Acne Nodules Treatment
Nodular acne is a type of acne that forms deep under the skin. Therefore, it may not respond to topical treatment. Acne cysts and nodules are not only painful, they can cause severe scarring and disfiguration. This type of acne requires a doctor's assistance to treat effectively.
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Treatment Options
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Acne nodules can be treated individually through such medical procedures as surgical drainage or corticosteroid Injection, which dissolves nodules to prevent potential rupture and scarring. Some patients may respond to use of prescription antibiotics, which fight the bacteria that cause acne, and women may find use of oral contraceptives helpful. These work by curbing sebum production caused by excess hormones.
The Best Treatment: Isotretinoin
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The best treatment for acne nodules is through use of isotretinoin, which eliminates all of the causes of acne nodules--excess oil, bacteria, clogged pores, and inflammation. Isotretinoin is an oral retinoid that is a derivative of vitamin A. Patients typically take this prescription medication one or two times a day for 16 to 20 weeks. Most note complete resolution of nodules after only one treatment, although some may require an additional round of isotretinoin.
Use in Women
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Because isotretinoin harms developing fetuses, it must be closely monitored in women of child-bearing age. Women are required to be on two forms of birth control prior to starting therapy and must undergo routine pregnancy testing while taking isotretinoin. They are also required to sign up with the U.S. Food & Drug Administration's iPledge monitoring program.
Isotretinoin: What to Expect
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Isotretinoin has some predictable but temporary side-effects. Nodular acne may become more severe during the first few weeks of treatment before it becomes better. Patients may also note thinning hair and dry skin, nose and eyes. Patients who wear contact lenses may find that they need to use lubricating eyedrops while taking isotretinoin. Use of topical lotions and creams can be helpful to address dry, irritated skin.
Severe Side Effects
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More severe side-effects can include severe chest or abdominal pain, difficulty swallowing, severe headache, blurry vision, joint paint, nausea and vomiting, diarrhea, and rectal bleeding. Additionally, mood changes and depression may also be noted. Patients who experience severe side-effects of isotretinoin use should contact their health provider immediately.
Other Problems
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Not every patient will be a good candidate for isotretinoin. This medication can cause blood sugar levels to elevate in diabetic patients and may cause severe side-effects, such as liver problems, pancreatitis, hearing problems, and even suicidal contemplation. Therefore, patients are carefully monitored during the course of their isotretinoin treatment to make sure that they suffer no serious ill-effects.
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