Oral antibiotics are used in the management of moderate- to-severe acne and acne-like disorders, such as rosacea. The tetracyclines are the usual drug of choice; of the tetracyclines, minocycline is considered the gold standard. Both the tetracyclines and the less frequently used erythromycin preparations inhibit the growth of Propionibacterium acnes, which decreases free fatty acid production and pustule formation.
Hormonal treatments also make popular choices for treatment methods, especially for women. Most women suffering from acne actually experience heightened levels of androgenic hormones. When these levels are significantly reduced, then the formation of acne as well as acne breakouts would also be reduced to a relatively moderate level. However, this type of treatment method actually comes with side effects. Thus, this treatment should be considered as one of the last options in line.
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