MDacne
Safe Acne Products During Pregnancy and Breastfeeding: A Guide
If you're wondering which acne treatments are safe while pregnant or breastfeeding, you’re in the right place! Many common acne treatments aren't recommended, with Accutane being a definite no. But what about options like azelaic acid, benzoyl peroxide, or salicylic acid? Let’s take a look.
Can I Use Topical Retinoids During Pregnancy?
Topical retinoids like adapalene (Differin™) and tretinoin are widely used in acne treatments. However, despite the low absorption levels, there have been reports associating topical tretinoin with birth defects. Though two studies involving over 200 women found no increase in major malformations, most dermatologists advise against topical retinoids during pregnancy due to limited data.
Differin 0.1% Gel: While animal studies show no birth defects at high doses, the FDA recommends using adapalene during pregnancy only if absolutely necessary, as there is insufficient data on its effects on pregnant women. For breastfeeding mothers, caution is advised since it’s unclear if adapalene is excreted in human milk.
Can I Use Azelaic Acid During Pregnancy?
The FDA notes a lack of adequate studies on azelaic acid in pregnant women. Although less than 4% of azelaic acid applied topically is absorbed, it’s typically considered low-risk for breastfeeding mothers. However, it’s best to use this product only if absolutely necessary and consult with your doctor if you’re breastfeeding.
Can I Use Benzoyl Peroxide During Pregnancy?
Only 5% of benzoyl peroxide applied to the skin is absorbed, and it's metabolized quickly, leaving the body via urine. While there are no studies on its effects on pregnant patients, the minimal absorption makes systemic effects unlikely. Therefore, benzoyl peroxide is typically considered low-risk during pregnancy and breastfeeding, but it’s best to consult your doctor.
Can I Use Salicylic Acid During Pregnancy?
Salicylic acid is FDA-cleared for acne treatment in concentrations between 0.5% and 2%. Studies show that low-dose acetylsalicylic acid (related to salicylic acid) does not increase the risk of adverse events during pregnancy. Though no studies exist for topical use during pregnancy, the low skin absorption means salicylic acid is unlikely to pose a risk.
Conclusion
- Avoid retinoids (including retinol) if you are pregnant, breastfeeding, or trying to conceive.
- Benzoyl peroxide and salicylic acid are typically considered safe during the second and third trimesters and while breastfeeding, but always consult with your doctor first.
- Consult your doctor if you're pregnant, breastfeeding, or planning to conceive before using any oral or topical acne medication.
Shop:
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