Acne Treatment: Morning vs. Night Creams Explained - Dermatology

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Issues with Acne Ointment Usage


I visited a dermatologist who prescribed two ointments: Aczo Gel Sinphar and Azelaic Acid.
I forgot which ointment serves which purpose, but I remember the doctor mentioned that one should be applied in the morning and the other at night.
One can only be applied to new red acne, while the other can be used for an extended period and can also be applied to smaller acne.

Hong, 20~29 year old female. Ask Date: 2023/01/14

Dr. Wu Yuxin reply Dermatology


In principle, ACZO can only cause new acne lesions in the short term.

Reply Date: 2023/01/14

More Info


When it comes to acne treatment, the timing of application—morning versus night—can significantly influence the effectiveness of topical medications. In your case, you have been prescribed two different creams: Azelaic Acid (often marketed as "使痘消") and a gel formulation (possibly "雅若凝膠"). Each of these medications has specific properties and recommended usage that align with their mechanisms of action.


Morning vs. Night Applications
1. Morning Application:
- Azelaic Acid is commonly used in the morning. This medication works by reducing inflammation, unclogging pores, and inhibiting the growth of acne-causing bacteria. Applying it in the morning allows it to work throughout the day, helping to prevent new breakouts from forming. Additionally, using it in the morning can help to control oil production and reduce the appearance of redness associated with acne.
- It is also important to apply sunscreen during the day when using topical treatments, as some acne medications can increase skin sensitivity to sunlight. Azelaic Acid is generally well-tolerated and can be used continuously, making it suitable for daily use.

2. Night Application:
- The other medication, possibly a stronger topical retinoid or another formulation, may be recommended for nighttime use. Nighttime applications are often preferred for medications that can make the skin more sensitive or prone to irritation. This is because the skin undergoes repair and regeneration during sleep, allowing the medication to work effectively without the interference of sunlight or environmental pollutants.

- Some acne treatments, particularly those containing retinoids, can cause dryness and peeling. Using them at night minimizes exposure to sunlight and allows for better absorption and efficacy while the skin is in a more relaxed state.


Specific Uses
- Spot Treatment vs. All-Over Application:
- The distinction between using one medication as a spot treatment for new, inflamed acne lesions and another for broader application is crucial. Spot treatments are typically more potent and designed to target specific areas of concern, while other formulations may be milder and suitable for daily use over larger areas to maintain skin health and prevent future breakouts.

- For instance, if one of your medications is a stronger retinoid, it might be recommended only for new, active breakouts due to its potency and potential for irritation. In contrast, the Azelaic Acid can be applied more liberally to help maintain overall skin clarity.


Conclusion
In summary, the choice of morning versus night application for your acne treatments is based on the specific properties of the medications prescribed. Azelaic Acid is effective for daytime use due to its anti-inflammatory properties and ability to prevent new breakouts, while the other medication may be more suitable for nighttime use to minimize irritation and maximize effectiveness. Always follow your dermatologist's instructions regarding the application of these medications, and don't hesitate to reach out to them if you have any questions or concerns about your treatment plan. Consistent use, along with proper sun protection during the day, will help you achieve the best results in managing your acne.

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