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2022, Number 3

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Rev Cent Dermatol Pascua 2022; 31 (3)

The efficacy of metformin in the treatment of moderate to severe acne: a systematic review

Rosas-Morett MT, Jurado-Santa CF, Peralta-Pedrero ML, Morales-Sánchez MA
Full text How to cite this article 10.35366/110005

DOI

DOI: 10.35366/110005
URL: https://dx.doi.org/10.35366/110005

Language: Spanish
References: 8
Page: 75-78
PDF size: 191.32 Kb.


Key words:

acne, metformin, systematic review.

ABSTRACT

Acne is a chronic inflammatory disease that affects the pilosebaceous unit and is among the most common dermatological consultations worldwide. The oral hypoglycemic agent metformin has been shown to have favorable effects in the treatment of acne, acting as an indirect inhibitor of mTORC1, one of the major pathways in acne pathogenesis, with little or no adverse effects. There are recent studies mainly in women with polycystic ovarian syndrome that support the use and efficacy of metformin for the treatment of acne. The present work is the first systematic review of the literature that focuses on the use of metformin as a treatment for moderate to severe acne not caused by hyperandrogenism or polycystic ovarian syndrome.


REFERENCES

  1. Cong TX, Hao D, Wen X, Li XH, He G, Jiang X. From pathogenesis of acne vulgaris to anti-acne agents. Arch Dermatol Res. 2019; 311: 337-349. https://doi.org/10.1007/s00403-019-01908-x

  2. Melnik BC. Acne vulgaris: the metabolic syndrome of the pilosebaceous follicle. Clin Dermatol. 2018; 36: 29-40. https://doi.org/10.1016/j.clindermatol.2017.09.006

  3. Melnik BC. The role of mTORC1 in acne pathogenesis and treatment. Expert Review of Dermatology. 2013; 8: 617-622. doi: 10.1586/17469872.2013.846514.

  4. Badr D, Kurban M, Abbas O. Metformin in dermatology: an overview. J Eur Acad Dermatol Venereol. 2013; 27: 1329-1335. https://doi.org/10.1111/jdv.12116

  5. Fabbrocini G, Izzo R, Faggiano A, Del Prete M, Donnarumma M, Marasca C et al. Low glycaemic diet and metformin therapy: a new approach in male subjects with acne resistant to common treatments. Clin Exp Dermatol. 2016; 41: 38-42. doi: 10.1111/ced.12673.

  6. Gabaton NA, Paliza AC, Letran EL. A double-blind randomized controlled trial on the efficacy and safety of metformin as an adjunct to lymecycline and topical adapalene plus benzoyl peroxide gel in the treatment of moderate to severe acne vulgaris. Journal of the Philippine Dermatological Society. 2019, 29: 20-47.

  7. Robinson S, Kwan Z, Tang MM. Metformin as an adjunct therapy for the treatment of moderate to severe acne vulgaris: a randomized open-labeled study. Dermatol Ther. 2019; 32: e12953. doi: 10.1111/dth.12953.

  8. Singh M, Pawar M, Adhikari P. Redefining the role of metformin in nonhormonal acne: a single blinded randomized controlled trial case–control study of metformin efficacy as an adjuvant therapy in moderate-to-severe acne. Br J Dermatol. 2020; 183(S1); 9-25: https://doi.org/10.1111/bjd.18967




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C?MO CITAR (Vancouver)

Rev Cent Dermatol Pascua. 2022;31