Nodular acne is a severe form of acne characterized by large, painful, deep lumps under the skin. Treating nodular acne typically requires professional medical intervention, as over-the-counter (OTC) products are generally ineffective for this condition
Treatment Options for Nodular Acne
1. Prescription Topical Medications
- Prescription-strength benzoyl peroxide and salicylic acid to reduce oil and dry out nodules.
- Topical antibiotics to kill bacteria trapped in pores.
- Retinoids (vitamin A derivatives) to unclog hair follicles and promote skin cell turnover
2. Oral Medications
- Oral antibiotics to reduce P. acnes bacteria and inflammation, especially in widespread cases.
- Corticosteroids (oral or injected) to reduce severe inflammation and pain.
- Hormonal treatments (for females), such as combination birth control pills or anti-androgens, to regulate hormones that increase oil production.
- Isotretinoin, a potent oral medication used for severe or resistant nodular acne, which targets bacteria, inflammation, oil production, and clogged pores. It has significant potential side effects and requires careful medical supervision
3. Other Dermatological Procedures
- Corticosteroid injections directly into nodules to reduce size and pain.
- Laser and photodynamic therapies.
- Chemical peels and extraction procedures performed by dermatologists
4. Home Care and Supportive Measures
- Applying cold compresses or ice wrapped in a cloth to reduce swelling and pain.
- Maintaining good skincare hygiene: washing face twice daily, removing makeup before bed, using lightweight moisturizers.
- Avoiding picking or squeezing nodules to prevent scarring
Summary
Nodular acne requires treatment by a dermatologist who can prescribe appropriate topical and oral medications and possibly perform procedures to reduce inflammation and clear nodules. OTC products alone are usually insufficient. Treatments can take several weeks to months to show improvement, and some, like isotretinoin, carry serious side effects that require close monitoring
. If you have nodular acne, consult a dermatologist for a tailored treatment plan to effectively manage the condition and help prevent scarring.
