Is It Safe to Use Acne Gels During Pregnancy? - Dermatology

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Is it safe to use during pregnancy?


Hello, doctor.
Recently, I have been using an acne gel to inhibit the formation of cystic acne, which contains the following ingredients: witch hazel, ethyl alcohol, carbomer, and salicylic acid.
I have stopped using retinoid products due to my plans to become pregnant, but I am unsure if this gel, which contains bark extract and salicylic acid, has any adverse effects on the fetus.
Is it suitable to use before and during pregnancy? Thank you for your time in responding.

Qing, 30~39 year old female. Ask Date: 2005/07/07

Dr. Zheng Lizhen reply Dermatology


Hello: Topical application generally does not pose significant issues, but no one can provide a 100% guarantee.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2005/07/07

More Info


When it comes to the safety of using acne gels during pregnancy, it is essential to consider the active ingredients in the product and their potential effects on both the mother and the developing fetus. The acne gel you mentioned contains witch hazel, ethyl alcohol, carbomer, and salicylic acid. Let's break down these components to assess their safety during pregnancy.

1. Witch Hazel: This is a natural astringent derived from the bark and leaves of the witch hazel plant. It is commonly used for its anti-inflammatory properties and is generally considered safe for topical use during pregnancy. However, it is always advisable to use it in moderation and consult with a healthcare provider if you have any concerns.

2. Ethyl Alcohol: Ethyl alcohol is often used in topical products as a solvent or antiseptic. While it is generally safe in small amounts when applied to the skin, excessive use can lead to skin irritation or dryness. Pregnant women should be cautious about using products with high concentrations of alcohol, especially on sensitive skin.

3. Carbomer: This is a thickening agent used in many cosmetic and pharmaceutical products. Carbomer is considered safe for use during pregnancy as it is not absorbed into the bloodstream in significant amounts when applied topically.

4. Salicylic Acid: This is a beta hydroxy acid (BHA) commonly used in acne treatments for its ability to exfoliate the skin and reduce inflammation. Salicylic acid is classified as a Category C drug by the FDA, which means that there are no well-controlled studies in pregnant women, but animal studies have shown an adverse effect on the fetus. While topical application of salicylic acid in low concentrations (typically less than 2%) is generally considered safe during pregnancy, it is advisable to limit its use, especially in the first trimester when the fetus is most vulnerable.

Given these components, the use of the acne gel you described may be acceptable during pregnancy, particularly if it does not contain high concentrations of salicylic acid. However, it is crucial to consult with your healthcare provider or a dermatologist before continuing to use any acne treatment during pregnancy. They can provide personalized advice based on your specific situation and skin condition.

In summary, while some ingredients in acne gels may be safe for use during pregnancy, others, particularly salicylic acid, should be used with caution. Always prioritize consulting with a healthcare professional to ensure the safety of both you and your developing baby. Additionally, consider alternative treatments for acne that may be safer during pregnancy, such as topical products containing benzoyl peroxide or natural remedies, and maintain a healthy skincare routine that minimizes irritation.

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