:: Volume 18, Issue 2 (summer 2018) ::
J Ardabil Univ Med Sci 2018, 18(2): 261-269 Back to browse issues page
Comparison of the Therapeutic Effect of Combination of Flutamide-Cyproterone Compound with Flutamide-Doxycycline in Severe Female Acne
Hasan Edalatkhah , Zahra Bironbar fathi , Negar Khoshnevis , Saeid Sadeghieh Ahari *
Department of Community medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
Abstract:   (6811 Views)
 
Background & objectives: In recent years, the hypothesis of using anti-androgens has been increasingly addressed in the treatment of acne in women. One of these drugs is flutamide, which there is no strong evidence of its efficacy in treatment of acne in women. The aim of this study was to compare the effect of combination therapy of flutamide-cyproterone compound with flutamide-doxycycline in severe type of acne in women.
Methods: In an interventional study, patients were divided in to two groups. One group (n=30) received flutamide - cyproterone compound and another group (n=30) received flutamide-doxycycline which were followed for six months. Both groups also received 1% topical clindamycin twice a day. Counting the number of lesions, changes in severity index and grading of acne were used to evaluate the patients. Patient satisfaction was also evaluated.
Results: The mean age in the flutamide-doxycycline group was 19.4±4.67 and in the flutamide-cyproterone compound group was 19.06±11.3. This difference was not statistically significant. The mean of the acne severity index at the onset of intervention between the two groups was not significant (p= 0.7). The mean of the acne severity index at the start of treatment in the flutamide-doxycycline group was 306.07±155.46 and at the end of treatment reached to 19.18±19.5, and also in the flutamide-cyproterone compound group, decreased from 293.21±15.21 to 10.5±21.8 at the end of treatment. This difference was not statistically significant (p=0.1).
Conclusion: Both therapeutic regimen were effective in the treatment of severe type of acne and can possibly be used as an alternative treatment for severe acne.
Keywords: Acne Vulgaris, Combination Therapy, Doxycycline, Flutamide, Cyproterone Compound
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Type of Study: article | Subject: General
Received: 2018/03/6 | Accepted: 2018/06/20 | Published: 2018/07/1



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Volume 18, Issue 2 (summer 2018) Back to browse issues page