Antibiotic therapy for acne was linked with variations in the skin microbiota, some of which persisted and weren't necessarily healthy, a four-patient longitudinal study indicated.
=0.04) in the four participants, women age 25-35. But other bacteria increased, including a transient 5.6-fold rise in the relative abundance of
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The tetracycline group of antibiotics, including doxycycline and minocycline, often serves as first-line therapy for moderate to severe acne because of these agents' anti-inflammatory and antimicrobial properties. Recent guidelines suggest restricting systemic antibiotic therapy to 3 to 4 months. However, prior respective studies have shown that the antibiotic treatment period always exceeds the recommended duration, noted Garza's group.
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But also on the complete bacterial community of the skin, they wrote. Understanding the associations between antibiotics and skin microbiota may help clinicians decrease the likelihood of skin comorbidities related to microbial dysbiosis.
Recently introduced tools for studying the skin microbiome -- including the genome and metabolome -- have invigorated studies on their relation to disease and human health and illuminated the diversity of microorganisms inhabiting the skin surface, noted Tiffany Scharschmidt, MD, of University of California San Francisco, in an accompanying editorial.
In the clinic, this interest manifests as a wide range of patient inquiries regarding the role of microorganisms in skin disease, the influence of prescribed therapies on the microbiome, and strategies or products to 'optimize' skin flora for health or cosmesis. Satisfactory answers to these questions are still forthcoming and will likely prove highly nuanced based on the complexity and contextuality of the skin-microbiota relationship, she wrote.
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Clinicians should be enthusiastic about the possibility of microbial-directed or microbial-derived treatments as future weapons in our therapeutic arsenal while acknowledging that there is much we still do not understand about the influence of current therapies on the delicate symbiosis we maintain with our cutaneous microbiota, the editorialist emphasized.
In the context of a growing market of over-the counter products designed to restore the skin microbiome, we should further emphasize that there is no universally good or bad skin microbiome, she continued.
Scharschmidt noted the tiny sample size and other limitations in the study by Garza and colleagues, but nevertheless called the findings intriguing and could explain some of the complications often seen from antibiotic therapy in acne.
Minocycline In Acne Vulgaris
For their part, Garza and colleagues characterized the study as a pilot investigation. They recruited the four patients in Maryland, who included two white women, one Asian American and one African American. They presented with inflammatory and comedonal acne on the face and reported no recent use of topical or systemic therapy for acne such as retinoids or antibiotics.
Patients were prescribed 100 mg of oral minocycline to take twice daily for 4 weeks. The skin on the forehead, cheek, and chin were sampled for 165 ribosomal RNA gene sequencing at baseline, 4 weeks after starting the antibiotic therapy, and then 1 week and 8 weeks after treatment ended.
, acknowledged that the study was too small and too short to offer definitive conclusions. We only looked a short period of time after antibiotics, but people need to look much longer, like even a year, after somebody stops taking antibiotics, he said.
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Paper, his group also noted that there was no clear, single pattern connecting changes in participants' skin microbiome to changes in acne lesions, perhaps also a consequence of the small sample size.
The use of a larger sample size and longer duration of antibiotic treatment would enable better characterization of changes in inflamed lesion count and α diversity, which may respond differently to antibiotic treatment depending on acne severity at baseline, they wrote. Longitudinal data of negative control participants receiving no antibiotic treatment, which we did not collect in the present study, would also enable more accurate characterization of the changes in skin microbiota associated with antibiotic treatment.
This study was supported in part by a Clinical Research Grant from the American Acne and Rosacea Society, and the National Institute of Arthritis and Musculoskeletal and Skin Diseases.
Acne Skin Treatment With Minocycline Benefits
Scharschmidt disclosed relationship with the National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institute of Allergy and Infectious Diseases, Burroughs Wellcome Fund, Doris Duke Foundation and Leo Foundation, and Sanofi Regeneron.Minocycline is an antibiotic that works by preventing bacteria from growing and spreading in the body. Minocycline also kills certain bacteria on the skin that can cause acne.

In this article, we discuss whether or not minocycline is an effective treatment for acne. We also look at other ways a person can look after their skin.
Minocycline is an antibiotic that belongs to the tetracycline family of antibiotics. It appears to help reduce the severity of certain types of acne.
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An older 2012 study found that minocycline is an effective treatment for moderate to severe inflammatory acne. This is the type of acne that causes red lesions that may be painful or large.
Use due to its association with abnormal pigmentation and tinnitus. The U.S National Library of Medicine state that a person should not take oral minocycline for longer than 12 weeks.
In 2016, researchers tested a foam containing 4% minocycline. After 12 weeks, this appeared to be an effective form of treatment with few side effects.
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A 2013 article states that the medication is no more effective than other acne therapies, including topical treatments. With the risk of certain side effects, the authors believe doctors should consider other acne treatments before using minocycline.
For the treatment of acne, doctors will typically prescribe minocycline in the extended release form. A person can take 1 milligram per kilogram (mg/kg) of body weight once a day for 12 weeks.

An individual’s weight can affect the dosage of minocycline. Those who have more weight may need a higher dosage. A person should not exceed the dose that the doctor prescribes.
Minocycline For Acne Changes Skin Microbiota
People may take minocycline with or without food. However, taking the tablets with food can reduce the chances of causing irritation or ulcers in the esophagus, which is the tube that connects the mouth to the stomach.
Before taking minocycline, an individual should tell the doctor if they are taking any nonprescription medicines, herbal supplements, or vitamins. This is because these may interfere with how minocycline works.
Research shows that antibiotics such as minocycline work better in combination with other acne treatments rather than alone. A doctor may prescribe a topical acne medication, such as retinoids or a topical antibiotic, which a person uses on the skin at the same time.
Minocycline: Package Insert
Minocycline can cause a person’s skin to become sensitive to the sun, so they must use extra protection from the sun and avoid tanning beds and sunlamps.
Shows it was most common in people using it for the skin condition known as rosacea who were on doses of 100–200 mg/day for longer periods.
Bacteria resistance is a possible side effect of any antibiotic, including minocycline. When bacteria become resistant to an antibiotic, the antibiotic may lose the ability to kill bacteria, causing it to become less effective. According to older research, minocycline is more popular as some other antibiotics are less effective due to bacterial resistance.

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If home care and OTC treatments do not improve acne, or if a person has severe acne, they should see a dermatologist.
When someone does not treat their acne, it can cause scarring and damage to emotional and mental well-being. Proper treatment can help them avoid these complications.
If a doctor prescribes minocycline, people should take it according to their prescription. They should not take more than the doctor prescribes or for longer periods. Doing so may increase the risk of side effects but does not help to improve acne.
Minocycline Mr Capsules For Acne
People may need to take minocycline with topical acne treatment for the best results. They can talk to a doctor about side effects and how well the treatment is working.
While some studies have found that minocycline can improve acne, others suggest it is not superior to alternative prescription acne treatments. A person should talk with their doctor about which acne treatment may work best for them.
Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Minocycline hydrochloride extended-release capsules is a tetracycline-class drug. Minocycline hydrochloride extended-release capsules is prescription medicine used to treat pimples and red bumps (non-nodular inflammatory lesions) that happen with moderate to severe acne vulgaris in people 12 years and older. Minocycline hydrochloride extended-release capsules is not effective for acne that is not red-looking (this means acne that is not inflammatory).
Video: Instructions For Use
Do not take minocycline hydrochloride extended-release capsules if you are allergic to tetracycline class medicines. Ask your doctor or pharmacist for a list of these medicines if you are not sure.

Minocycline hydrochloride extended-release capsules is a tetracycline-class drug used to treat pimples and red bumps (non-nodular inflammatory lesions) that happen with moderate to severe acne vulgaris in people 12 years and
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