Doctor insights on:
Treating Acne With Antibiotics
I'm combining tretinoin with benzoyl peroxide for adult acne. Is this effective or should I replace benzoyl peroxide with erythromycin topical?
Acne: We do not use Dianette in US as it is not FDA approved and it is also banned in several European countries due to high risk profile. Dianette is a BC pill with progestin and anti-androgen activity, it is very different than antibiotics. Acne is not caused by infections. Antibiotic can only treat temporary secondary infection of a comedone, it does not treat or prevent acne. Why tag Accutane? ...Read more
Acne treatment: 15 to 20 weeksGet a more detailed answer ›
Kills skin bacteria: One of the contributing factors to acne is bacteria infection. The antibiotics treat this cause of acne, but it doesn't treat the other contributing factors like plugged pores, skin oil & hormones. Medications like benzoyl peroxide, retinoids, salicylic acid, and birth control pills are used to treat the other factors. ...Read more
Yes: there are combination acne products out there that either combine BPO with clindamycin or a newer product combines tretinoin with clindamycin. So yes, these meds have been combined to decrease the amount of separate applications needed a day (we know that the more you need to apply/take a medication, the less likely it is you will do so as prescribed (meaning you will miss dosing). ...Read more
Is oral clindamycin helpful for acne vulgaris? Already failed tx w/ doxy, minocycline, & azithromycin.
Don't do it: Taking oral Clindamycin after 3 other good antibiotics failed is asking for another failure and an episode of c. Difficile colitis or worse. I'm going to assume that topical Clindamycin plus benzoyl peroxide plus an adequate dose of an oral tetracycline was a failure. Your next option is a trial or spironolactone with other rx or a dermatology consult for Isotretinoin -- if the latter, be brave! ...Read more
Stubborn, mild acne not responding to antibiotics or topical creams. Accutane seems too extreme for non-cystic acne. Help?!
Keep at it.: There are three main parts to approaching acne...1) reduce the amount of bacteria on skin.. 2) keep pores open...3) reduce oil production. Antibiotics can be topical and/or oral. Other surface treatments aim to reduce bacteria and/or keep pores open. Keep experimenting and working with your doctor until you find the right mix. It can take a few weeks to see improvement even with right mix. ...Read more
Rosacea: I recommend patients with rosacea try to reduce their stress! minimize alcohol intake and no smoking! daily use of a gentle cleanser and Metrogel twice a day. If there is nodular rosacea i place the patient on Doxycycline as well. I do not use benzoyl peroxide as a routine for this. ...Read moreSee 1 more doctor answer
Sometimes...: If the person has acute bronchitis caused by a bacterial infection, then antibiotics will be effective. However, most cases of acute bronchitis are due to viral infections and antibiotics are completely ineffective for viral infections. See your doctor who can diagnose the etiology of the infection, . ...Read more
Are these acne treatment medications (benzaclin (clindamycin and benzoyl peroxide) gel and differin cream 0.1%) effective?
This is serious: I'm glad you're on benzoyl peroxide. Adding an antibiotic may help some; I would suggest simple tetracycline. However, this is unlikely to clear up real cystic acne. Especially at age 22, acne is a grave social and professional liability. You need to consider isotretinoin, even if you're read "how horrible it is." It is worth the risk, used with proper guidance. Best wishes. ...Read more
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