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Acne and pregnancy

If you are pregnant or intend to get pregnant, you and your doctor will have to consider your treatment options carefully, because many of the usual anti-acne treatments are not suitable for use during pregnancy.

  • Isotretinoin tablets are completely banned if you are pregnant or intending to become pregnant, as it can cause abnormalities in the developing fetus. The UK government is now insisting on a pregnancy prevention programme for women prescribed isotretinoin; you should have a pregnancy test before treatment , monthly during treatment and 5 weeks after stopping it, and you must also continue to use contraception for at least a month after stopping it. The US government has similar regulations.
  • Tretinoin cream must not be used for the same reason; although it is applied to the skin, a small amount will be absorbed into the bloodstream and could reach the fetus in the womb.
  • Tetracycline antibiotics should also not be taken by women who are pregnant or intend to become pregnant. It can damage the developing teeth and bones of the fetus.

Benzoyl peroxide cream or gel is the usual option for treating acne during pregnancy.

Another possibility is a solution containing salicylic acid. Erythromycin is the only antibiotic regarded as being safe in pregnancy.
 

Written by: Dr Margaret Stearn
Edited by: Dr Margaret Stearn
Last updated: Sunday, May 8th 2011

 


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Comments on this article

Posted by Anonymous on 10/01/2009 at 09:07

I AVE REALLY BAS SPOTS AND THEY ARE MAKING ME DEPPRESSED. I HAVE TRYED LOTS OF TREATMENTS BUT THEY DONT SEEM TWO WORK.

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View what people have said about acne and spots | Acne and pregnancy

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Fascinating facts

The worst ages for spots are 16-18 years for women and 18-19 years for men, but people of any age can get them

Acne was more severe in teenagers 20 years ago than it is now

More people in their 20s and 30s seem to have acne these days

At 40 years of age, 5 women in 100 and 1 man in 100 have acne

The ancient Egyptians relied on a spot cream made from bullocks' bile, ostrich egg, olive oil, salt and plant resin, mixed to a paste with flour and milk

Americans spend $100 million a year buying acne treatments

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