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J Cosmet Dermatol. 2019 Apr 23. doi: 10.1111/jocd.12962. [Epub ahead of print]

A comparative study on the effectiveness of herbal extracts vs 2.5% benzoyl peroxide in the treatment of mild to moderate acne vulgaris.

Author information

1
Skin Center, Srinakharinwirot University, Bangkok, Thailand.
2
Department of Preventive and Social Medicine, Srinakharinwirot University, Bangkok, Thailand.

Abstract

BACKGROUND:

Although there is a standard guideline for the treatment of acne, it is still a common skin disease, and suboptimal medication adherence is a major reason for treatment failure. Herbal extracts are an interesting alternative medicine because they consist of a variety of active ingredients. Moreover, herbal extracts may have improved therapeutic efficacy because of the combination of various herbs.

OBJECTIVES:

To evaluate the effectiveness of herbal extracts for the treatment of mild to moderate acne vulgaris.

METHODS:

A total of 77 patients were randomized to receive either an herbal extract or 2.5% benzoyl peroxide, which were applied for a period of 12 weeks. Acne lesion counts, adherence, porphyrin counts, the Dermatology Life Quality Index, satisfaction and side effects were assessed.

RESULT:

At the 12-week point, the acne lesion counts decreased, with statistically significant differences from the baseline values in both groups and for all types of acne (P-value < 0.001). The adherence rate was significantly higher in the patients using the herbal extract than in the patients using 2.5% benzoyl peroxide (P-value = 0.002). There was no statistically significant difference in terms of porphyrin counts, spot scores, the Dermatology Life Quality Index or satisfaction with efficacy between the groups; however, satisfaction with drug administration was significantly higher in the patients using the herbal extract (P-value = 0.001).

CONCLUSION:

Herbal extracts could be beneficial for anti-acne pharmaceutical preparations and may be used as an alternative medicine for patients with mild to moderate acne vulgaris who do not adhere to benzoyl peroxide treatment.

KEYWORDS:

acne; benzoyl peroxide; herbal extract; mangosteen; niacinamide; tea tree oil

PMID:
31012999
DOI:
10.1111/jocd.12962

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