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Acne treatment depends on how strong it is. It may take several months of treatment before acne symptoms improve. If you have a small number of acne, your pharmacist should be able to provide topical treatments. If your acne is moderate or severe, you should consult Doctor to prescribe effective topical treatments, let's get to know both types in the following lines.

acne creams
Acne creams contain the following active ingredients: [1] [3]

benzoyl peroxide
Benzoyl peroxide acts as an antiseptic to reduce the number of bacteria on the surface of the skin. It helps reduce the number of white and black heads, and has an anti-inflammatory effect. Benzoyl peroxide is usually available as a cream or gel. Use once or twice a day. It should be applied 20 minutes after washing the face on all parts of the skin affected by acne. It should be used in moderation; Excessive use can irritate your skin. It makes your face more sensitive to sunlight, so avoid excessive exposure to the sun and sources of UV rays, or apply sunscreen with sunscreen. Most people need a 6-week course of treatment to remove most or all of their acne. You may be advised to continue treatment less frequently to prevent acne from returning.
topical retinoids
Topical retinoids work by removing dead skin cells from the surface of the skin, which helps prevent them from accumulating inside the hair follicles. It is available as a cream or gel under the names tretinoin, adapalene and others. Use once daily before going to bed. Apply to the areas affected by acne 20 minutes after washing the face. You should avoid direct sun exposure and use sunscreen. Topical retinoids are not suitable for use during pregnancy. The most common side effects of topical retinoids are mild irritation and stinging of the skin. A 6-week course is usually needed, but you may be advised to continue using the medication less frequently after that.
topical antibiotics
Topical antibiotics help kill bacteria on the skin that can infect clogged hair follicles. It is available as a lotion or gel to be applied once or twice a day. A course of 6 to 8 weeks is usually recommended, after which treatment is stopped, as there is a risk that the bacteria on your face may become resistant to the antibiotic.
azelaic acid
 Azelaic acid is used as an alternative acne treatment if the side effects of benzoyl peroxide or topical retinoids are bothersome or painful. Azelaic acid works by sloughing off dead skin and killing bacteria. It is available as a cream or gel and is usually applied twice daily or once daily if you have sensitive skin. The medicine does not make your skin sensitive to sunlight, so there is no need to avoid exposure to the sun. You'll usually need to use azelaic acid for a month before your acne improves.
Types of acne creams
There are two types of acne cream: [1]

Acne cream that does not require a doctor's supervision
Most effective acne creams should be prescribed by a doctor, but a few over-the-counter acne creams can be used, especially for mild acne, including:

Creams containing benzoyl peroxide, such as Persa-Gel, Clearasil and Neutrogena. Salicylic acid is often used to treat mild acne with skin creams or lotions.
Acne creams under the supervision of a doctor
For moderate to severe acne, you need to consult a doctor to prescribe one of the following po[CENSORED]r creams:

Retin-A (tretinoin) Retin-A Micro (tretinoin) Differin (adapalene) Tazorac (tazarotene) Azelex (azalic acid) Epidu (adapalene-benzoyl peroxide) Benzaclin (clindamycin-benzoyl peroxide) DOC (clindamycin benzoyl peroxide) Acanena ( benzoyl peroxide) benzamycin (erythromycin - benzoyl peroxide) ziana (tretinoin - benzoyl peroxide) sulfur - sulfacetamide sodium oxone (Dapson) clindamycin erythromycin.
Acne treatment with creams
Retinoid acne creams, such as Retin-A, Differin or Tazorac, are among those prescribed by doctors for those with mild acne.

If the treatment does not work within a few months, the doctor is likely to prescribe a mixed acne cream, which combines two components as mentioned previously, and an oral antibiotic can also be added alongside the acne cream. [1][2]

Tips for using acne cream
 The best acne creams are the ones that work well and cause the least amount of skin irritation. [1] Acne creams can be used every two days or every two nights to reduce inflammation and irritation, especially for sensitive skin. Strong acne creams can be washed off after 15 or 30 minutes to adapt the skin to the cream. Using too much acne cream (more than a pea-sized amount) on the face may irritate and inflame the skin. Acne creams are usually less irritating than acne gels. Be careful to clean the skin well with a special face wash for acne before using the acne cream, and leave the skin to dry completely. When following a daily skin care routine, it is recommended to apply an acne cream as the last step.
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