Some doctors prefer to prescribe the standard Zithromax dosage kit (Z-pack), which includes a first day’s dosage of 500 mg, followed by 250-mg dosages on days 2-5. This regimen is repeated each month for several months. Another approach includes treatment with two pulses per month, one starting on the first of each month and one starting on the 15th. Taking Zithromax for 5 days prior to menstruation in women has been reported to reduce flare-ups of acne associated with their menstrual periods.

Many dermatologists may be wary of prescribing an antibiotic that is used for so many possibly life threatening conditions because of antibiotic resistant bacteria. Bacteria resistance to one or more antibiotics increased from 35% in 1991 to 56% in 2000. Resistance to erythromycin, clindamycin, and tetracycline approximately doubled over this period. Resistance to the macrolides such as Zithromax is increasing and may have reached rates up to 43%. Since acne vulgaris is a chronic condition and requires months of treatment, physicians must be cautious which antibiotics they prescribe for the skin condition.

When antibiotics are not successful at controlling the pimples and blackheads of acne, Accutane is sometimes prescribed. Accutane is prescribed for moderate to severe acne that has failed other treatments. Accutane has serious side effects which can include depression and birth defects. It is imperative that women do not take Accutane while pregnant and to not become pregnant while taking it. Accutane “cures” about half of those who take it so that they never need to do anything else for acne. Blood tests are required to check for liver and other problems and women must submit to pregnancy tests. Accutane is thought to be the most effective treatment for acne cysts.

Along with antibiotic therapy or treatment with Accutane, it is important to cleanse the skin gently twice a day, eat a healthy diet, and get enough sleep to improve your complexion. Consult your doctor about prescribing Zithromax for Acne Vulgaris if your current medication is not controlling your breakouts satisfactorily.