Health experts warn that taking too many antibiotics can do more harm than good. Just look at the increase in antibiotic-resistant “superbugs.”
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
That’s why more dermatologists tare trying to crack down on the long-term use of oral antibiotics for acne. Dermatologist Amy Kassouf, MD, says it’s not uncommon to see teens taking antibiotic pills for six months or longer.
“We need to stop that,” she says. “Today, the common belief is you shouldn’t take oral antibiotics for more than two or three months in a row.”
Antibiotics alone are not enough to treat acne. Acne is a complex condition involving four factors:
“Antibiotics will help control bacterial growth,” says Dr. Kassouf. “But if we don’t address the other factors as well, we won’t treat acne successfully.”
For the average kid or teen with acne, Dr. Kassouf recommends:
“Usually, we start with skin washes and add topical retinoids next,” says Dr. Kassouf. “We only add a topical antibiotic if the first two treatments aren’t enough.”
It’s critical to use topical antibiotics with benzoyl peroxide, she notes. Benzoyl peroxide kills bacteria in a different way than antibiotics. Using them together makes it less likely that bacteria will become antibiotic-resistant.
Oral antibiotics are for severe cases. However, applying antibiotics to the skin can cause fewer side effects than swallowing antibiotics that circulate through your body.
“In general, topical antibiotics can be used longer than oral antibiotics,” says Dr. Kassouf.
For severe acne that doesn’t respond to standard treatment, there are other options:
You may think of acne as a teenage problem, but it’s not uncommon for acne to appear around age 9. The earlier it comes, the earlier it may go. However, those who start puberty later may have acne into their 20s.
“Acne usually subsides on its own, but treatment is important if your child is bothered by his or her appearance,” says Dr. Kassouf. “It’s also important if you’re concerned about long-term effects. Severe acne can leave scars and cause skin discoloration.”
Pick specific, measurable goals, but also be open to changing them if need be
From nausea, weight gain and eczema, stress can affect your immune system in many ways
Research consistently shows that soy-based foods do not increase cancer risk
Changing your wardrobe or environment won’t eliminate eczema, but it can help reduce flares
Breathwork, sleep mediatation and avoiding screens can help fight back morning anxiety
Chilblain-like skin lesions and rashes probably aren’t COVID related
This supplement may help with regulating cortisol levels, which may help with stress
Developmental changes like puberty and menopause can impact symptom severity
Coffee won’t cure a hangover and you definitely shouldn’t mix your cocktail with an energy drink
Focus on the philosophy — replenishing and respecting your skin — not necessarily the steps
This social media sleep hack with tart cherry juice and magnesium could be worth a try