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Caution is key when prescribing spironolactone for adult acne

spironalacton acne

AT SDEF WOMEN’S & PEDIATRIC DERMATOLOGY SEMINAR   NEWPORT BEACH, CALIF. – While off-label use of spironolactone for the treatment of acne is quite common, it should be prescribed with special caution, advised Julie C. Harper, MD.  “The vast majority of you write this for acne,” Dr. Harper, a dermatologist …

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Combined OCs remain a good choice for teen acne

teen ance

MINNEAPOLIS – Whether a young female patient has a refractory flare of inflammatory acne, or has a condition that can predispose to androgen excess, using a hormonal approach can be an effective management tool for controlling adolescent acne. During a presentation at the annual meeting of the Society for Pediatric …

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How to use spironolactone safely for acne

Dr. Julie Harper of the University of Alabama in Birmingham

SAN FRANCISCO – The room was packed for a talk about spironolactone and acne at the annual meeting of the American Academy of Dermatology. Several dozen people were turned away at the door because there weren’t any seats left. Dermatologists have heard that the drug is a good option for …

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High-dose isotretinoin restrains acne relapse

isotretinoin acne treatment relapse

Major finding: The rate of relapse was 27% in patients whose cumulative dose of isotretinoin exceeded 220 mg/kg and 47% in patients with a cumulative dose below 220 mg/kg (P = .029). Data source: A prospective, observational intervention study of 116 patients with treatment-resistant nodulocystic acne. Disclosures: Dr. Stamey reported …

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Oral Spironolactone Hailed for Acne in Women

Dr. Julie C. Harper Dermatology

The androgen receptor–blocker spironolactone is highly effective and safe but underused for the treatment of acne in women, according to Dr. Julie C. Harper. “The longer I’ve been in practice, the wider the age range where I use spironolactone as my drug of choice,” Dr. Harper said at the Hawaii …

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Spironolactone versus placebo for acne


Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne Plain language summary The evidence suggests a lack of evidence to show whether spironolactone can reduce hirsutism and acne. Hirsutism in women (excessive hair growth) is most often caused by an increased production of male hormones. Spironolactone (`Aldactone’ …

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Consider Phototherapy as an Alternative Acne Treatment

phototherapy acne treatment

NEWPORT BEACH, CALIF. — Light therapy with a photosensitizing agent is an effective treatment for acne vulgaris and provides an important alternative to other approaches, Dore Gilbert, M.D., said at a meeting sponsored by the Foundation for Facial Plastic Surgery. Though treatment with retin-A compounds is the front-line option for …

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