Preprint / Version 1

An Evaluation of over-the-counter and prescription methods for treating acne

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  • Abhi Singh Polygence

DOI:

https://doi.org/10.58445/rars.3842

Keywords:

Over-the-Counter (OTC) Treatments, Acne Vulgaris, Prescription Acne Medications

Abstract

Acne vulgaris is a skin condition in which excess sebum, oil, and bacteria in the pores of one’s skin cause inflammation and comedones/pimples (Sutaria et al.)  Acne is a common skin condition in adolescents as increasing levels of androgen hormones with puberty causes excess oil production. Acne is not limited to adolescents; adults can also suffer from acne due to hormone imbalances or medications. Female patients account for more than half of visits to the dermatologist for acne (Tan et al.). In today’s society, acne can be frowned upon as it is not considered conventionally attractive and can be seen as having a “dirty face” or “bad skin.” While some people choose to let acne run its course, many choose medical interventions or over-the-counter (OTC) treatments to manage the volume and severity of their acne. OTC acne products or prescribed medications are common ways to treat acne. This review aims to generally describe OTC and medical interventions for acne, as well as discuss some of the benefits and limitations of these management approaches. Medically-advised treatments for acne include topical, oral, and procedural treatments that effectively reduce acne, but may have side effects. Health professionals like dermatologists administer medication safely to patients to avoid these side effects and can treat acne effectively having years of schooling and experience. Research has shown that it can be challenging to see a dermatologist because of cost, insurance, and living far from dermatologists. OTC treatments can be convenient and range from mechanical treatments to chemical formulations with effective acne-fighting ingredients. However, false-advertising can exaggerate the benefits of these treatments and downplay risks such as harsh side effects. This review will focus on the differences between OTC and prescription medication treatments in the management of acne and how non-medical factors can contribute to acne treatment.

 

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2026-05-30