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Nonprescription acne treatment: Which products work best?

Skin care tips when using acne products

Acne products are just one step in your skin care routine. When using acne products:

  • Wash acne-prone skin twice daily. Twice a day, use your hands to wash your face with a mild cleanser (Cetaphil, Vanicream, others) and warm water. Be gentle. Too much washing and scrubbing can worsen acne. Avoid facial scrubs, astringents and masks. They tend to irritate the skin, which can worsen acne and the side effects of your medicated acne product.
  • Try cleansing cloths or towelettes. These are gentle alternatives to cleansers and washes. Cloths with an open weave are good for dry, sensitive skin. Cloths with a tighter weave are better at removing dead skin cells. If you wear makeup, remove it at the end of the day.
  • Use just the right amount. Use a thin layer of the product — just enough to cover the face. Apply it just after cleansing the skin. Some cloths and towelettes come with benzoyl peroxide and other active ingredients in them, so you don't need to apply more product with these active ingredients after cleansing.
  • Use nonoily, water-based facial products. Choose nonoily (noncomedogenic) products for your facial moisturizers, acne concealers and cosmetics. They help avoid clogged pores and ease dry, peeling skin.
  • Avoid irritants. Oily or greasy skin care products, sunscreen and hair products can worsen acne. Choose products labeled water-based or noncomedogenic, which means they are less likely to clog pores and cause acne. Silicone- or glycerin-based hair products formulated as moisturizing liquids might be a good replacement for heavy, oil-based ones. If you don't want to give up a favorite hair oil, try applying it to just the middle of your scalp and hair ends. This helps avoid acne on your forehead and temples.
  • Don't pick or squeeze blemishes. Doing so increases your risk of infection or scarring.
  • Watch what touches your face. Keep your hair clean and off your face. Protect your acne-prone skin from contact with phones, helmets, caps, tight collars, straps, backpacks and other items that might transfer sweat or oil to your skin.
  • Protect your skin from the sun. The sun worsens dark spots (postinflammatory hyperpigmentation) that can linger after acne has cleared. And some acne medications make you more likely to sunburn. Check with your health care provider to see if your medication is one of these. If it is, stay out of the sun as much as possible. Regularly use a nonoily moisturizer that includes sunscreen.
  • Shower after strenuous activities. Oil and sweat on your skin can lead to breakouts.

If your acne doesn't improve after 2 to 3 months of trying a skin care routine with your chosen acne products, consider seeing your health care provider or a skin specialist (dermatologist) for a prescription lotion or medication.