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A retrospective assessment and comparison of the effectiveness of benzoyl peroxide; the combination of topical niacinamide, gallic acid, and lauric acid; and the combination of benzoyl peroxide and erythromycin in acne vulgaris.

Abstract
Acne vulgaris is a chronic inflammatory skin disease that mostly develops during adolescence and continues throughout adulthood. It affects the face, the main location of cosmetic appearance. Despite many developments in acne treatment, various combination therapies are needed to create the best option. Ninety patients were included in this study. We used the global acne grading system (GAGS) and the lesion counting and photographic standards that were used by Hayashi et al., to assess acne severity. The patients were randomly divided into three groups as group 1 (using only 5% BPO, twice a day), group 2 (using only the combination of 5% BPO + 3% erythromycin, twice a day), and group 3 (using only the combination of 4% niacinamide + 1% gallic acid + 1% lauric acid, twice a day). Thirty patients were included in each group. The scores were evaluated at weeks 0, 2, 4 and 8, and compared with each other. As a result of the study, all three treatment types were found to be effective. The combination of 4% niacinamide + 1% gallic acid + 1% lauric acid can be used as an alternative topical treatment for acne vulgaris to prevent resistance against topical antibiotics and the side effects of some other treatments.
AuthorsAhmet Kozan, Rukiye Yasak Guner, Melih Akyol
JournalDermatologic therapy (Dermatol Ther) Vol. 33 Issue 4 Pg. e13534 (07 2020) ISSN: 1529-8019 [Electronic] United States
PMID32390309 (Publication Type: Journal Article, Randomized Controlled Trial)
Copyright© 2020 Wiley Periodicals LLC.
Chemical References
  • Anti-Bacterial Agents
  • Dermatologic Agents
  • Gels
  • Lauric Acids
  • lauric acid
  • Niacinamide
  • Gallic Acid
  • Erythromycin
  • Benzoyl Peroxide
Topics
  • Acne Vulgaris (diagnosis, drug therapy)
  • Adolescent
  • Adult
  • Anti-Bacterial Agents (adverse effects)
  • Benzoyl Peroxide (adverse effects)
  • Dermatologic Agents (adverse effects)
  • Erythromycin (adverse effects)
  • Gallic Acid
  • Gels
  • Humans
  • Lauric Acids
  • Niacinamide
  • Retrospective Studies
  • Treatment Outcome

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