Cosmetic Alternatives for Prescription Acne Medications
Question
I was using prescription medications for acne and would like to know if there are cosmetic active ingredients I can use to make similar DIY formulations. The medications I used were:
- Isotretinoin gel, applied nightly all over the face. I understand this is a type of Vitamin A. What cosmetic active can I use that is similar?
- A cream spot treatment, applied morning and evening to clogged pores, containing:
Sulfur 4%Salicylic Acid 2%Retinoic acid 0.01%Borax 0.03%Sodium sul. (percentage not specified)
This cream helped dry and loosen clogged pores. What cosmetic actives can I use that are similar?
- A spot treatment for inflamed acne containing
Clindamycin HCL 2%+Metronidazole 2%. I suspect these are prescription drugs and cannot be used in cosmetics. Are there any similar cosmetic actives available?
Answer
Based on the staff's responses, here is a summary of cosmetic alternatives to the prescription medications you received for clogged acne and inflammation.
Cosmetic Alternatives for Acne Treatment
Here are cosmetic ingredient alternatives you can consider for making your own formulations, based on the functions of the prescription medications you mentioned:
Replacing Isotretinoin (for reducing acne formation):
- Isotretinoin is a prescription drug and cannot be used in cosmetics.
- The closest cosmetic alternative allowed is Retinal (Retinaldehyde) (Product ID 942).
- Retinal helps reduce the formation of clogged pores, similar to Isotretinoin, but its efficacy is lower. It is also generally less irritating than Isotretinoin.
- You can formulate Retinal into a gel base.
Replacing the cream with Sulfur, Salicylic Acid, Retinoic Acid, etc. (for dissolving clogged pores and reducing formation):
- This cream contains ingredients that help dissolve existing clogged pores and reduce the formation of new ones.
- For Sulfur, you can use BioSulfur (Product ID 681), which is noted to be more effective than regular Sulfur.
- For Salicylic Acid, since your product is a leave-on spot treatment, Salicylic Acid EZ (Product ID 766) is recommended. This ingredient helps dissolve clogged pores.
- Retinoic Acid is another prescription form of Vitamin A and is not allowed in cosmetics. Its function in this cream (reducing formation) is similar to Isotretinoin. Again, Retinal (Retinaldehyde) (Product ID 942) is the cosmetic alternative.
- Borax and Sodium Sulfate are formulation ingredients (emulsifier and thickener, respectively) and can be replaced by standard cosmetic cream makers (Product ID 36) and thickeners (Product ID 38).
- Your analysis that the first medication (Isotretinoin/Retinal alternative) helps reduce formation and the second cream (with Salicylic Acid and Retinoic Acid/Retinal alternative) helps dissolve clogged pores is correct.
Replacing Clindamycin HCL + Metronidazole (for treating inflamed acne):
- These are antibiotics and are not allowed in cosmetics.
- The staff advises that long-term use of antibiotics for acne is not beneficial due to the risk of resistance.
- By effectively controlling and preventing clogged pores using ingredients like Salicylic Acid (Product ID 148 or 766) and Retinal (Product ID 942), you can reduce the occurrence of inflammation, thereby reducing or eliminating the need for antibiotics.
Important Formulation Advice:
The staff strongly recommends formulating potentially irritating active ingredients like Retinal, Salicylic Acid, and Papain (Papaya Enzyme - Product ID 1036, though primarily for exfoliation, not dissolving clogged pores) into separate products from your regular skincare. This allows you to adjust the frequency or method of application (e.g., leave-on vs. wash-off) of the active treatments independently based on your skin's response, such as redness or peeling. Mixing them all into one product makes it difficult to make these necessary adjustments.
Related Products Mentioned
Salicylic Acid (BHA, Pharma Grade)
BioSulphur™ กำมะถัน ไบโอเทค
Salicylic Acid EZ™ (ชนิดละลายน้ำ)