Zinc ointment for acne - how to use it to get an effect?

Which acne ointment is best?

Pharmacies and beauty salons offer various ointments, creams, and gels for acne. They differ in composition, price and effectiveness. It is often difficult to choose what is really needed. Which anti-acne ointment should I take – retinoic or salicylic? How effective will the chosen ointment be for large acne? And how long can you use hormonal drugs?

Let's try to figure this issue out. Let's consider what modern pharmaceuticals offer, and which ointments help with acne on the face and which do not .

To do this, we will analyze the composition of each ointment, the features of its action and recommendations for use - when it is really effective, and when you can do without it. Let's start with two well-known ointments that were used in Soviet times to treat any boils and abscesses - Vishnevsky and Ichthyolka.

Ichthyol ointment for acne

Ichthyol ointment contains ichthyol

or
ingammol
- an extract from shale rock resins.
The main advantage of this ointment is that it draws out pus from under the skin .
A targeted application of ichthyol allows you to form an abscess, draw purulent contents onto its surface, after which it is removed and treated with an antiseptic. It is necessary to apply ichthyol if the abscess stretches for a very long time and hurts . Typically, such a pimple is quite large in size and looks painful and compacted. Without ichthyol ointment, it can ripen for up to 2 weeks, and “break through” for the same long time, and only then can it heal.

In addition, ichthyol is used as an alternative method of cosmetic facial cleansing. It dissolves comedones (blackheads, blackheads), which are oxidized fat in the pores of the skin. And they stimulate the spontaneous flow of sebaceous secretions, cleaning the pores of blackheads.

Note: after all, cleaning (squeezing) acne from a cosmetologist is more effective. Therefore, it is worth remembering that ichthyol is an ointment for subcutaneous acne, and not for acne.

Squeezing pimples and blackheads (comedone extraction)

For comedonal and papulopustular forms of acne, invasive methods are sometimes used, for example, comedonal extraction. Extraction means their removal/squeezing out - using special comedones extractor tools, or by palpation. Moreover, we are talking about the removal of macrocomedones, i.e. large eels. But squeezing out pimples (papules and pustules) can, at best, lead to the appearance of a hyperpigmented spot in this area in the future.

In the worst case, self-squeezing pimples and blackheads can lead to the spread of inflammation and the formation of deep subcutaneous pimples, which will leave superficial or deep atrophic scars on the skin. Therefore, only comedones (acne) can be squeezed out, and secondly, this should only be done by a dermatologist or a dermato-cosmetologist. The procedure is called “mechanical facial cleansing.”

Mechanical facial cleansing: video

Important: keep in mind that the removal of comedones is much easier and without complications if the patient has previously used topical retinoids for at least 3-4 weeks. The fact is that topical retinoids (adapalene) also have comedonolytic properties.

Vishnevsky ointment for acne

Vishnevsky's composition has the same indications as ichthyol ointment. It is also used to draw out ulcers . Vishnevsky's ointment contains natural ingredients ( birch tar, castor oil

) and
the antibiotic xeroform
. What is the difference between the two ointment formulations?

Ichthyol - accelerates the maturation of the abscess. It draws out pus from the superficial subcutaneous layers. Vishnevsky ointment - makes the abscess more extensive in order to draw out pus from the deeper layers of tissue. Thus, Vishnevsky ointment removes pus completely. Hence the following recommendations: first use ichthyol ointment for acne on the face, and after the abscess breaks out, use Vishnevsky’s composition.

Note: before the discovery of antibiotics, the main means for treating skin inflammation were two ointments - based on ichthyol (Ichthyol) and ointment with xeroform (Vishnevsky). Today these are the two most inexpensive ointments for acne.

Salicylic ointment for acne

Salicylic ointment - contains a powerful keratolytic agent ( salicylic acid

). The action of the acid is so aggressive that it is used to soften keratinized skin seals (calluses). When applied to the skin as part of an ointment, salicyl has an exfoliating effect. It removes old dead cells and thereby exfoliates the face.

In addition to peeling, salicylic ointment is used to treat skin infections - acne and rashes. It dries, so it is good for oily, shiny skin . And not suitable for dry, flaky epidermis (increases the feeling of dryness).

Recommendations: salicylic ointment contains an aggressive component (in the amount 1%

,
2%
,
3%
or
5%
). Therefore, it is worth using it for obvious redness and inflammation on oily skin.

Note: due to the effect of exfoliating old cells, salicylic ointment is used as an ointment for acne scars. It causes a burning sensation and accelerates local blood flow, and this ensures regeneration (renewal) of skin epidermal cells.

Phototherapy and lasers for acne treatment

Phototherapy and lasers are used to treat acne - either endogenous porphyrins contained in P. acnes, or sources of exogenous porphyrins are additionally applied to the skin before the procedure. Porphyrins have the property of absorbing light in the blue regions of the spectrum (wavelength 415 nm), which leads to the formation of unstable oxygen and, as a result, to the destruction of pathogenic bacteria P.acnes. The FDA recommends Lumenis devices (for example, the IPL module of the M-22 device), which use high-intensity light from the blue part of the spectrum, for the treatment of papulopustular acne, i.e. acne.

Light from the red part of the spectrum can also be useful because... Compared to blue light, it has a stronger anti-inflammatory effect (although it has a lesser effect on porphyrins). Therefore, a combination of light from the blue and red parts of the spectrum will be even more useful. Facial procedures are carried out 2 times a week for 15 minutes. According to the dermatology textbook Fitzpatrick's Dermatology, after a 4-week course of therapy in 80% of patients, the number of acne decreased by 60%. But in the absence of supporting procedures, their number returns to the original level - within 3-6 months.

Photodynamic therapy is even more effective in treating acne. It consists of applying exogenous porphyrins to the skin 1 hour before the procedure (aminolevulinic acid/ALA), after which exposure to a high-power light source occurs. The latter can be pulsed dye lasers, intense pulsed light or a broadband light source in the red part of the spectrum. ALA is metabolized in the sebaceous glands and hair follicle to porphyrins, which when exposed to light lead to the release of unstable oxygen, which damages the sebaceous glands. Several photodynamic therapy treatments can provide improvement for up to 5 months.

Pulsed KTP laser (wavelength 532 nm) - also leads to a reduction in the number of acne by about 40%. Using this laser 2 times a week for 2 weeks, i.e. a total of 4 procedures are required). In addition, some of the non-ablative infrared lasers at 1450 nm and 1320 nm wavelengths may also be useful for treating acne. they cause thermal damage to the sebaceous glands. However, any of these lasers requires a course of several treatments (and the improvement lasts up to about 6 months).

One of the newest acne treatment devices is the Isolaz device (from Solta Medical). The nozzle of the device is made in the form of a photo-pneumatic device, which creates negative pressure that sucks out the fatty secretion from the mouths of the hair follicles. Immediately after this, broadband pulsed light (wavelength from 400 to 1200 nm) is turned on, which acts on the P. acnes porphyrins, destroying these bacteria, and also has an anti-inflammatory effect.

What do phototherapy and lasers do?

Regular use in courses not only improves the course of acne, thereby reducing the number of inflammatory elements. The use of phototherapy (IPL) and lasers in courses often avoids the need for oral medications (antibiotics, isotretinoin), as well as the numerous side effects associated with them. But the cost of such treatment is high. We hope that our article on the topic: How to remove acne on your face was useful to you!

Sources:

1. Textbook of dermatology “Fitzpatrick's Dermatology” (8th edition), 2. “Modern methods of treatment and rehabilitation of patients with acne vulgaris” (Barinova), 3. “Acne from the position of evidence-based medicine” (Anisimova), 4. “Cellular mechanisms of barrier protective functions of the skin and their disorders in skin diseases” (Medelets).

Synthomycin ointment for acne

Syntomycin ointment - represents antibacterial compounds. Contains one of the “obsolete” antibiotics ( syntomycin

) and a natural base (
castor oil
). Before the invention of the common antibiotic chloramphenicol, syntomycin was the main treatment for bronchitis, gonorrhea and syphilis. Afterwards, it was forced out of the field of treatment of internal diseases, but remained in the composition of external ointments.

Synthomycin ointment is effective if rashes and pimples are caused by a bacterial infection (staphylococcus, streptococcus). However, it is far from harmless. The antibacterial component disrupts the skin microflora. Therefore, it is not recommended to use the composition for prevention daily .

Recommendations: the ointment has proven itself well for teenage rashes . It is also used to smear the bikini area after shaving (to prevent irritation and the appearance of small pimples). And one more thing: if there is no noticeable improvement within a week of using the ointment, it means that the main cause of acne is not infectious. We need to look for another effective remedy.

Baneocin ointment for acne

We continue our acquaintance with antibacterial ointments. The list of ointment compositions is presented here in ascending order. So syntomycin is one of the weak antibiotics. Baneocin is a more potent drug. Further there will be even stronger antibacterial compositions of ointments.

Baneocin ointment contains two antibiotics that mutually enhance each other's effects. Bacitracin

– for the treatment of streptococci and staphylococci.
And neomycin
- for the treatment of Klebsiella, Shigella, the causative agent of cholera and tuberculosis infections.

Note: these antibiotics are usually not prescribed orally (due to their toxicity). Used as part of an external antiseptic ointment.

The combined use of two antibiotics expands the spectrum of activity of the drug. The ointment is intended for external treatment of skin inflammations. It is applied to purulent wounds, extensive burns, boils, as well as to small pustular rashes and pimples on the face .

Note: sometimes Baneocin is considered as an analogue of Levomekol. With the difference that the latter is produced by a Russian manufacturer and costs 2 times less than Baneocin, a product of a Swiss pharmaceutical company.

Ways to get rid of post-acne

The intensity of post-acne is directly related to the severity of acne. Therefore, it is important to work not only to eliminate the consequences, but also to prevent the appearance of new elements on the skin. It is necessary to fight acne itself, eliminating its main causes. If pimples appear again and again, the prognosis for post-acne treatment is questionable; inflammation will give rise to new scars. Therefore, work with an experienced dermatologist-cosmetologist is required.

Most of the work on restoring, smoothing the skin and eliminating scars is carried out by a cosmetologist, but certain activities can also be performed at home. Moreover, only an integrated approach will give the most maximum results.

What can you do at home?

At home, you need to help the skin recover; it needs building elements and proper nutrition. To regenerate the skin and form its structure, it is necessary to supply vitamins and minerals, protein as a source of amino acids for the construction of collagen fibers and the synthesis of hyaluronic acid, which moisturizes and gives the skin tone and smoothness.

In addition, omega acids are important, which are involved in cell renewal and form cell membranes. It is important to adjust your diet, eliminate as much processed foods as possible, food chemicals (dyes, preservatives, E-additives) and give up bad habits.

To prevent new acne and improve tone, nourish the skin, heal inflammation and small scars, pharmaceutical products will help. You can use 1% salicylic alcohol or boric acid and wipe the skin with it twice a day. Levomekol ointment works quite well in treating acne, suppressing inflammation and eliminating scars. Many people use bodyaga powder, which is diluted in water to a paste and applied to the affected area. But before using all these remedies, it is important to first consult with your doctor to prevent side effects and complications.

Skin care is complemented by serums, care creams (day and night) selected by a cosmetologist, as well as homemade peelings with fruit acids. They delicately exfoliate the skin, remove dead cells, and cleanse its surface.

Folk remedies are often used, for example, infusions of St. John's wort and chamomile, which have an anti-inflammatory, soothing, cleansing effect. You can freeze them and wipe the skin with the resulting ice cubes, further increasing blood circulation and capillary tone.

You can also use masks with blue clay. The recipe for making a mask is very simple: three tablespoons of powder are diluted in water to a paste, applied to the problem area for 20 minutes and then thoroughly washed off with water.

What treatment methods are used in a cosmetology clinic?

Although homemade recipes help in the fight against post-acne, you should not think that only through them you can eliminate all problems. Home methods act on the very top layers of the skin and reduce only minor defects.

Modern cosmetic procedures will help get rid of deep scars, pigmentation and unevenness. But don't expect instant results.

Treatment methods are selected individually and comprehensively. The more severe the initial problem and the wider the affected area, the longer the treatment will be.

To achieve maximum smoothness of the skin and an even complexion or eliminate blemishes on the body, you need a whole series of procedures, supplemented by home care and carefully selected cosmetics. On average, the first noticeable results will be visible after 1-2 months with regular implementation of all necessary treatment measures.

If there is unevenness, decreased skin tone, pigmented or stagnant spots, peelings come to the rescue. There are a lot of treatment options: these can be mechanical peels (compositions with herbs, small dense particles) and chemical peels (with retinol, glycolic, resorcinol or other compounds).

With mechanical peeling, the effect of cleansing and exfoliation is achieved due to the mechanical scraping of the particles included in the composition of the upper layer of skin with outdated epithelial cells.

With chemical peeling, a similar effect is achieved through chemical cauterization of the upper layer of the epidermis, which leads to its subsequent rejection with peeling.

The cosmetologist selects peelings to suit your needs and strictly follows all the rules for their implementation in order to achieve maximum effect and avoid side effects. On average, the first results are visible after 5-6 procedures.

A more effective analogue of peeling is laser skin resurfacing. The doctor performs the procedure with a special laser unit with a strictly specified wavelength in order to influence the skin at the required depth without damaging neighboring tissues. The laser beam cauterizes the skin, the treated areas are actively exfoliated, which allows stimulating the regeneration of new tissues, more even and smooth.

Check out our patient's review of laser facial resurfacing:

Photothermolysis is a more advanced method of laser skin treatment. The rays do not act as a continuous field, but as individual points - creating a mesh on the treated area. This is a fairly effective, but less traumatic effect; the rehabilitation period after such procedures is reduced.

In some cases, dermabrasion is used to combat skin imperfections. This is the use of aluminum oxide powder under pressure or a special rotating abrasive disc for mechanical grinding of the skin, removing the upper layers of the epidermis from it.

Filler injections can help eliminate atrophic scars and dimples and smooth out the skin. They are inserted under the defect area, create additional volume, and lift depressed skin. The effect lasts up to 6-10 months (depending on the drug), then the injections are repeated.

Mesotherapy with drugs that stimulate collagen synthesis and epidermal renewal gives good results. A series of microinjections are made into the surface layers of the skin with the introduction of hyaluronic acid, antioxidants, and vitamin components. The cosmetologist selects a specific drug depending on the tasks and the severity of skin defects.

Another method is ozone therapy. This is a technique of introducing a special oxygen mixture into a problem area through a series of microinjections. The composition helps saturate tissues with oxygen, stimulates blood circulation or lymph drainage, and epithelial regeneration.

If no other methods have produced a significant effect, surgical removal of scars can be used. The affected scar tissue is excised within the boundaries of healthy skin. The rehabilitation process is long, and the intervention itself can also leave scars in the future.

Erythromycin ointment for acne

Erythromycin ointment is another option for antibacterial treatment of facial skin, an ointment for acne healing . Contains the antibiotic erythromycin

, which is actively used in pharmaceuticals.
In tablet form, erythormycin is prescribed for bronchitis, pleurisy, otitis, gonorrhea and syphilis. In the form of an ointment - for the treatment of infections of the eyes ( conjunctivitis
), skin and soft subcutaneous tissues (burns and other wounds).

In cosmetology, erythromycin ointment is used to treat small pustular rashes . The antibiotic erythromycin is stronger than syntomycin, so erythromycin ointment is used when syntomycin does not help for some reason.

Important: any antibacterial compounds are not recommended for long-term use.

Tetracycline ointment for acne

Tetracycline ointment is another representative of antibacterial external agents for treatment. Contains one of the "late"

and potent antibiotics -
tetracycline
.

Tetracycline ointment is intended for the treatment of extensive skin inflammation (burn surfaces, deep wounds, purulent ulcers). But it is also used in cosmetology - as a remedy for severe acne and pustular rashes .

As a rule, the prescription of antibacterial agents occurs incrementally. First, use a weak antibiotic. If it doesn’t help, move on to a stronger antibacterial agent. Tetracycline ointment is one of the most potent. You can use it on the face for very severe and extensive rashes, when other antibiotic ointments turned out to be weak .

Note: the instructions for using acne ointment with the antibiotic tetracycline emphasize that uncontrolled use of the antibiotic can cause complex inflammations on the skin.

The tetracycline composition could be called the best ointment for acne on the face, if not for the adverse reactions from the use of the antibacterial component. After frequent use of an antibiotic, a so-called “superinfection”

.

Prevention

How to consolidate the results obtained and reduce the likelihood of acne recurrence? Follow these tips:

• Use the ointment daily - only in this case the effect will be noticeable.
• During and after therapy, eat properly, do not indulge in fatty, fried, smoked and flour products. Include foods that contain zinc in your diet (beans, legumes, nuts, liver).
• When using zinc ointment, it is advisable to refrain from using other medications for acne, as this may cause the development of various side effects or minimize the healing effect of the ointment.

Retinoic acne ointment

Retinoic ointment - “new”

cosmetic product,
one of the most effective ointments for acne on the face .
Its action is based on its ability to enhance blood circulation and skin cell regeneration. The manufacturer of the ointment regulates its effectiveness against acne and to prevent wrinkles, as well as as an ointment for spots after acne on the face. The effect of the ointment is ambiguous. It irritates the skin and causes slight redness, sometimes burning . There are cases where, after retinoic ointment, the skin received a “chemical” burn. However, this does not happen often.

Based on so-called retinoids, ointment compositions are produced for the treatment of complex rashes, acne and pimples. Retinoids are used when many remedies have been tried and there is no noticeable improvement. They are also prescribed to treat rosacea and nodular cystic acne .

The most aggressive formulations with retinoids - Roaccutane

and
Aknekutan
. A dermatologist prescribes them by prescription for severe acne that is difficult to treat.

Note: if the rashes on the face are persistent and stubbornly do not respond to treatment, this means that there is an internal cause (diseases of the internal organs).

Conclusions: the effect of retinoic ointment against wrinkles is not always noticeable. But its effectiveness against ordinary pustular rashes is high. In addition, the retinoic component prevents any scars and is an ointment for acne marks.

It is important to know that retinoids cause deformities in the fetus. Therefore, it is not recommended to use the ointment during pregnancy and during its planning period (when there is no pregnancy yet, but conception is already expected). After using Roaccutane, pregnancy should not occur earlier than a month later.

How to use

The use of zinc ointment for acne has its own characteristics:

1. Wash your hands with soap and then disinfect them using vodka or alcohol. This will help prevent infection from entering the inflamed skin.
2. Do make-up removal if you plan to apply the ointment to your face, or take a swim if you plan to apply it to your butt or back.
3. Apply the ointment in a thin layer to the acne affected area or dotted onto each pimple for small rashes. For spot application, it is convenient to use a match or a cotton swab.
4. You can apply zinc ointment up to 6 times a day, but it is best to do no more than 3 times so that the skin can breathe.
5. The ointment is almost not absorbed, so 30 minutes after application you should blot it with a paper towel.

An allergy test is an important condition for using zinc ointment. Apply a little onto your wrist. After 15-20 minutes, if there is no itching and redness, then you can use the drug.

Photos before and after using zinc ointment

This type of therapy is not suitable for working women, since after applying and removing the ointment, the skin must be allowed to breathe; decorative cosmetics should not be applied. Also, zinc ointment is not suitable as a base for makeup. Unemployed women do not have such problems; they can use the ointment until the problem disappears.

It is best to use the drug on weekends and at night, since at this time there is nowhere to rush and you can devote some time to self-care. Unfortunately, such rare use of ointment does not give a quick effect, so you should be patient.

The first results of use can be noticed 2-3 days after treatment. If the cosmetic problem is not resolved within a week, you should stop using the ointment and consult a doctor.

On the back and butt

Experts advise using zinc ointment for acne on the butt and back, as it has a pronounced effect: it quickly removes comedones without causing dry skin. In order to cope with acne in these areas of the body, you should steam the skin at least once every 5 days, and then apply healing ointment to it. If there are few rashes, then the product is applied pointwise using a cotton swab.

Apply the product to problem areas at least five times a day. The ointment is poorly absorbed, so a quarter of an hour after application it should be blotted with a paper napkin. After using the ointment, you should not wear clothes, as the product leaves stains on them.

During pregnancy

During pregnancy and lactation, zinc ointment should be used with caution and only after permission from a doctor. Despite the fact that it can be used even in babies, hormonal levels change during pregnancy, which can cause an allergic reaction.

Akriderm ointment for acne - hormonal treatment

Akriderm ointment contains the hormone betamethasone

. The hormonal component inhibits the development of inflammation. In addition, the ointment has an antiallergic effect. It reduces atypical inflammatory reactions, and thereby reduces swelling and redness. Therefore, it is used for inflammation of an allergic nature (dermatitis, eczema, psoriasis). And also from warts, calluses, and corns.

Akriderm ointment is not used for the treatment of acne, blackheads, acne, comedones (different names for the same phenomenon are listed - acne).

Hormonal ointment for acne may be needed if, against the background of allergic redness, severe irritation appears or a bacterial infection occurs. In this case, in addition to the main treatment (antibiotic ointment), an antiallergic drug will be needed.

Antibiotics for acne treatment –

Antibacterial drugs for the treatment of acne can be used both for external use (usually in the form of gels) and in the form of tablets for oral administration. Modern research shows that antibacterial therapy in patients with acne is not very effective, because Over time, it causes the formation of resistant strains of bacteria and, as a result, leads to more severe acne. But in some cases, antibiotic therapy for acne is still necessary, and in addition, there are ways to reduce the risk of bacterial resistance to antibiotics.

a) Mild to moderate papulopustular acne:

Antibiotics, if prescribed, are only externally. These may be drugs such as Dalacin, Clindovit or Clindatop. These drugs are monocomponent gels containing the antibiotic clindamycin. In addition, there are drugs in the form of solutions for topical use, for example, the drug Zerkalin. This drug is clindamycin based, but it also contains alcohol, which is actually not very good for acne patients (especially if you are also using retinoids and benzoyl peroxide).

Another drug - Zinerit (in the form of a solution that is applied using an applicator) - is based on erythromycin, but there are now many resistant strains of the bacterium P.acnes to this antibiotic. There are also combination preparations that, in addition to the antibiotic, may additionally contain either the retinoid adapalene or benzoyl peroxide. An example of several combination preparations in the form of gels:

• Klenzit-S – contains clindamycin 1% + adapalene 0.1%,
• Indoxyl – contains clindamycin 1% + benzoyl peroxide 5%.

Photos of some drugs –

Important: for papulopustular acne of mild or moderate severity, antibacterial gels are prescribed primarily only in cases where the predominant inflammatory elements in the patient are pustules with pus. In this case, in addition to the external antibiotic, we must simultaneously use + external retinoids, + benzoyl peroxide.

And here you may ask: why is it recommended to also use benzoyl peroxide when prescribing an antibiotic gel? Isn't one antibiotic enough? The fact is that the use of benzoyl peroxide together with an antibiotic greatly reduces the risk of P.acnes bacteria developing resistance to antibiotics. Including the development of such resistance contributes to the transformation of mild forms of acne into forms with a more severe course.

As for patients whose inflammatory elements are represented predominantly by papules (i.e., without pus), it is irrational to prescribe antibiotics in this case. It is optimal to use only a combination of external preparations “benzoyl peroxide + retinoid”.

b) Papulopustular form of severe acne:

For severe papulopustular acne, antibiotics are prescribed only orally (i.e. in tablets for oral administration), plus we prescribe externally retinoids + benzoyl peroxide. For systemic antibiotic therapy, drugs from the tetracycline group will be primarily used - this can be either tetracycline itself or its derivatives - doxycycline and minocycline. Only a doctor can determine the optimal dosage for each individual patient.

As for tetracycline, the average daily dosage is usually 1000 mg, but in serious cases the dose can be increased to 3500 mg per day (such doses can only be used under monitoring of liver function). Tetracycline can be taken only 1 hour before meals or 2 hours after; the duration of administration is determined by the doctor, but not more than 8 weeks. However, this drug has serious age restrictions, and in recent years more resistant strains of P. acnes have been discovered.

Much fewer resistant P. acnes strains have been found to lipophilic tetracyclines (such as doxycycline and minocycline). Doxycycline is taken at a dose of 100 to 200 mg per day orally for no more than 8 weeks, regardless of meals. However, it induces photosensitivity in the summer and therefore in summer it is better to use another antibiotic (azithromycin). Minocycline is also taken at a dose of 100-200 mg per day, but this drug can cause blue-black pigmentation in different areas of the skin. This pigmentation most often occurs in the area of ​​atrophic scars and acne scars.

Antibiotics of the Macrolide group - previously a drug such as erythromycin was widely used, but now there are a lot of resistant strains of P.acnes to it. It is more preferable to prescribe azithromycin in a dose of 250 to 500 mg (taken only 3 times a week). Unfortunately, this drug may have side effects such as diarrhea, and therefore it is best to take it only with parallel medications to restore intestinal microflora. Azithromycin is a good alternative for patients who cannot use doxycycline.

Antibiotics of the Lincosamide group - clindamycin belongs to this group of antibiotics. But its use is justified only for external therapy (with the composition of products for external use), and when taken orally, there is too high a risk of getting a severe form of anibio-associated diarrhea, which is called pseudomembranous colitis. This is such a terrible thing (with a high mortality rate) that don’t even think about taking clindamycin tablets.

Drugs of the sulfone group - these include the drug Dapsone, but it can only be used if the patient develops resistance to other antibiotics (i.e. this drug will not be the first choice drug). Antibiotic resistance should be suspected if there is no response to treatment after 6 weeks of antibiotics. Moreover, in cases where we assume resistance, it is very important for us to exclude the development of gram-negative folliculitis in the patient (usually it occurs precisely after long-term use of antibiotics in the past).

Important: the most painful area of ​​antibiotic therapy in the treatment of acne is the development of resistant strains of P.acnes and S.epidermidis. Concurrent use of topical benzoyl peroxide products with antibiotics, and avoidance of frequent changes between different antibiotics, are the best ways to prevent antibiotic resistance in P. acnes and S. epidermidis. Phototherapy procedures (IPL), photodynamic therapy, and the use of lasers can help reduce the need for antibiotics. We will tell you more about them at the end of the article.

Calendula ointment for acne

Calendula is an antiseptic plant. You can make calendula ointment yourself (mix wax and calendula oil) or purchase it at the pharmacy. This remedy is recommended for use for vascular problems - bulging veins, venous mesh on the face, dilated capillaries. And also as an antiseptic treatment for inflamed skin areas.

The effect of calendula will not be as noticeable as the effect of synthetic antibiotics ( syntomycin, erythromycin

or
tetracycline
). Among herbal antiseptics, calendula is average in effect. Tea tree oil and aloe juice work stronger than calendula.

Calendula ointment is used as a night cream for oily, porous skin . Due to the excessive secretion of sebum in the pores, its outflow is often disrupted and stagnation occurs. Therefore, oily skin often becomes inflamed.

For the treatment of acne, ointment with calendula extract is less effective and therefore is almost never used . For preventive purposes only.

Sulfur and zinc ointments

Sulfur and zinc ointments have a similar effect. They dry the skin, reduce inflammation, but do not counteract pathogenic bacteria. Therefore, zinc and sulfur ointments are used for non-infectious skin inflammations (dermatitis, bedsores, skin manifestations of allergies).

Sulfur ointment is known as a treatment for subcutaneous mites (scabies). That's why it is called antiparasitic. In addition to the scabies mite, the so-called acne gland can settle on human skin. Usually she chooses the skin of the face ( forehead, chin, nasolabial triangle, sometimes the ears

). Its presence is accompanied by large pink pimples.

In addition to antiparasitic properties, sulfur compounds promote tissue regeneration. This means they speed up the healing of wounds. But sulfur ointment is not very effective against acne on the face . It only reduces the amount of acne (due to the normalization of sebum secretions).

Reviews of zinc ointment for acne also confirm its low effectiveness against acne and pustules . Zinc is a medium-acting antiseptic. In an ointment, it provides a drying effect. It also normalizes sebum secretions and creates conditions for epithelization (healing).

Note: to treat acne, it is better to use salicylic-zinc ointment. It contains salicyl, which can counteract pustular rashes. The above list of ointments for acne is far from complete. Here is only a list of the most popular pharmaceutical products.

Acne on the face in teenagers: causes

We have already said above that it all starts with the comedonal form of acne, i.e. since the appearance of acne. The main reason for the formation of acne in adolescence is an increase in the production of androgens during puberty (puberty). The main androgen in girls is androstenedione, and in boys it is testosterone. Puberty for girls begins at approximately 12-13 years of age, for boys at 14-15 years of age. It is during this period that approximately 85% of adolescents experience the first manifestations of the comedonal form of acne (acne).

Let us remember that the main elements of acne are comedones (white or blackheads), which are non-inflammatory formations. In the middle and late teenage period, against the background of comedones, inflammatory elements (papules and pustules) already begin to predominate, which will indicate the transformation of the comedonal form of acne into the papulopustular form. The course of mild forms of acne usually lasts no more than 4-5 years, but the course of moderate-severe forms can last even 10-12 or more years.

The most striking clinical picture of acne (blackheads and pimples) is observed in girls between the ages of 17 and 18, and in boys between the ages of 19 and 21. It should be noted that girls are less fortunate and are characterized by a longer course of acne, which is also due to the presence of the menstrual cycle. In particular, it is known that in the period from 2 to 7 days after ovulation, acne symptoms intensify in girls. This is due to an increase in the concentration of luteinizing hormone during this period, and the conversion of androstenedione (this is the main androgen secreted by the ovaries) into testosterone.

Important: let's look at how androgens are associated with the appearance of acne and pimples... The fact is that the sebaceous glands have receptors for androgens, and therefore an increased concentration of the latter automatically leads to hyperactivity of the sebaceous glands. As a result, they begin to produce too much sebum, which contributes to the formation of fatty plugs in the lumen of the hair follicles, which are called acne or comedones.

Which ointment is best for acne?

In order to understand which ointment for treating acne is more effective and better, let's look at what problems most often arise on the skin of the face and what is needed to eliminate them. Traditionally, women are worried about two problems - fat in the pores of the skin (so-called blackheads, blackheads, comedones) and pustules of different sizes (pimples, rashes, boils). Acne and pimples have different origins and therefore require different approaches to treatment .

Blackheads or acne

Accumulations of fat (blackheads or acne) are formed when the secretion of sebum in oily skin is impaired. The release of fatty lubricant occurs through the skin pores. If the skin is oily, too much sebum is produced. As a result, its outflow is disrupted, the fatty lubricant stagnates, oxidizes and turns black.

Such pores look like black dots. They often form on the sides of the nose and can also appear on the cheeks, forehead and chin.

To treat acne, you need the following:

• Normalize sebum secretion, reduce skin oiliness.
• Avoid the accumulation of sebaceous secretions in the pores, wash your face frequently and treat the skin twice a day with a composition with degreasing properties.
• Dissolve existing comedones (oxidized fat accumulations).

Pimples or pustular rash

If fat accumulation and sebum stagnation occur constantly, then skin inflammation forms. This is why oily skin often has an inflamed appearance and a red tint.

Stagnant fat is a favorable basis for the development of pathogenic bacteria. Therefore, inflamed skin often becomes infected with a bacterial infection. In this case, the result of the activity of bacteria is pus, which accumulates in the emerging pimples.

To treat a pustular rash or acne, you must:

• Remove existing skin infection (as a rule, these are staphylococci, streptococci - they are the most common and often cause inflammation).
• Create conditions on the surface of the skin under which sebaceous secretions do not accumulate in the pores and pathogenic substances do not multiply.

Hence the conclusion: the best ointment for treating acne and pustular rashes should be an antiseptic . That is, an effective acne ointment must include a herbal or synthetic antibiotic. Among the listed remedies, tetracycline ointment with an antibiotic for acne on the face is the most potent and most effective.

And in order to prevent small depressions from acne, the skin of the face is smeared with a product with regenerating properties (Rethionic is the best ointment for acne scars).

The best acne remedies - a review of effective drugs

A properly selected remedy for acne on the face is the key to quickly getting rid of the problem. But you should understand that there are no universal drugs that help absolutely everyone. Therefore, with the help of a doctor, you need to find exactly your medicine, taking into account the provoking factor. In this review, we will take a closer look at the drugs that have earned the most positive reviews.

10th place. Clearasil

Popular cosmetics for the skin, including several care products: cleansing lotion, washing gel and lotion for deep cleansing of the skin. There are also daily skin scrubs, as well as Klerasil Ultra acne cream. The main active ingredient in all these products is salicylic acid, which destroys pathogenic microbes, relieves inflammation, and improves the condition of the epidermis.

Reviews about the drugs are mixed. Some users praise the line of products, noting that lotions and gels cope with their stated functions. There is an effect of application, and it is noticeable on the face. Others speak extremely negatively about the drugs, explaining their dissatisfaction with the fact that the excess alcohol in the composition dries out the skin, and numerous allergic reactions are noted in the form of redness and itching.

Let us note once again that Klerasil is not a medicinal product. This is just a cosmetic product that, in principle, is not capable of producing a miracle effect. Yes, it can be used in everyday care for problem skin, but it cannot cure acne or cope with severe inflammatory processes on the face.

Advantages:

• reasonable cost;
• suitable as skincare cosmetics;
• convenient dispenser;
• good product quality;
• wide range of cosmetics.

Flaws:

• not a cure, and that says it all;
• dries the skin;
• allergic reactions are possible.

Clearasil Lotion for deep skin cleansing

9th place. Salicylic ointment

A very popular and very inexpensive remedy for treating acne. The main active ingredient is salicylic acid. This is a strong antiseptic that destroys pathogenic microflora and prevents infection of open wounds. It also relieves inflammation well, suppresses the activity of the sebaceous glands, softens and exfoliates dead cells, and promotes rapid restoration of the skin.

Salicylic ointment is prescribed for acne, calluses, corns, warts, dandruff and psoriatic processes. The product should be applied to the affected areas of the face and body twice or thrice a day. It is important to correctly combine salicylic ointment with other drugs. Thus, it is incompatible with resorcinol (a powerful antiseptic) and zinc oxide (also used in the treatment of acne).

Reviews about the use of ointment in the treatment of acne are mostly positive. Users note that the product, purchased for pennies, literally helps clear the skin of acne in a matter of weeks and even days. At the same time, the drug is universal: it can also be used in the treatment of other dermatological diseases. True, you can’t buy it in all pharmacies. Apparently because of the cheapness...

Advantages:

• low cost;
• efficiency;
• versatility;
• convenient to use;
• allergic reactions rarely occur;
• acne matures and goes away faster.

Flaws:

• makes the skin oily;
• leaves white marks;
• Not sold in all pharmacies.

Salicylic ointment 2% 25g No. 1

8th place. Differin

The drug is available in two dosage forms - cream and gel. The first is suitable for those with dry skin, the second for those who are concerned about oily skin. The main active ingredient is adapalene, a product of retinoid metabolism. This compound effectively fights comedones, relieves inflammation, normalizes the processes of keratinization of the epidermis, and improves skin condition.

The drug has only one indication – acne. The cream or gel should be applied to the cleansed affected area once a day before going to bed. The therapeutic effect will be noticeable after 1-2 months, and the skin condition will significantly improve after about 12 weeks. As for contraindications, the product should not be used by pregnant and lactating women, as well as people with hypersensitivity to adapalene.

As for the reviews, they are quite mixed. Some people point out that Differin really helped cope with acne and improve the condition of the skin. Others note that the drug worsens the appearance at the very beginning of treatment and increases skin sensitivity to sunlight. At the same time, many users write that to enhance the effect, you need to combine the product with antibiotics and antiseptics.

Advantages:

• efficiency;
• improves skin condition after 3 months;
• can be combined with other drugs;
• gets rid of blackheads;
• improves skin condition;
• relieves acne for a long time;
• can be used only once a day.

Flaws:

• dries the skin;
• does not work immediately;
• a bit expensive.

Differin cream 0.1% 30g

7th place. Klenzit-S

Anti-acne medicine with a combined composition. One of the active substances is adapalene. This product of the metabolism of retinoids, which effectively relieves inflammation, fights open and closed comedones, and optimizes the process of keratinization of the skin. The second ingredient, clindamycin, belongs to the category of antibiotics. Actively fights pathogenic bacteria in the ducts of the sebaceous glands, additionally reduces the amount of fatty acids on the epidermis.

There are some strict requirements for the use of the drug. Firstly, at the beginning of the therapeutic course, acne may worsen. All this disappears during the treatment process. It is necessary to avoid exposure to direct UV radiation, as this can irritate the dermis. Additionally, you should not use alcohol-based acne products at the same time.

The gel is applied in a thin layer to the damaged (preliminarily cleaned and dried) areas just once a day before bedtime. The visible therapeutic effect is noticeable after an average of 14 days. The therapeutic course itself can last up to two months. Such procedures can be repeated only after a certain period of time and always after consultation with a doctor.

Advantages:

• efficiency;
• complex effect on problem skin;
• fights not only acne, but also comedones and blackheads;
• renews the skin;
• helps even with severe inflammation;
• lasts a long time.

Flaws:

• Contraindicated for children under 18 years of age (namely, in adolescence, acne is the most common concern);
• has an aggressive effect on the skin;
• at first, the rash may worsen;
• Do not apply it when going out into the sun.

Klenzit C gel d/nar. approx. tube 30g

6th place. Curiosin

The main active component in the gel is zinc hyaluronate, a compound that combines the effects of zinc salts and hyaluronic acid. Zinc has antimicrobial properties, preventing the development and spread of the infectious process. Hyaluronic acid is an important element of the dermis, which ensures the integrity of its structure, makes it more elastic and promotes regeneration processes.

The complex effect of the drug is to suppress inflammation, prevent infection, heal damaged areas, and keep the skin hydrated. An important point is that the use of Curiosin allows you to restore the affected areas of the skin to an almost ideal condition. That is, the drug prevents the formation of scars and unsightly acne scars.

The gel should be applied twice a day to the affected areas of the skin. The duration of the therapeutic course is determined individually and depends on the severity of the inflammatory process. The drug shows the greatest effectiveness in the treatment of mild or moderate acne. For severe rashes, the drug will most likely not help.

Advantages:

• a fairly safe drug;
• can restore skin;
• absorbs well into the skin;
• contains hyaluronic acid - an element that is present in human skin;
• acceptable cost.

Flaws:

• copes with mild rashes;
• causes redness and irritation of the skin;
• the same effect as regular zinc ointment.

Curiosin solution external 2.05 mg/ml 10ml

5th place. Zerkalin

The therapeutic effect of the drug is due to the presence of clindamycin in the antibiotic composition. It is active against bacteria that cause acne. It suppresses the ability of microbes to reproduce and also causes the death of microorganisms on the skin. Additionally, the drug reduces the amount of fatty acids on the surface of the epidermis.

Available in solution form. It should be applied to the affected areas after cleansing and drying the skin. Frequency of application – twice a day, after morning and evening washing. The duration of treatment procedures is at least 1.5-2 months, maximum six months. If after a therapeutic course the results do not please you, you need to consult a doctor about discontinuing the drug.

There are few contraindications for the acne remedy - children under 12 years of age, as well as hypersensitivity to the components. But adverse reactions occur quite often. For example, many patients are concerned about dry skin, irritation of the dermis, and seborrhea. In rare cases, gastrointestinal problems and eye pain may occur.

Advantages:

• efficiency;
• a small number of contraindications;
• rapid relief of inflammation;
• reduction of fat secretions;
• eliminates redness;
• can be used during pregnancy (after consultation with a doctor).

Flaws:

• dries the skin;
• uneconomical consumption;
• Possible addiction;
• long-term treatment.

Mirror size d/out. approx. 10mg/ml vial. 30ml

4th place. Skinoren

The main active ingredient that provides the medicinal properties of the drug is azelaic acid. This compound optimizes the process of death and keratinization of skin cells, improves the functioning of the sebaceous glands, reduces the oiliness of the dermis, prevents the proliferation of pathogenic bacteria, and relieves inflammation. Additionally, the acid prevents scarring and hyperpigmentation of the skin.

A remedy is prescribed for acne, rosacea (rosacea), and increased pigmentation of the skin. The result is noticeable after a few weeks, and after six months you can see a lasting effect. Acne gel or cream is applied to the affected areas in a thin layer twice a day and rubbed in with gentle movements. There is no need to additionally protect your face from UV radiation during therapy.

The drug is characterized by increased safety. It can be used even during pregnancy and breastfeeding. The only contraindication is hypersensitivity to the main and additional ingredients. Adverse reactions are possible, but they are mild and in the vast majority of cases go away on their own.

Advantages:

• high efficiency;
• works well even with severe rashes;
• safety;
• low risk of side effects and negative consequences;
• prevents scar formation;
• helps with hyperpigmentation;
• the main substance is not an antibiotic, but actively fights bacteria.

Flaws:

• may dry out skin;
• expensive.

Skinoren gel d/nar. approx. 15% tube 15g

3rd place. Roaccutane

Heavy artillery in the fight against acne. This is a systemic drug in the form of capsules, the active component of which is isotretionine, a synthetic isomer of trans-retinoic acid (retinoid). The drug is really very powerful, so it is sold in pharmacies only with a doctor’s prescription. In this case, the specialist must assess all the risks to the patient’s health and the need for such treatment.

The mechanism of action of the drug has not been fully established, but clinical studies show that it suppresses the activity of the sebaceous glands, reduces their size, and effectively relieves inflammation. But the main thing is to remember about the contraindications to the medicine, and there are quite a few of them. For example, women who are planning a pregnancy should refrain from using Roaccutane, since it will inevitably have a negative effect on the fetus (teratogenic effect).

There are also numerous side effects from using the product. Moreover, there is a pattern: the higher the dose, the stronger their severity. When taking the drug, problems with the gastrointestinal tract, nervous system, and sometimes blurred vision may occur, including a decrease in visual acuity. What is the point of treatment with such a drug, you ask. The fact is that these capsules really help in cases where the patient has tried all other treatment methods.

Advantages:

• helps in the most difficult cases;
• very effective;
• medicine of “last hope”;
• cleanses the face after the first course;
• convenient to take;
• operates systematically.

Flaws:

• very strict requirements for the patient’s health;
• women of childbearing age will have to take pregnancy tests;
• a huge number of side effects, and serious ones (although it all depends on the chosen dose);
• available in pharmacies with a prescription (although this is rather a plus, because people often do not understand the severity of the possible consequences);
• expensive (but it’s worth considering one nuance - the drug will definitely help get rid of acne).

Roaccutane caps. 10mg No. 30

2nd place. Zenerite

Antibiotic-zinc complex for the treatment of acne. The first active ingredient is the antibacterial drug erythromycin, which blocks protein synthesis in bacterial cells and thereby prevents their reproduction. Another substance is zinc salt, which, when applied to the skin, dries, relieves inflammation, cleanses, and binds excess fluid.

The drug is produced in the form of a powder for making a solution. Reviews indicate that the first results are visible after about 14 days, significant cleansing of the skin from acne occurs after 3 months. The product is highly safe; the instructions state that it can be used even by pregnant women and those who are breastfeeding.

The prepared solution is applied to acne clusters up to 2 times a day. By pressing the applicator, you can adjust the amount of the drug. It is not recommended to use Zinerit for longer than 3 months. In addition, it can be addictive (which often happens with antibiotics), so it is better to alternate it with other anti-acne agents or reduce the frequency of use.

Advantages:

• efficiency;
• safety;
• the result is noticeable quite quickly;
• can be used by expectant mothers;
• minimal number of contraindications;
• fights bacteria - one of the main culprits of acne.

Flaws:

• may dry out the skin too much;
• the skin gets used to the antibiotic, and the acne then returns;
• a bit expensive.

Zenerite pores. ext. 30ml (solvent and applicator kit)

1st place. Baziron AS

An antimicrobial drug whose main active ingredient is benzoyl peroxide. This compound destroys pathogenic bacteria that cause acne, and also softens and removes dead skin cells. Additionally, the drug improves the supply of oxygen to tissues, reduces the formation and secretion of fat by the sebaceous glands.

Acne gel is effective for moderate and severe forms of acne. In addition to getting rid of comedones and acne vulgaris, it also helps in the treatment of trophic ulcers. At the same time, it is produced with different contents of the active substance: 5 or 10 percent. Therapy should be started with a minimum dosage (2-3 weeks), and only then switch to a drug with a higher concentration.

Reviews show that the drug is very effective, a positive result is noticeable after a few weeks. Moreover, unlike antibiotics, benzoyl is not addictive, although with prolonged use a decrease in effect may be observed. To prevent drying of the skin, you need to use the remedy in combination with moisturizing ointments or creams.

Advantages:

• high efficiency;
• is not addictive;
• lasting results are noticeable after a few months;
• different degrees of concentration of the active substance, you can choose what is best for the skin;
• removes dead skin cells;
• regulates the activity of the sebaceous glands.

Flaws:

• should be used with caution during pregnancy;
• dries the skin;
• a bit expensive.

Baziron AS gel d/nar. approx. 5% 40 g

Reviews

Antonina, 18 years old
I spent a long time choosing an ointment for acne on my face. I first tried syntomycin and baneocin, then retinoic. And nothing helped. So, it got a little better, and then again - again. The only thing that helped me was Zinnovit and Effezel. I use them at the same time, after a few hours the huge pimples become small pimples.

Maria, 22 years old Ichthyol ointment for acne is generally an ancient remedy. I can't say it helps a lot. Thus, it reduces the number of pustules, but after a few days new ones form.

Ulyana And for this you need to take syntomycin ointment. It helps with acne much better. And if the acne is severe - tetracycline, which is generally not a cosmetic product. This is already a drug for the treatment of wounds and burns with an antiseptic effect. But it works for acne.