Acne treatment Acne treatment

Acne Nodular Treatments

Acne Nodular Treatments Acne Nodular Treatments

Nodular acne is the most serious form of acne, causing deep-pitted cysts to develop under the skin. This type of acne requires more than the usual creams, scrubs and potions found over-the-counter. Prescription medications are necessary and significant to skin health, as permanent scarring can occur if nodular acne is left untreated.

Oral Antibiotics

Oral antibiotics are often used to clear acne nodules. The medications work by clearing bacteria that causes acne to develop. Doxycline, erythromycin, minocycline and tetracycline are often prescribed for those with acne nodules. These medications may also clear other infections in the body and while preventing acne from developing on the face, chest, back and other common areas.

Topical Treatments

Topical treatments for acne nodules include medications like retinoids and benzoyl peroxide. Retinods are synthetic vitamin A formulations, which work to clear acne nodules by causing the skin to increase shedding, reducing the occurrence of blocked pores that lead to acne. They are also known for their ability to decrease fine lines and wrinkles, making them a popular ingredient in wrinkle creams and youth serums. Benzoyl peroxide is a widely used medication, and the active ingredient in a host of acne concoctions. In prescription strength creams and gels, benzoyl peroxide is often combined with antibiotics and other powerful medications for acne.


Isotrentin is a prescription medication taken orally for the treatment of severe acne, such as nodular acne. It is often used when other treatments fail, as it is an aggressive medication. Severe side effects may result from use, including depression and birth defects. Extreme caution is required when women take the drug, including the use of two birth control methods to prevent pregnancy and continued use for one month after the drug is discontinued. Positive effects include long-term clearer skin (in some cases for life) with just 15 to 20 weeks of treatment.

Interlesional Corticosteroid Injection

Spot treatments for deeply inflamed acne nodules may be used to prevent rupturing of the cyst and eventual scarring. Corticosteroids are injected into the nodule by a dermatologist, promoting healing and causing the cyst to disappear in several days, according to the American Academy of Dermatology (AAD).


Phototherapy (laser and light treatments) may be an option for some acne sufferers. These treatments, though expensive, may help those with acne scars resulting from nodules, and may be effective for treating acne on the face, back and body.

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