Help! I’m Too Old for Acne

QandA3Question:  I’ve had acne since I was a teenager, but now  I’m  37  and its still a problem.  I wanted my doctor to give me Retin A, but she insisted that Differin would work better.  Its not covered by my heath plan and I can buy  Retin A online for a lot less.  Any advice?

Answer: Its sad but true  that acne can remain a problem long past high school.   Differin ( adapalene)  is actually the newest form of Retin A  ( aka  tretinoin).   This new kid on the block  has several advantages than its older cousins.  It is less irritating than traditional  Retin A, yet can be more effective  preventing   blocked-pores.  It also acts both to reduce inflammation and helps the skin shed old dead skin cells.  But what makes adapalene   an anti-acne rock star is its ability to get along well with  other acne fighters.  Both benzoyl peroxide which kills acne causing bacteria and clindamycin  which reduces  inflammation,   reduce effectiveness of  Retin A.  By contrast,  Differin ( adapalene)  works beautifully with other acne medications.  You can layer all three at night and  then use the benzoyl peroxide and clindamycin during the day.  To round out dynamic acne care, wash your face with an oil free cleanser like Neutrogena  Oil-Free Acne Wash   and  be sure to use an oil-free  physical sunscreen  such as  SkinCeuticals Physical Fusion UV Defense  SPF50 during the day.  Keep in mind that  Differin like the original Retin A  increases skin sensitivity.

This triple threat program is the current  gold standard for acne care and you should see  big improvements in 2-3 months. If  things  don’t get better, you probably have some form of hormonal acne  and will need hormonal therapy.   I agree that its outrageous that most  healthcare plans refuse to cover any form  of tretinoin  much past adolesence.  Retin A is now available in less expensive generic form while newer Differin is  still under patant. Despite the increase in costs,  I think your doctor  made a good call.

2 thoughts on “Help! I’m Too Old for Acne

  1. Spironolactone is an androgen and just one of the hormone options for resistant acne. More commonly, doctors prescribe estrogen/progesterone combo’s like Ortho Tricliclin. Before either hormone option is prescribed a complete evaluation should be made to determine which approach would be best.

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