Document Type

Conference Proceeding

Publication Date

8-1-2022

Publication Title

J Invest Dermatol

Abstract

Introduction: Given the convenience of the over-the-counter (OTC) market, many individuals trial OTC products as a means to combat their acne. Within the OTC acne market, there is great heterogeneity in ingredients and price. Herein, we analyze the distribution of ingredients and price among OTC acne products in top Google searches, which the public may encounter when performing an online search.

Methods: Google searches for key terms “acne”, “acne treatment”, “top acne treatment”, and “best acne regimen” were performed. Unique acne products for the first 100 websites for each term were collected. Summary statistics for median, range, mean, and standard deviation for price per topical therapy were analyzed. A factorial ANOVA was performed assessing effect of ingredient on price.

Results: A total of 272 unique products were collected out of the 400 websites analyzed. The mean price per ounce of all products was $24.79 (standard deviation of $31.84) and median[range] was $10.40 [$0.28-$166]. Retinol (p< 0.001), resorcinol (p=0.013), and tea tree oil (p=0.001) were associated with higher product prices. Notably, 12% of products (10% benzoyl peroxideI(BPO), 2% adapalene) contained an active ingredient that carries a grade A strength of recommendation based on AAD clinical guidelines. BPO products were the most affordable with average price per ounce (median [range]) of $8.15 [0.91-138.16]. Adapalene products had an average price per ounce of $18.74 [$12.26-$29.37].

Conclusion: Providers play an important role in educating and helping patients to navigate the OTC market. Based on efficacy and affordability, benzoyl peroxide and adapalene should remain the active ingredient of choice when turning to the OTC market. Given the heterogeneity of the OTC market, patients should carefully evaluate OTC products and be aware that not all products will have ingredients containing a grade A strength of recommendation and know that products with the same topical therapy can vary dramatically in price.

Volume

142

Issue

8

First Page

S62

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.