Nonpharmacologic therapy for acne

A. Diet. Patients should be advised to eat a well-balanced diet and to avoid foods which consistently result in acne flare-ups.

B. Cleanliness. Development of acne is not related to dirt. Excessive scrubbing may worsen the condition. Patients should be encouraged to wash affected areas with any standard soap once or twice a day and after strenuous physical activities.

C. Medications that worsen acne include oral contraceptives, corticosteroids, anabolic steroids, phenytoin, lithium, and isoniazid.

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