INTRODUCTION
Acne is the most common cutaneous disease worldwide and the most frequent disorder to present to the dermatology practice. Although efficacious treatments exist, clinicians continue to search for better regimens with improved safety for our patients. Our patients search, too - with or without our guidance. Many patients are looking for more "natural" approaches to skin care. Selecting skincare products gives patients a satisfying sense of control that can help attenuate the psychological sequelae of acne. Unfortunately, the media and the internet abound with alternatives to prescription medications; many without efficacy and some with harmful consequences. Since delay in acne therapy is associated with an increased risk of scarring, uneducated postings can lead to permanent disfigurement. As a result, it is incumbent upon clinicians to be well-versed in routine skin care as well as active ingredients in over the counter (OTC) products that may augment care. Many clinicians fail to discuss skin care, missing an opportunity to enhance patient outcome.
Clinicians in the United States are far behind our European colleagues who have embraced the concept of what they have termed "dermocosmetics".1-3 Dermocosmetics are defined as products with both cosmetic and active ingredients that improve cutaneous disorders. The term "acneceuticals" is thus introduced to encompass formulations with active ingredients>
