Acne NHS Treatment, Is it Worth it?

NHS stands for National Health Service 🏥 and it is the publicly funded healthcare service in the UK.

The NHS plays a pivotal role in providing accessible healthcare services, including treatment for acne.

That intro was literally for those that are unaware of the public health care service in the UK, something that I will be referencing throughout this acne NHS blog post 😬.

When your first breakout arrives, the first thought is "How do I get rid of this fast" 😪.

There are a few options, you could surf the internet🏄‍♀️, trail through Reddit, or get in touch with an NHS professional for support ☎️.

I will always recommend starting with a health care professional, only because they are qualified professionals 👩‍⚕️.

The worse thing you can do is make things worse with tips from Reddit 🚫.

 

What is Acne?

Acne is a common skin condition that transcends age, gender, and background, can often feel like an unwelcome guest that refuses to leave.

It's essential to understand what acne is and why it occurs to appreciate the significance of the NHS in its treatment.

At its core, acne is a skin disorder that primarily affects the face, neck, chest, back, and shoulders.

It is characterised by the presence of various types of blemishes on the skin, which can include blackheads, whiteheads, papules, pustules, and, in most severe types, painful cysts.

These imperfections often emerge due to the clogging of the hair follicle in the sebaceous glands with a build up of oil and dead skin cells.

The Culprits Behind Acne

Understanding the root causes of acne is essential for effective management.

Several factors contribute to the development of acne, with hormonal fluctuations being a major player due to menstrual cycle or hormonal conditions such as polycystic ovaries (PCOS).

During adolescence, the body undergoes hormonal changes lead to an increase in sebum production, the skin's natural oil within the sebaceous glands.

Build up of sebum can mix with dead skin cells and clog the hair follicle, creating an ideal environment for acne-causing bacteria to thrive.

But changes to hormonal levels aren't the sole culprits. Genetics also play a role, as acne can run in families.

Lifestyle factors, like diet, stress, and skincare habits, can further influence the severity of acne.

 

Can You Go To The NHS About Acne?

The simple answer to that is yes 💃.

The NHS is the backbone of the United Kingdom's healthcare system, providing healthcare services that are funded through taxes.

Its primary goal is to ensure that every citizen, regardless of their financial situation, has access to quality healthcare.

For individuals struggling with acne, the NHS is a valuable ally. Here's how the NHS plays a pivotal role to treat acne:

1. Accessibility: The NHS is designed to be easily accessible to all residents of the UK. You can typically visit your local GP (General Practitioner) to discuss your acne concerns, diagnose acne and explore potential treatment options.

2. Affordability: NHS services are often free at the point of use. This means that you won't need to bear a significant financial burden when seeking help for your acne.

3. Professional Guidance: GPs within the NHS network are trained to diagnose acne and manage a wide range of health conditions. They can provide you with expert advice and treatment recommendations.

According to the NHS website, there is NHS acne treatment available and it is recommended to start with your local pharmacy 🏬.

Mild acne sufferers are recommended to first visit their local pharmacist for advice.

If you are wondering what mild acne looks like your pharmacist can help you to understand this 🤓.

But the scientific description of mild acne, is simply whiteheads and blackheads, with a couple of papules and pustules 😷.

Whiteheads are closed comedones and they appear above the skin as a white bump, the type that you feel like popping 😪.

Whilst blackheads are on the surface of the skin with a dark appearance 😯.

They both form from excess oils and dead skin cells blocking the opening of the hair follicles.

The severe type of acne on the other hand is when you have larger, painful papules, nodules, or cysts.

You may also have acne scarring when dealing with more severe acne 😢.

Nodules and cysts are larger papules or pustules that are deep within the skin.

They usually cause scarring once they have healed, but they can take some time to heal if left untreated.

  

NHS Treatment For Acne 

The NHS offers a variety of treatment options for individuals dealing with acne.

These treatments are designed to address mild to moderate acne, as well as severe acne, and they can be tailored to your specific needs.

Let's explore the treatment choices available through the NHS to help you on your journey to clearer, healthier skin.

 

Topical Treatment

For mild to moderate acne cases, topical treatment is usually the first line of defence.

These treatments come in the form of creams, gels, or lotions and are applied directly to the skin.

They work by targeting the root causes of acne, such as excess oil production, inflammation, and the presence of acne-causing bacteria.

Some common topical treatments prescribed through the NHS include:

• Benzoyl Peroxide:
• Bacterial Elimination: Benzoyl peroxide effectively targets and eliminates the acne-causing bacteria, Propionibacterium acnes. This antibacterial action helps reduce inflammation and prevents the development of new pimples.
• Unclogging Pores: It works to unclog pores by removing dead skin cells, excess oil and debris in the sebaceous glands. By keeping the hair follicle clear, it prevents the formation of whiteheads and blackheads, which are common types of non-inflammatory acne.
• Fast-Acting: Benzoyl peroxide often delivers relatively quick results. Many users notice a reduction in the number and severity of acne lesions within a few weeks of starting treatment, making it a popular choice for those seeking rapid improvement.
• Benzoyl peroxide is available in different strengths and formulations, allowing users to select the most suitable option based on the severity of their acne and their individual skin type. When used as directed, it can be an effective part of an acne management routine.

• Topical Retinoids:
• Acne Lesion Reduction: Topical retinoids are highly effective at reducing various types of acne lesions, including whiteheads, blackheads, and inflammatory pimples. Topical retinoids work by preventing the formation of new lesions and promoting the shedding of existing ones.
• Improved Skin Texture: Beyond treating acne, topical retinoids are known for their ability to promote smoother and more even skin texture. They encourage the turnover of skin cells, leading to a healthier and fresher appearance.
• Minimising Post-Acne Marks: Topical retinoids can help fade post-acne marks and hyperpigmentation, which are often left behind after acne lesions heal. This makes them valuable for improving overall skin tone.
• Topical retinoids can initially cause skin dryness, redness, and peeling, and they can make the skin more sensitive to sunlight. These side effects often subside with continued use, and using sunscreen during the day is recommended to protect the skin from UV damage. It is recommended to apply topical retinoids sparingly to start off 

• Topical Antibiotics:
• Bacterial Control: Topical antibiotics work by targeting and reducing the population of acne-causing bacteria, primarily Propionibacterium acnes (P. acnes). By decreasing the number of these bacteria on the skin, topical antibiotics can help reduce inflammation and the development of new acne lesions.
• Inflammation Reduction: Inflammatory acne lesions, such as papules and pustules, often exhibit redness and swelling. Topical antibiotics can help mitigate these symptoms, resulting in a reduction of the visible inflammation associated with acne.
• Combination Therapy: Topical antibiotics are sometimes used in combination with other acne treatments, such as benzoyl peroxide or retinoids. This combination approach can enhance the effectiveness of the treatment, addressing different aspects of acne, including bacterial overgrowth, clogged pores, and inflammation.
• Topical antibiotics should be under the guidance of a healthcare provider, as they can determine the most suitable treatment based on the type and severity of acne and ensure that the treatment is used correctly to minimise the risk of antibiotic resistance.

• Azelaic Acid:
• Reduction in Inflammation: Azelaic acid has anti-inflammatory properties that can help reduce redness and swelling associated with inflammatory acne lesions. This can lead to a calmer and less irritated complexion.
• Unclogging Pores: Azelaic acid assists in unclogging pores by preventing the accumulation of excess skin cells and debris. By keeping the pores clear, it helps prevent the formation of whiteheads and blackheads.
• Hyperpigmentation Reduction: In addition to treating acne, azelaic acid is effective at fading post-acne marks and hyperpigmentation. It can improve overall skin tone and reduce the appearance of dark spots or blemishes left behind after acne lesions have healed.
• Azelaic acid is available in various formulations, including creams and gels, and is often well-tolerated by individuals with sensitive or acne-prone skin. 

Topical treatments can take some time to show results, so it's essential to follow your GP's guidance on their application and be patient with the process. As with any skincare product, it's advisable to consult with a dermatologist to determine the most appropriate treatment and formulation for your specific needs.

  

Oral Medications

In cases of moderate to severe acne, or when topical treatment do not yield the desired results, oral medications may be recommended.

These medications are taken by mouth and can help address acne from the inside out. Some common oral medications provided by the NHS include:

• Oral Antibiotics Tablets: They treat acne by reducing inflammation and the number of acne-causing bacteria. Tetracycline, doxycycline, and erythromycin are are oral antibiotics tablets used to treat acne. Many of these oral antibiotics tablets are used to manage and treat bacterial infections such as acne. Common side effects with oral antibiotics tablets include, headaches, diarrhoea, stomach upset, and skin rash 😕.

• Oral Contraceptives: In some cases, hormonal fluctuations can contribute to acne. Oral antibiotics and topical treatments are usually used in combination for severe acne 🤓. Certain birth control pills can help regulate hormone levels and reduce acne symptoms. 

  An example of a hormonal treatment is called co cyprindiol, this hormonal treatment is usually prescribed for severe acne. co cyprindiol reduces sebum production in the sebaceous glands but it may need up to 6 months before you see improvement, especially severe cases. Some of the side effects of co cyprindiol include headaches 🤕, sore breasts, mood changes 😔, and more.

• Isotretinoin (Accutane): A potent medication prescribed for severe cases of acne, isotretinoin can lead to dramatic improvements. However, it comes with potential side effects and requires close monitoring by a healthcare provider.

   Isotretinoin is a retinoid that derives from vitamin A. It helps normalise and control sebum production in the sebaceous glands 😀, stopping the follicles from getting clogged up. The common side effects of isotretinoin are dry lips 👄, eyes, nosebleeds, increase in skin sensitivity 😔.

It's essential to understand the potential side effects and risks associated with oral medications, and your GP will guide you through the decision-making process.

Specialist Referrals

In cases of severe or complex acne, your GP may refer you to a dermatologist, a specialist in skin disorders.

Dermatologists offer a higher level of care and expertise, making them invaluable for individuals with challenging cases.

They can provide specialised treatments, such as isotretinoin or procedures to address scarring.

The NHS's comprehensive approach ensures that individuals with varying degrees of acne severity can access appropriate and effective treatments.

Your GP will work closely with you to determine the best course of action, taking into account your individual needs and preferences.

In the next sections of this blog post, we'll explore the patient's role in acne treatment, potential side effects and risks, and the importance of follow-up and monitoring in your journey to clearer skin through NHS treatment.

 

What Treatments Can GP Give For Acne?

You would go and see a GP if you have moderate or severe acne or if the pharmacist has recommended something that hasn't worked.

Once a doctor examines your skin, they will determine what type of acne you have and the best treatment for your acne 🙌.

If over-the-counter products haven't worked for your skin then they will try prescription medicines 💊.

Prescription medication can be topical retinoids, oral antibiotic tablets, azelaic acid, and contraceptive pills as hormonal treatment.

Patient's Role in Acne Treatment

Acne treatment isn't a one-sided process; it requires active participation and commitment from the patient.

While the NHS provides valuable resources and professional guidance, your involvement is crucial in achieving the best results and maintaining clear, healthy skin and to also avoid making acne worse.

Let's delve into the responsibilities and steps you can take as a patient to ensure the success of your acne treatment.

Adherence to Treatment Plan

Once your GP or dermatologist prescribes a treatment plan, it's vital to follow their recommendations diligently.

This may include applying a topical treatment, taking antibiotic tablets, and adhering to any lifestyle or skincare changes they suggest.

Consistency is key, as acne treatments often take time to show visible improvements.

Skipping doses or neglecting your treatment plan can make acne worse and lead to suboptimal results, so make a commitment to stick with it.

If you have concerns about your treatment or experience side effects, don't hesitate to reach out to your healthcare provider for guidance.

 

Good Skincare Practices

In addition to medical treatments, proper skincare plays a pivotal role in managing acne.

A gentle and consistent skincare routine can complement your prescribed treatments and help prevent future breakouts. Here are some tips to consider:

• Cleansing: Use a mild soap or cleanser that is non-comedogenic, wash your face twice daily to remove excess oil, dirt, and impurities.

• Moisturising: Even if you have oily skin, moisturising is essential to maintain skin health. Opt for non-comedogenic, oil-free moisturisers.

• Sun Protection: Acne treatments can make your skin more sensitive to the sun. Wear sun cream with an SPF of at least 30 daily, especially when using treatments that include topical retinoids or benzoyl peroxide.

• Avoiding Harsh Scrubs: Avoid abrasive scrubs and harsh exfoliants, as they can irritate the skin and worsen acne.

Patience and Realistic Expectations

Acne treatment takes time, and it's essential to be patient.

You may not see immediate results, and in some cases, there may be an initial "purge" phase where acne appears to worsen before improving.

This is normal, and with consistent treatment and care, your skin will likely show progress.

It's also important to have realistic expectations. Not all acne can be completely eliminated, but it can be effectively managed.

Your healthcare provider will work with you to achieve the best possible outcome for your specific case.

 

Communication with Healthcare Providers

Maintaining open and honest communication with your GP or dermatologist is crucial throughout your treatment journey.

If you have questions, concerns, or experience side effects, do not hesitate to reach out to your healthcare provider.

They can make adjustments to your treatment plan, offer advice, or address any issues that arise.

 

Lifestyle Considerations

Finally, lifestyle factors can influence the effectiveness of your acne treatment.

Consider making healthy choices that support your skin health, such as eating a balanced diet, regular exercise, managing stress, and avoiding habits like smoking, which can exacerbate acne.

By actively participating in your acne treatment and following these steps, you can increase your chances of achieving clearer and healthier skin.

The NHS is here to provide the necessary guidance and resources, but your commitment to the process is a key factor in your journey towards successful acne management. 

You now know that there are multiple ways that the NHS can be accessed to treat or manage acne.

Let us know below if you have accessed any of these services when it comes to acne.

 

FAQs about Acne NHS Treatment

We have explored all the commonly asked questions about acne treatment from the NHS and we have selected those that we feel you may benefit from, if there were any missing let us know in the comments.

How do I access NHS treatment for acne?

To access NHS treatment for acne, you should start by making an appointment with your General Practitioner (GP) at your local GP surgery. During this appointment, your GP will assess your acne and discuss suitable treatment options with you. They may also refer you to a dermatologist for specialised care if necessary.

Is NHS acne treatment free?

In the United Kingdom, NHS services are typically free at the point of use. This means that consultations with your GP and most prescribed treatments for acne are provided without direct cost to you. However, you may need to pay for certain over-the-counter or non-prescription products recommended as part of your treatment plan.

What types of treatments are available for acne through the NHS?

The NHS offers a range of treatments for acne, including topical treatments (such as creams and gels), oral treatment (like oral antibiotics or contraceptives), and specialist referrals to dermatologists. The specific treatment you receive will depend on type of your acne and if you have severe acne.

Is there an age limit for receiving NHS acne treatment?

There is no specific age limit for receiving NHS acne treatment. Both teenagers and adults can seek help through the NHS for their acne management.

How long does it take to see results with NHS acne treatment?

The time it takes to see results can vary depending on the severity of your acne and the type of treatment you're using. While some people may experience improvements in a few weeks, it can take several months for significant changes to become visible.

Are there any potential side effects with NHS-prescribed acne treatments?

Yes, some NHS-prescribed acne treatments may have potential side effects. These side effects can vary depending on the specific treatment. It's essential to discuss potential side effects with your GP or dermatologist and report any adverse reactions promptly.

Can I get isotretinoin (Accutane) through the NHS?

Yes, isotretinoin (commonly known as Accutane) is available through the NHS, but it is usually prescribed for more severe acne that have not responded to other treatments. Due to its potential side effects, its use is closely monitored, and you must follow strict guidelines while taking it.

What should I do if my NHS acne treatment isn't working?

If you find that your NHS-prescribed acne treatment isn't delivering the expected results or if you experience side effects, it's essential to contact your GP or dermatologist. They can review your treatment plan and make necessary adjustments to better address your specific needs.

Can I use over-the-counter products alongside NHS-prescribed treatments?
Depending on your specific treatment plan, your healthcare provider may recommend incorporating over-the-counter products alongside NHS-prescribed treatments. However, always consult with your GP or dermatologist before adding new products to your skincare routine to ensure they are compatible and won't interact negatively.

 

P.S. Feel free to check out the articles that helped us put this blog post together on NHS Acne treatments:

• How to treat different types of acne by American Academy of Dermatology Association - Link

• Acne Types by Acne Support UK - Link

• Benzoyl Peroxide by Acne Support UK - Link

• Tetracycline by Mollie C. Shutter; Hossein Akhondi - Link

• Isotretinoin by British Association of Dermatologists: Healthy Skin For All - Link

• Acne Treatment by NHS - Link