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What can I use instead of Winlevi?

Published in Acne Treatment Alternatives 3 mins read

If you are looking for alternatives to Winlevi for managing acne, several effective topical treatments are commonly used. These alternatives often target different aspects of acne formation and can be used individually or in combination, depending on your specific skin concerns.

Understanding Acne Treatments

Winlevi (clascoterone cream) works by targeting androgen receptors in the skin to reduce sebum production and inflammation. Other acne treatments operate through different mechanisms, such as killing bacteria, unclogging pores, or reducing inflammation.

Common Alternatives to Winlevi for Acne Treatment

Several well-established topical medications can serve as alternatives to Winlevi. These include over-the-counter options and prescription-strength treatments.

1. Benzoyl Peroxide

Benzoyl peroxide is a widely used acne treatment known for its ability to kill acne-causing bacteria (P. acnes) and help shed dead skin cells, which prevents pores from clogging.

  • How it works: It releases oxygen, which is toxic to anaerobic bacteria like P. acnes, and has a mild peeling effect.
  • Availability: Available over-the-counter in various strengths (e.g., 2.5%, 5%, 10%) as washes, creams, gels, or lotions.

2. Salicylic Acid

Salicylic acid is a beta-hydroxy acid (BHA) that excels at exfoliating the skin and penetrating oil to clear out clogged pores.

  • How it works: It dissolves dead skin cells and sebum that can block pores, making it particularly effective for blackheads and whiteheads. It also has anti-inflammatory properties.
  • Availability: Found in many over-the-counter cleansers, toners, and spot treatments (typically 0.5% to 2%).

3. Topical Antibiotics

Topical antibiotics are prescription medications used to reduce acne-causing bacteria on the skin and decrease inflammation.

  • How they work: They inhibit the growth of bacteria and can help calm inflamed acne lesions.
  • Examples:
    • Clindamycin: Often prescribed as a gel, lotion, or solution.
    • Erythromycin: Available in various topical forms.
  • Note: These are typically used in combination with other agents like benzoyl peroxide to reduce bacterial resistance.

4. Topical Retinoids

Topical retinoids are derivatives of vitamin A and are considered a cornerstone of acne treatment due to their ability to normalize skin cell turnover and reduce inflammation.

  • How they work: They help prevent new acne lesions by promoting the shedding of dead skin cells, unclogging pores, and reducing inflammation. They are effective for both inflammatory and non-inflammatory acne.
  • Examples:
    • Tretinoin (Retin-A, Atralin, Avita)
    • Adapalene (Differin) – available over-the-counter in lower strengths
    • Tazarotene (Tazorac, Avage)
  • Note: These are typically prescription-strength (except for lower-strength adapalene) and can cause initial irritation, dryness, or increased sun sensitivity.

Choosing the Right Alternative

The best alternative for you depends on the type and severity of your acne, your skin type, and your medical history. It is highly recommended to consult with a dermatologist or healthcare professional. They can accurately diagnose your condition and recommend a personalized treatment plan, which may involve a single product or a combination of the options listed above.