Analysis of the effectiveness of acne drug therapy
https://doi.org/10.37489/2588-0519-2024-4-15-20
EDN: UGNJBW
Abstract
Relevance. Acne is one of the most common dermatological diseases, affecting a significant proportion of the population, particularly adolescents and young adults. The modern pharmaceutical market offers several drugs for acne treatment, including topical retinoids, antibiotics, benzoyl peroxide, and azelaic acid, as well as systemic drugs, such as isotretinoin and hormonal agents. The growing problem of antibiotic resistance among microorganisms, including Propionibacterium acnes, requires rational antibacterial drug use and alternative acne treatment methods.
Objective. A comprehensive analysis of the effectiveness of various methods of acne drug therapy to optimize treatment approaches and improve therapy results.
Methods. As part of this review study, a comprehensive analysis of the scientific literature on acne drug therapy was conducted. The inclusion criteria were original studies, meta-analyses, and systematic reviews published over the past 5 years (2018–2023).
Results. An analysis of the literature has shown that topical retinoids and antibiotics, as well as systemic retinoids and antibiotics, remain the most effective methods of treating acne.
Conclusion. The analysis of the modern scientific literature confirms the effectiveness of existing methods of drug therapy for acne. The choice of optimal therapy should be based on the individual characteristics of the patient, the severity of the disease and the presence of concomitant factors.
About the Authors
Yu. E. MelnikovaRussian Federation
Yulia E. Melnikova — Cand. Sci. (Med.), assistant, Department of Pharmacology and Clinical Pharmacology
Yaroslavl
E. K. Trapchevskaya
Russian Federation
Eva K. Trapchevskaya — 6th year student of the Medicine Faculty
Yaroslavl
References
1. Thiboutot DM, Dréno B, Abanmi A, Alexis AF, Araviiskaia E, Barona Cabal MI, Bettoli V, Casintahan F, Chow S, da Costa A, El Ouazzani T, Goh CL, Gollnick HPM, Gomez M, Hayashi N, Herane MI, Honeyman J, Kang S, Kemeny L, Kubba R, Lambert J, Layton AM, Leyden JJ, López-Estebaranz JL, Noppakun N, Ochsendorf F, Oprica C, Orozco B, Perez M, Piquero-Martin J, See JA, Suh DH, Tan J, Lozada VT, Troielli P, Xiang LF. Practical management of acne for clinicians: An international consensus from the Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol. 2018 Feb;78(2 Suppl 1):S1-S23.e1. doi: 10.1016/j.jaad.2017.09.078.
2. Tan J, Knezevic S, Boyal S, Waterman B, Janik T. Evaluation of Evidence for Acne Remission With Oral Isotretinoin Cumulative Dosing of 120-150 mg/kg. J Cutan Med Surg. 2016 Jan;20(1):13-20. doi: 10.1177/1203475415595776.
3. Silina LV, Pis’mennaya EV, Kolbina MS. Modern aspects of the topical therapy of acne. Russian Journal of Clinical Dermatology and Venereology. 2016;15(3):4-9. (In Russ.)] https://doi.org/10.17116/klinderma20161534-9
4. Araviyskaya E.R., Sokolovsky E.V. Systemic treatment of severe forms of acne: an analysis of modern approaches. Pharmateca. 2016;16(1):42-46 (In Russ.)]
5. Zaenglein AL, Pathy AL, Schlosser BJ, Alikhan A, Baldwin HE, Berson DS, Bowe WP, Graber EM, Harper JC, Kang S, Keri JE, Leyden JJ, Reynolds RV, Silverberg NB, Stein Gold LF, Tollefson MM, Weiss JS, Dolan NC, Sagan AA, Stern M, Boyer KM, Bhushan R. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016 May;74(5):945-73.e33. doi: 10.1016/j.jaad.2015.12.037. Epub 2016 Feb 17. Erratum in: J Am Acad Dermatol. 2020 Jun;82(6):1576. doi: 10.1016/j.jaad.2020.02.010.
6. Kubanova A.A., Kubanova A.A. Clinical recommendations for the management of acne patients. Bulletin of Dermatology and Venereology. 2015;5:12-21. (In Russ.)]
7. Dréno B, Pécastaings S, Corvec S, et al. Probiotics, prebiotics, and synbiotics for the treatment of acne vulgaris: a systematic review and meta-analysis. J Eur Acad Dermatol Venereol. 2021;35(8):1574-1584. doi:10.1111/jdv.17268
8. Samtsov, A.V. Federal clinical guidelines for the management of acne patients / A.V. Samtsov, E.R. Araviyskaya. − Moscow, 2016. − 29 p. (In Russ).]
9. Barbaric J, Abbott R, Posadzki P et al. Topical and systemic antibiotics for acne vulgaris: a network meta-analysis. Cochrane Database Syst Rev. 2021;2(2):CD004416. doi: 10.1002/14651858.CD004416.pub5
10. Zaenglein AL, Pathy AL, Schlosser BJ, et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2022;86(1):142-170. doi:10.1016/j.jaad.2021.07.088
11. Khismatulina IM, Lisovskaya SA, Gusarova EV, Nabieva RR. Outcomes of topical combination therapies of mild to moderate acne. Russian Journal of Clinical Dermatology and Venereology. 2022;21(4):487 492. (In Russ.)] https://doi.org/10.17116/klinderma202221041487
12. Lvov AN, Kornyat MS, Igoshina AV, Nazarenko AR. Perspectives in acne therapy: an analytical review. Russian Journal of Clinical Dermatology and Venereology. 2019;18(2):115-128. (In Russ.)] https://doi.org/10.17116/klinderma201918021115
13. Glukhova EA, Kuvshinova ED, Revyakina VA. Experience with the use of dupilumab a inpatients with severe a topic dermatitis. Allergology and immunology in pediatrics. 2022;3:14-23. (In Russ.)] https://doi.org/10.53529/2500-1175-2022-3-14-23
Review
For citations:
Melnikova Yu.E., Trapchevskaya E.K. Analysis of the effectiveness of acne drug therapy. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2024;(4):15-20. (In Russ.) https://doi.org/10.37489/2588-0519-2024-4-15-20. EDN: UGNJBW