41. Azithromycin for acne during pregnancy

Doctor Jacob here, and today's we're talking about azithromycin for acne. Azithromycin is a type of antibiotic very similar to erythromycin. However, it has fewer gastrointestinal side effects.

It's an antibiotic that I typically will only use for pregnant patients with severe acne, acne that would otherwise cause scarring. It doesn't unclog pores - which you should know if you've listened to any of the previous episodes regarding antibiotics - however it does help pimples, zits and sometimes deeper seated cysts.

I reserve this drug for us when treating acne during pregnancy because in a non-pregnant patient there are other more effective treatments which we could easily use. However, during pregnancy the choices are limited. A typical option would be taking one pill, which is 250 mg, two to three days per week. For example Monday and Thursday, or Monday, Wednesday and Friday.

This pill stays in the body for quite some time, and has a long half life, therefore it does not need to be taken every day when used for acne.
Results are modest, but choices are limited in this situation. For any pregnant woman with severe acne wishing to take this drug, I do recommend consulting with the obstetrician prior to starting on this therapy.

That's all for today. I'm Doctor Jacob, we'll see you next time.