what works

My son has a mild case of acne, but every visit the doctor recommends Acutane.  Is their other solutions to acne?

[estheinstructor]

The drug accutane is a good solution for SEVERE acne, however it does have some bad side effects. Suiside being a side effect the is not reversible. Better options are a Rx for antibiotic to kill the bacteria in the dermis, and a topical retinoid like Differin gel
or Tazerac. Retinoids are derived from vitamin A and stimulate cell turnover which does
" clean out " the pores. It also reduces oil production which is a major ingredient in the formation of acne. Over the counter retinoids are also a good choice and can be more gentle. Try Skinceuticals Retinol 1.0 with a gentle cleanser. This skin care line is usually only available from a licensed esthetician or derm office. Check on line as well.
Salicylic acid 1-2% is a common ingredient in over the counter acne products and works well also. An esthetician can also do salicyclic peels at a much higher % along with microdermabrasion with or without blackhead extraction, which is fairly comfortable to boost the effects of at home treatments. Most Dermatologist offer these services in their office or a reputable skin care spa. I do about 6 a week in my spa. These other options are just a few ways to treat mild (non-cystic) acne. Cystic acne is inflamed and under the skin and must have the antibiotic like Doryx or Tetracycline.  hope this helps.

[loiloi]

Accutane is reserved for severe acne which has not responded to other milder treatments. It has many potential side effects but this must be balanced against the fact that it is the best drug for a long term remission from acne. A causal link between Accutane and depression has not been proven, but rarely patients have reported psychological change.
Before resorting to Accutane, try a topical retinoid such as Retin-A or Differin and oral antibiotics such as Oxytetracycline or Lymecycline.
Eloise.