Should Acne Sufferers Avoid Antibiotics?

By Laura Cooksey

Reading over the questionnaires of our teen clients with acne reveal some disturbing trends. Most have seen dermatologists, and most dermatologists prescribed antibiotics as the first course of action.

We are wary of this approach for several reasons. The overuse of antibiotics has created highly resistant strains of bacteria. And antibiotics themselves pose a multitude of long-term health risks. These range from increased frequency of common colds to a dramatic increase in the risk of breast cancer. Antibiotics are often ineffective, as well.

Acne is usually created when pores are clogged with dead skin cells. This prevents oxygen from reaching the base of the pore where there is a reservoir of oil, called sebum. Acne bacteria can only live in an oxygen-deprived environment. So, with the lack of oxygen and the sebum as a food source the acne proliferate. Antibiotics will kill the majority of acne bacteria, but the few that survive will breed a population of acne that will be resistant to that antibiotic. Because the condition of clogged pores has not been addressed, the acne most likely returns. Often when this happens, a second or even third course of a different antibiotic is prescribed, usually with the same result.

The best way to treat teen acne is with an at-home regimen that includes the topical use of an alpha or beta hydroxy acid that is strong enough to exfoliate but not so strong as to irritate or burn the skin, and an antimicrobial that delivers oxygen into the pores. Because skin types and conditions vary greatly, different topical products need to be tested on the individual to check for sensitivity and efficacy. Some skin types and conditions can get noticeable results in just several days and get totally clear in just a couple of weeks. Some will take several weeks and need to have their regimen changed as their skin adapts, but about 10% of the cases are difficult to treat and may take 6 months or more to really get under control.

The product Proactiv, which is sold direct to consumers, is on the right track. It helps many people get clear, at least temporarily. But the dosage may not be strong enough to get and keep most people clear. Because they don't see your skin, they can't assess when a change in protocol would be beneficial. An acne specialist can tell you when to increase potency of antimicrobials or change the exfoliant when your skin has either adapted to or over-reacted to it.

If you or your child has acne, seek out a professional who specializes in treating acne and doesn't just dole out prescriptions. Efficacy is higher and the risks much more benign.