Cyproterone Acetate and Ethinylestradiol Tablets
2/0.035mg
Cyproterone acetate with ethinylestradiol as a film-coated tablet, used for severe acne, hirsutism and androgenetic alopecia. An anti-androgen with an oestrogen.
From$1.03/ tabletView
Severe Acne
Severe acne sits at the far end of the acne spectrum, producing deep cysts, nodules, and widespread inflammation rather than simple blackheads or whiteheads. Without treatment these lesions often scar, making early and effective management more important than it is for milder forms. High humidity and certain dietary patterns are associated with more persistent breakouts, and the condition is common through the twenties and beyond, not only during adolescence.
Key points
- At the severe end, deep, inflamed cysts and nodules replace ordinary blackheads and whiteheads, and untreated lesions often leave lasting scars.
- Blocked pores and a bacterial immune response combine with androgen-driven excess oil, and a family history raises individual risk.
- Isotretinoin, a retinoid taken over several months with regular monitoring, is the most reliable option for cases resistant to other treatment.
What drives severe acne
Cystic and nodular acne develops when pores become deeply blocked and bacteria trigger an immune response beneath the skin surface. Excess sebum production, driven by androgens (male hormones present in all sexes), is the core mechanism. Genetics play a large role: if close relatives had cystic acne, the risk is higher. Stress, diet, and tropical climates that promote sweating can all worsen an existing tendency, but they rarely create severe acne on their own.
Treatment options
The most reliably effective agent for severe or treatment-resistant acne is isotretinoin, a retinoid that reduces sebum production, shrinks oil glands, and prevents the deep plugging that starts the cycle. Courses typically run several months and are managed with regular monitoring because of its systemic effects.
For women whose acne is driven by hormonal fluctuation, combined oral contraceptives containing ethinylestradiol and anti-androgen agents such as cyproterone are a well-established option. These work by reducing circulating androgen activity and are available through the women’s health and skin care ranges on ZoneMD.
If acne is causing significant distress or rapidly worsening, seeing a dermatologist early avoids the window where the deepest lesions do permanent damage.