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SKIN DURING PREGNANCY: ACNE
One of the most common myths is that acne will disappear during pregnancy. Although this does occur in some women, others notice that their acne gets worse or appears for the first time due to sudden hormonal changes.Unfortunately, treatment options are very limited because many drugs used for acne are not safe during pregnancy. Simple measures are therefore very important. Moisturizers and moisturizing sunscreens should be avoided, and oil free makeup should be used.Topical antibiotics, such as clindamycin lotion, are safe during pregnancy, as are benzoyl peroxide and topical sulphur creams. Retin-A can also be used during pregnancy as it is not sufficiently absorbed into the circulation to cause any problems. Certain oral antibiotics such as erythromycin are safe while the tetracycline should not be used. The latter can cause problems in the bony growth of the foetus during the second trimester. If tetracycline is accidentally taken in the first trimester there are no untoward consequences.Ro-Accutane must never be used during pregnancy as it can cause major birth defects. If a woman has taken Ro-Accutane she should not get pregnant for at least one month after she has stopped taking the drug.Acne may worsen during breast-feeding due to the substantial oestrogen level decrease. During this period, all topical anti-acne preparations can be used. Oral erythromycin is also safe, but other oral preparations should be avoided.
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