Skin Health Acne Treatment Using Creams for Acne Treatment By Vincent Iannelli, MD facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Vincent Iannelli, MD Medically reviewed by Medically reviewed by Leah Ansell, MD on September 03, 2020 linkedin Leah Ansell, MD, is board-certified in cosmetic and medical dermatology. She is an assistant professor at Columbia University and works in private practice in New York City. Learn about our Medical Review Board Leah Ansell, MD Updated on September 27, 2020 Print Acne creams are a mainstay treatment for acne in teenagers. Topical acne creams including benzoyl peroxide or trentinoin are typically the first-line treatment for all types of acne. But some teens dislike using them—they don't give quick results, they often have to be used every day for long periods of time, and they have some side effects. Finding the right acne cream for your teen might improve compliance as well as your child's complexion. Pamplemousse / Getty Images OTC Acne Creams Most acne creams are only available with a prescription, but a few non-prescription, over-the-counter acne creams can be used, especially for mild acne, including: Benzoyl peroxide - available in a number of forms and brands, such as Persa-Gel, Clearasil, Neutrogena, and OXY, etc. Salicylic acid - usually used for mild comedonal acne (blackheads and whiteheads), especially if a teen can't tolerate other medications, and can include Neutrogena Oil-Free Acne Wash Cream Cleanser and ZAPZYT Pore Treatment Gel Differing (adapalene) Prescription Acne Creams Although OTC acne creams can help many teens with mild acne, those with more moderate to severe acne will likely need a prescription acne cream, either by itself or with an oral antibiotic or other acne treatment. Commonly used prescription acne creams include: Retin-A (tretinoin) Retin-A Micro (tretinoin) Differin (adapalene) Tazorac (tazarotene) Azelex (azelaic acid) Epiduo (adapalene-benzoyl peroxide) Benzaclin (clindamycin-benzoyl peroxide) Duac (clindamycin-benzoyl peroxide) Acanya (clindamycin-benzoyl peroxide) Benzamycin (erythromycin-benzoyl peroxide) Ziana (tretinoin-benzoyl peroxide) Sulfur-sulfacetamide sodium Aczone (dapsone) Clindamycin Erythromicin With so many acne creams, how do you know which to choose for your teen's acne? Although your pediatrician may simply choose the latest and greatest acne cream, especially if she has samples on hand, that doesn't necessarily mean it is any better than some of the other acne creams, all of which work pretty well. Cost can be a big factor, especially as some of the newer acne creams are expensive and not always well covered by insurance. That might lead you to a prescription for the older versions of Retin-A and Benzamycin, both of which are now generic. Side effects are the other big factor, as some acne creams cause more skin irritation than others. In general, a retinoid acne cream, such as Retin-A, Retin-A Micro, Differin, or Tazorac, are considered the first-line prescription acne creams for most teens with mild acne. Next, if that doesn't work in a few months, or initially if the child has more moderate acne, a combination acne cream, which combines two ingredients, will likely be tried. An oral antibiotic might also be added to a teen's acne cream regimen if he has moderate acne. Acne Creams - What You Need to Know The best acne creams are often the ones that work well and cause the least amount of skin irritation. Unfortunately, there is typically some trial and error involved in finding the best acne cream, so don't be surprised if your pediatrician starts with one medication and then has to change it to a milder, or stronger medicine, depending on your child's reaction. Other acne treatment options include oral isotretinoin (Accutane) for severe acne and hormonal therapy such as spironolactone with oral contraceptives for girls with moderate acne. For teens with sensitive skin, starting their acne creams every other day or every other night may reduce the initial burning and irritation that many teens have. It may even be helpful to wash the acne creams off after a certain amount of time (15 to 30 minutes) until your teen starts to get used to them. Your teen shouldn't usually use other medications that may irritate his skin when starting a new acne cream, such as an astringent or scrub for acne. Using too much acne cream—more than a pea-sized amount for your teen's whole face—can also cause more irritation, and won't make the medicine work any better. Acne creams are usually less irritating than acne gels. A Word From Verywell If your child's acne is not improving under the care of a pediatrician, consider seeing a dermatologist for a further evaluation. Was this page helpful? Thanks for your feedback! Dealing with acne can be frustrating. Our free guide provides expert tips to help you take control. Sign up and get yours today. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Whitney KM, Ditre CM. Management strategies for acne vulgaris. Clin Cosmet Investig Dermatol. 2011;4:41–53. doi:10.2147/CCID.S10817 Additional Reading Zaenglein AL, Pathy AL, Schlosser BJ, et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016;74(5):945-73.e33. doi:10.1016/j.jaad.2015.12.037 Habif: Clinical Dermatology, 5th ed.