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These are male sex hormones, but they are found in women, too. They can cause your skin to produce too much oil, which can combine with dead skin cells to clog your pores. By keeping the amount of androgens in your system under control, birth control pills can help treat acne. Birth control pills can be used as an alternative to oral antibiotics or with spironolactone.

Spironolactone is a medication that also helps to control androgen levels. Birth control prices will vary depending on which combination you select. Some side effects you may have while taking birth control are nausea, lighter periods, and breast tenderness. Your provider may also recommend a different medication if you smoke or have a history of breast or uterine cancer or a blood disorder. Taking birth control with these conditions can be dangerous.

The injections may reduce the swelling around your acne. This treatment usually works better if you have a few difficult acne lumps and not a cluster of them. The price will vary depending on which clinic you go to. Products such as tea tree oil, barberry extract, and gluconolactone are promoted as natural treatments for acne. Unfortunately, they have not been very well studied. As a result, the American Academy of Dermatology does not recommend them based on a lack of evidence.

These treatments need more research to determine whether they are safe, effective, reliable ways to help with acne. Are these patients going to be going to the Internet and getting isotretinoin without regulation, and, if so, is there going to be an increase in the number of bad outcomes we will need to deal with? We not only really need to protect our patients who may not know what's best for themselves, but we also need to protect ourselves.

The iPledge program is an FDA-approved computer-based risk management program designed to restrict distribution of istotretinoin to ensure that no female patient starts isotretinoin therapy if pregnant and that no female patient on isotretinoin therapy becomes pregnant. Prescribers must be a part of it, patients must be a part of it, and pharmacies must be a part of it. Everyone needs to comply and be part of the system in order to make isotretinoin available to the patient. As dermatologists participating in iPledge and prescribing isotretinoin, we have a responsibility to adhere to the rules of the iPledge program and make sure that any patients coming into our offices and taking isotretinoin are also participating in the program.

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Authored by Katherine Robinson, PA

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