• Start slowly—only once a day with a 5% lotion. After a week, try using it twice a day (morning and night) if your skin isn't too red or isn't peeling.
• Don't just dab it on top of your pimples. Apply a thin layer to the entire area where pimples may occur. Avoid the skin around your eyes.
• If your acne isn't better after 4 to 6 weeks, try a 10% lotion or gel. Use it once a day at first and then try twice a day if doesn't irritate your skin.

• A retinoid to be used on the skin (like Retin A, Differin, and other brands). This comes in a cream or gel and helps unplug oil ducts. It must be used exactly as directed. Try to stay out of the sun (including tanning salons) when taking this medicine. Retinoids can cause your skin to peel and turn red.
• Antibiotics, in cream, lotion, solution, or gel form, may be used for "inflammatory" acne (when you have red bumps or pus bumps).
• Antibiotics, in pill form, may be used if the treatments used on the skin don't help.
• Isotretinoin (Accutane and other brands) is a very strong medicine taken as a pill. It's only used for severe acne that hasn't responded to any other treatment. Because it's such a powerful drug, it must never be taken just before or during pregnancy. There is a danger of severe or even fatal deformities to unborn babies. Patients who take this medicine must be carefully supervised by a doctor knowledgeable about its usage, such as a pediatric dermatologist or other expert in treating acne. Isotretinoin should be used cautiously (and only with careful monitoring by a dermatologist and psychiatrist) in patients with a history of depression. Don't be surprised if your doctor requires a negative pregnancy test, some blood tests, and a signed consent form before prescribing isotretinoin.

• Be patient. Give each treatment enough time to work. It may take 3 to 6 weeks or longer before you see a change.
• Be faithful. Follow your program every day. Don't stop and start each time your skin changes.
• Follow directions. Not using it correctly is the most common reason why treatments fail.
• Only use your medicine. Doctors prescribe medicine specifically for particular patients. What's good for a friend may not be good for you.
• Don't overdo it. Too much scrubbing makes skin worse. Too much benzoyl peroxide or topical retinoid creams can make your face red and scaly. Too much oral antibiotic may cause side effects.
• Don't worry about what other people think. It's no fun having acne, and some people may say hurtful things about it. Try not to let it bother you. Remember, most teens get some acne at some point. Also remember that it's only temporary, and there are a lot of treatment options to keep it under control.

Published online: 3/07
Source: Acne - How to Treat and Control It (Copyright © 2006 American Academy of Pediatrics)

Healthcare professionals may order this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your Teenager. To order a copy of this book visit the AAP Bookstore.
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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.