Klin Farmakol Farm. 2005;19(4):225-228
Acne vulgaris combined usually with seborrhoea and in some persons with signs of hyperandrogenaemia ranks among the most common conditions in adolescents. In spite of the fact that in females suffering from acne, hyperseborrhoea, and mild forms of hirsutism serum androgen levels are usually not elevated, treatment with combined contraceptive drugs is mostly effective. Drugs contaning anti-androgenic components are the most suitable ones due to the blocking effect on the receptor level for androgens. The activity of the enzyme 5 alpha-reductase is markedly diminished. The most considerable anti-androgenic activity was observed in cyproteronacetate, followed by chlormadinon, dienogest, and drospirenone. Indication of only several combined contraceptive drugs has been approved directly for treatment of acne vulgaris and seborrhoea. The best suitable contraceptive combination contains 35 µg of ethinylestradiol and 2 mg of cyproteronacetate. This combination is the most effective and commonly used one in dermatology (Diane® 35).
Published: January 1, 2006 Show citation