be used on previously cleansed skin once or twice a day every day; it should be prescribed to patients with acne for several weeks after the exacerbation has stopped. It is advisable to carry out treatment under the guidance of an experienced dermatocosmetologist. The emulsion is produced by the famous French company Bioderma, and a 30 ml tube costs an average of 1000 rubles.

Advantages and disadvantages

Bioderma is a very good parapharmaceutical, and it will ideally prevent the formation of new acne and comedones, but only if the inflammation is first cured. Therefore, before purchasing this product, you need to consult a dermatologist or dermatocosmetologist and find out whether complex treatment is needed first. You can get confused on your own, since there are products that include different concentrations of hydroxy acids. Thus, products with a high concentration are used for peeling, medium concentrations are prescribed for a longer period, and drugs with a low concentration of acids are indicated in the inter-relapse period, as well as for the prevention of scarring. In the same case, if after curing acne there is still so-called “problem” skin, then this care product will be ideal.

Should you take acne pills?

Self-administration of tablets is not recommended. Doctors insist that drug therapy be carried out under medical supervision - when oral drugs enter the body, they affect not only the causes of the disease, but also place an increased burden on the internal organs.

Self-medication can lead to complications without coping with acne. However, if tablets or capsules are prescribed by a dermatologist, then the recommendations should not be neglected. Often, in order to cope with the disease, a complex effect is required, which is only possible when taking medications orally.

The best drugs for systemic effect: contraceptives, retinoids, antiandrogens.

Finally, we begin to describe the “heavy artillery,” or systemic drugs. They are used exclusively as prescribed by a doctor, and almost all are prescription drugs. These are quite serious means. Among them there are contraceptives, or contraceptives, drugs that affect male sex hormones and suppress their activity (strict antiandrogens), as well as systemic retinoids, of which the most active is Roaccutane - the “gold standard of treatment” for severe acne. Let's take a closer look at these tools. In this section of the rating, we will not list in detail each of the many medications within the groups, since their specific selection is carried out only by a doctor. Let us cite one characteristic and most striking representative.

Jess (Yarina, Janine)

Rating: 4.9

It goes without saying that hormonal contraceptives were generally originally created for women, and not only to prevent pregnancy, but also to normalize the cycle, and therefore these drugs are used only for the treatment of female acne. It is known that the activity of the sebaceous glands, and the subsequent blockage of the excretory ducts and inflammation associated with this, is regulated by the activity of male sex hormones, testosterone.

Therefore, the use of certain drugs (Jess, Yarina) with an androgen blocking effect from this group can reduce the severity of acne and the manifestation of secondary inflammation. These products are quite effective; they can treat existing acne, as well as reduce the formation of new ones. Since all of these medications are initially considered contraceptives, they should not be prescribed only by a dermatologist. The use of contraceptives Jess and its analogue Yarina should be monitored by a gynecologist.

The drug Jess, in addition to contraception and the treatment of severe forms of premenstrual syndrome, is officially indicated for the treatment of moderate acne. In this case, Jess is used according to a rather complex scheme, which we will not describe here. For this purpose, there is a special rating of contraceptives, to which we refer the reader. This medicine costs from 1000 rubles per package, which is designed for a month of use, and it is produced by the German company Bayer.

Advantages and disadvantages

Of course, the main disadvantage of all hormonal drugs will be strict indications and the need for medical supervision. These medications can also have serious side effects, for example, those associated with the development of thrombosis and vascular complications. But if there is evidence, there is a choice. The preparations Jess and Yarina are identical in composition, but the concentration of hormones in the first of them is less than in the second, and the risk of developing side effects is proportionally reduced, and Jess acts more gently.

But Yarina’s drug acts more powerfully, quickly clearing the skin of acne elements, but its use is associated with a higher risk. Of course, the ideal option for prescribing the drug is a combination of direct indications, that is, the need for hormonal contraception and the simultaneous presence of acne. Also, hormonal medications are perfect for all patients who have functional disorders of the menstrual cycle and the development of acne, in which case hormonal medications will help establish a normal cycle and simultaneously get rid of acne.

Systemic retinoids (Roaccutane, Acnecutane, Sotret)

Rating: 4.8

Above, we talked a little about retinoids in the description of topical agents. Thus, the drug Klenzit-s contains adapalene, which is a mild retinoid. Roacutane is much more powerful. It acts by suppressing the activity of sebum production, with a pronounced anti-inflammatory effect on the skin, and effectively fights hyperkeratosis of epithelial cells. Roaccutane improves the differentiation process of skin cells.

This remedy is indicated only for severe types of acne that are absolutely insensitive to other types of treatment. Roaccutane should be taken with meals once or twice a day; the dose is adjusted during the treatment process. Quite often it is possible to achieve very good results with continuous four or six months of treatment, during which the individual dose is gradually adjusted.

The standard dosage for most patients does not exceed 1 mg per kilogram of body weight per day. The average course dose is 135 mg per kilogram of patient body weight throughout the entire course. One package of 30 capsules, 100 mg each, on average costs 1,800 rubles. Roaccutane is produced by the company Hoffmann la Roche from Germany. According to calculations, for a patient with an average body weight of 70 kg, 9450 mg of Roaccutane must be taken during the course. Accordingly, this is 94 tablets, or 5640 rubles for the entire course lasting three months, about 1900 rubles monthly, which is not very expensive for the successful treatment of severe skin lesions.

Advantages and disadvantages

Perhaps the advantage of Roaccutane is the fact that it is one of the last “lifesavers” for severe forms of acne that disfigure the skin and are completely refractory to all other methods of treatment. The high cost of the drug, divided over several months of use, turns out to be not so big. Much more serious are the side effects that it can cause. Roaccutane in this sense is a very serious drug.

So serious that before starting treatment, a woman who is sexually active must present a certificate from a gynecologist that she is not pregnant. Also, the patient must provide written consent that she understands the danger of pregnancy, is fully informed about the possible consequences of pregnancy, and bring a certificate that already a month (!) before the planned dose of Roaccutane she began taking contraceptives, preferably two different means of contraception. At least 11 days before starting Roaccutane, a test should confirm the absence of pregnancy, and such testing in the case of sexual activity should be carried out monthly during treatment. Why are all these conditions, unusual for any drug, necessary?

The fact is that isotretinoin is not only a highly effective drug for the treatment of severe acne, but also a drug that not only can cause congenital deformities in the fetus, but is almost guaranteed to cause them. If Roaccutane or its analogues are prescribed to men, the patient must completely exclude the possibility of taking at least one - the only pill for use by women. Therefore, it is much “easier” with men.

It should also be remembered that during acne treatment, an exacerbation of the disease usually occurs after 10-15 days, and this is normal. But throughout the entire period of treatment, the entire skin becomes very sensitive, susceptible to wounds and abrasions, so you cannot carry out planned operations and you need to try not to get injured. While the patient is taking Roaccutane, he should not sunbathe or drink alcohol; quite often he is worried about such a side effect as dry lips and mucous membranes - this is a sign of vitamin A hypervitaminosis. In very simple words, synthetic systemic retinoids are a means of introducing the patient into artificial hypervitaminosis, which helps get rid of acne.

Cyproterone (Androcur)

Rating: 4.7

Finally, in conclusion of the rating of effective medications for the treatment of acne, or acne, it is worth highlighting the infrequently used individual antiandrogenic drugs. Oral contraceptives have already been described above, with a certain blocking effect on androgenic activity. But antiandrogens are specifically designed to block the action of testosterone. Initially, the drugs are used to treat malignant neoplasms of the prostate gland, since the prostate is an organ that responds extremely strongly to changes in the concentration of male sex hormones. The most famous of the group of these drugs is Androkur.

Officially, the indications for the use of Androcur or its analogues in women are hirsutism, androgenic alopecia, and severe forms of acne. It should be noted that treatment of acne is possible only with the minimum dosage - 10 mg. The fact is that there are tablets of 50 and 100 mg on sale, they are created specifically for the treatment of prostate cancer, to reduce libido during sexual dysfunction, as well as for other special purposes not related to acne.

In women, the drug is used in conjunction with hormonal contraceptives, for example Diane-35. The purpose of this combination is to prevent bleeding in women taking antiandrogens. It goes without saying that the treatment should be monitored by a gynecologist together with a dermatologist, since women take Androcur on certain days of the cycle, and according to special rules.

Androkur is produced by the well-known company Schering, and the cost of 15 tablets for monthly use in the appropriate dosage of 10 mg is, on average, 1,500 rubles. They are used daily in the first 15 days of the cycle, and then the contraceptive Diana - 35 is connected.

Advantages and disadvantages

Perhaps Androkur is an alternative to Roaccutane for severe forms of acne, but only in women. If we take men, almost all of them will prefer to use Roaccutane. It is better to take care of the skin and have the risk of developing any systemic effects than to lose male sexual characteristics during treatment, acquire impotence and suppress sexual desire for a long time. After all, antiandrogen drugs are usually indicated for men only for a very serious reason, for example, the goal of prolonging life in severe, inoperable forms of prostate cancer.

In conclusion, it should be recalled that it is better to properly deal with the first manifestations of acne in adolescence from the very beginning, and not to bring the matter to severe forms.
For this purpose, regular hygiene procedures are recommended, and it is important to follow the principles of proper nutrition. It is very important to maintain healthy skin by completely giving up bad habits. Attention! This rating is subjective in nature, is not an advertisement and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

Creams for blemishes, scars and acne marks

Almost any antibacterial drug (syntomycin ointment, Klenzit, Trichopolum and others) reduces the risk of spots and scars forming after acne on the face. But some drugs are characterized by extensive anticoagulant effects.

What ointments help with acne on the face and marks from them:

• Adapalene, Differin or retinoic ointment
  . The main property of this product is the ability to soften dead skin particles, preventing their transformation into keratinized tissue;

• Rescuer
  . Well-known ointment with softening and regenerating properties. Helps prevent the formation of scars and pits after acne and chickenpox, accelerates tissue healing, relieves swelling and relieves pain;

• Metrogyl gel
  . Complex cream-gel with antibacterial effect. It affects the DNA of aggressive microorganisms, thereby providing a rapid therapeutic effect. Softens tissues and accelerates their regeneration, helps treat keloid scars;

• Tetracycline ointment
  - reviews claim that this is not only an excellent product for acne on the face, but also a means of preventing scars. It prevents parts of the epidermis from hardening, which helps prevent the appearance of keloid tissue.

You need to understand that this is not a cream for problem skin a la Garnier or L'Oreal. These are serious medications with contraindications and side effects. Therefore, before using any of the described drugs, it is important to read the instructions and consult a specialist.