ACTIVE INGREDIENTS IN MODERN MEDICINAL COSMETICS AND COSMETIC PRODUCTS FOR ACNE TREATMENT
DOI:
https://doi.org/10.11603/2312-0967.2026.3.16484Keywords:
acne, active ingredients, medicinal cosmetics, cosmetic products, antimicrobial effectAbstract
The aim of the work. Analysis and generalization of information on modern approaches to the use of active substances in medical cosmetics and cosmetic products for acne prone skin, in particular salicylic, azelaic and mandelic acids, benzoyl peroxide and biologically active substance of plant origin – bakuchiol, and study of evidence on their safety.
Materials and methods. The article analyzes scientific publications from various databases over the past 10–15 years, the State Register of Medicines, instructions for the medical use of topical preparations for the treatment of acne, and regulatory documentation on the use of biologically active substances in cosmetic products. Bibliosemantic, analytical, comparative, and systematic research methods were used.
Results and discussion. Based on the analysis of literature sources and regulatory documents, the approaches that are decisive for the use of salicylic, azelaic and mandelic acids, benzoyl peroxide and bakuchiol in the composition of medicinal cosmetics and cosmetic products for acne treatment are summarized. It was found that salicylic and azelaic acids belong to both active pharmaceutical ingredients and cosmetic ingredients, benzoyl peroxide – only to active ingredients of cutaneous medicinal products, and mandelic acid and bakuchiol only to cosmetic ingredients. The concentration of these ingredients affects the classification of the product, but the key element in classifying the product is its intended use. Products with the same active ingredients may belong to different categories depending on the composition, manufacturer’s claims for use, and mechanism of action.
Conclusions. The analysis showed that the ingredients – salicylic, azelaic and mandelic acids, benzoyl peroxide and bakuchiol belong to the current trending ingredients of medicinal cosmetics and cosmetic products for acne prone skin according to the literature data and marketing offers. Specialists, including pharmacists, should know and critically evaluate information about the properties of ingredients, given that their use continues to expand in affordable cosmetic skin care products. The ability to provide qualified recommendations to patients with acne and consumers, as well as patient safety, depends on this competence.
References
1. Podwojniak A, Tan IJ, Sauer J, Neubauer Z, Rothenberg H, Ghani H, Parikh AK, Cohen B. Acne and the cutaneous microbiome: A systematic review of mechanisms and implications for treatments. J. Eur Acad Dermatol Venereol. 2025;39(4):793-805. doi: 10.1111/jdv.20332. DOI: https://doi.org/10.1111/jdv.20332
2. Polion NM, Diudiun AD, Horbuntsov VV, Antypova ZhA. Akne i aknepodibni dermatozy [Acne and acne-like dermatoses]. Dermatovenerolohiya. Kosmetolohiya. Seksopatolohiya. 2018;1-4:87-98. [in Ukrainian].
3. Bovtiuk BA. Deyaki suchasni aspekty etiopatohenezu akne [Some modern aspects of the etiopathogenesis of acne]. Zhurnal dermatovenerolohiyi ta kosmetolohiyi imeni M. O. Torsuyeva. 2018;1:80-85. [in Ukrainian].
4. Dashko MO, Syzon OO, Chaplyk-Chizho IO, Volbin SV. Vyvchennya pokaznykiv reaktyvnoyi ta osobystisnoyi tryvozhnosti v zhinok z riznym klinichnym perebihom akne [Study of indicators of reactive and personality anxiety in women with different clinical courses of acne]. Dermatolohiya ta venerolohiya. 2022;3:19. [in Ukrainian].
5.Dashko MO, Sizon OO, Voznyak IYa, Ivanyushko-Nazarko NV. Osoblyvosti psykhoemotsiynykh rozladiv ta yakosti zhyttya v zhinok z akne [Features of psychoemotional disorders and quality of life in women with acne]. Dermatolohiya ta venerolohiya. 2023;3:31-32. [in Ukrainian].
6. Eichenfield DZ., Sprague J., Eichenfield L. F. Management of Acne Vulgaris: A Review. JAMA. 2021;326(20):2055-67. https://doi.org/10.1001/jama.2021.17633 DOI: https://doi.org/10.1001/jama.2021.17633
7.Voznyak IYa, Sizon OO, Dashko MO, Ivanyushko-Nazarko NV. Suchasni mozhlyvosti likuvannya akne – kompromis mizh dermatolohiyeyu ta kosmetolohiyeyu [Modern acne treatment options: a compromise between dermatology and cosmetology]. Dermatolohiya ta venerolohiya. 2022;3:17-18. [in Ukrainian].
8. Dashko MO, Syzon OO, Volbin SV. Vzayemozv’yazok klinichnoho perebihu ta stupenya vazhkosti akne zi stanom mikrobioty shkiry i porozhnyny tovstoyi kyshky [Interrelationship between the clinical course and severity of acne and the state of skin and colonic microbiota]. Acta medica Leopoliensia. 2023; 29(1-2):87-100. DOI: https://doi.org/10.25040/aml2023.1-2.087
9. Greydanus DE, Azmeh R, Cabral MD, Dickson CA, Patel DR. Acne in the first three decades of life: An update of a disorder with profound implications for all decades of life. Dis Mon. 2021;67(4):101103. doi:10.1016/j.disamonth. 2020.101103. DOI: https://doi.org/10.1016/j.disamonth.2020.101103
10. Bezeha O.V., Yemchenko Ya.O., Vasylyeva K.V, Popova I.B., Kameniev V.I. Tradytsiyni ta alʹternatyvni metody likuvannya akne [Traditional and alternative methods of acne treatment]. Aktualʹni problemy suchasnoyi medytsyny. 2024; 24(2): 244-9. doi: 10.31718/2077-1096.24.2.244 DOI: https://doi.org/10.31718/2077-1096.24.2.244
11. Reznichenko NYu, Reznichenko GI. Akne – kompleksnyy pidkhid u vyrishenni problemy [The comprehensive approach to solving the problem of acne]. Ukrayinsʹkyy medychnyy chasopys.2024;5:16-23. doi: 10.32471/umj.1680-3051.163.256053 DOI: https://doi.org/10.32471/umj.1680-3051.163.256053
12. Bolognia J, Schaffer J, Cerroni L. Dermatology. 4th ed. Elsevier; 2018. 2717р.
13. Măgerușan ȘE, Hancu G, Rusu AA Comprehensive Bibliographic Review Concerning the Efficacy of Organic Acids for Chemical Peels Treating Acne Vulgaris. Molecules. 2023; 28(20):7219. doi: 10.3390/molecules28207219. DOI: https://doi.org/10.3390/molecules28207219
14. Niedźwiedzka A, Micallef MP, Biazzo M, Podrini C. The Role of the Skin Microbiome in Acne: Challenges and Future Therapeutic Opportunities. Int J. Mol Sci. 2024;25(21):11422. doi: 10.3390/ijms252111422. DOI: https://doi.org/10.3390/ijms252111422
15. Ruban OA, Pertsev IM, Kutsenko SA, Maslii YuS, editors. Dopomizhni rechovyny u vyrobnytstvi likiv [Auxiliary substances in drug manufacturing]. Kharkiv: Zoloti storinky; 2016. 720 p.
16. Oge’ LK, Broussard A, Marshall MD. Acne Vulgaris: Diagnosis and Treatment. Am Fam Physician. 2019;10(8):475-84.
17. Bolotna LA. Sorokarichnyi dosvid zastosuvannia izotretinoïnu v likuvanni akne: efektyvnist, optymalne dozuvannia, retsydyvy [Forty-year experience of isotretinoin use in the treatment of acne: efficacy, optimal dosing, relapses]. Ukrainskyi zhurnal dermatolohii, venerolohii, kosmetolohii. 2023;3(90):49-59. doi:10.30978/UJDVK2023-3-49. DOI: https://doi.org/10.30978/UJDVK2023-3-49
18. Mohsin N, Hernandez LE, Martin MR, Does AV, Nouri K. Acne treatment review and future perspectives. Dermatol Ther. 2022;35(9):e15719. doi: 10.1111/dth.15719. DOI: https://doi.org/10.1111/dth.15719
19. Del Rosso JQ. Combination topical therapy in the treatment of acne. Cutis. 2006;78(2 Suppl 1):5-12.
20. Tang SC, Yang JH. Dual effects of alpha-hydroxy acids on the skin. Molecules. 2018;23(4):863. doi: 10.3390/molecules23040863. DOI: https://doi.org/10.3390/molecules23040863
21. Kontochristopoulos G, Platsidaki E. Chemical peels in active acne and acne scars. Clin Dermatol. 2017;35(2):179-82. doi: 10.1016/j.clindermatol.2016.10.011. DOI: https://doi.org/10.1016/j.clindermatol.2016.10.011
22. Lu J, Cong T, Wen X, Li X, Du D, He G, Jiang X. Salicylic acid treats acne vulgaris by suppressing AMPK/SREBP1 pathway in sebocytes. Exp Dermatol. 2019;28:786-94. https://doi.org/10.1111/exd.13934 DOI: https://doi.org/10.1111/exd.13934
23. Liu Y, Dan Y, Yang J, He X, Liu J, Yi Y, Chen X, Yin X, Song W, Niu Y, Zheng Y, Ai Y. Clinical efficacy of a salicylic acid-containing gel on acne management and skin barrier function: a 21-day prospective study. J Cosmet Dermatol. 2025;24(7). doi:10.1111/jocd.70353. DOI: https://doi.org/10.1111/jocd.70353
24. Kabinet Ministriv Ukrainy. Pro zatverdzhennia Tekhnichnoho rehlamentu na kosmetychnu produktsiiu [On approval of the Technical Regulation on cosmetic products]: postanova Kabinetu Ministriv Ukrainy vid 20 sichnia 2021 r. No. 65. Kyiv; 2021. Available from: https://zakon.rada.gov.ua/laws/show/65-2021-%D0%BF#Text
25. Regulation (EC) No 1223/2009 of the European Parliament and of the Council of 30 November 2009 on the cosmetic products https://health.ec.europa.eu/system/files/2016-11/cosmetic_1223_2009_regulation_en_0.pdf
26. Arif T. Salicylic acid as a peeling agent: a comprehensive review. Clin Cosmet Investig Dermatol. 2015; 8:455-61. doi: 10.2147/CCID.S84765. DOI: https://doi.org/10.2147/CCID.S84765
27. Wang Z, Wang M, Tao Q, Li Y, Wang H, Zhang M, Liu X, Zhang J. Betaine-salicylic acid cocrystal for enhanced skincare and acne treatment. RSC Med Chem. 2025;16(4):1705-1714. doi:10.1039/D5MD00001G. DOI: https://doi.org/10.1039/D5MD00001G
28. Derzhavnyi reiestr likarskykh zasobiv Ukrainy [State Register of Medicinal Products of Ukraine] [Internet]. Kyiv: Ministerstvo okhorony zdorovia Ukrainy; [cited 2026 Aug 30]. Available from: https://www.drlz.com.ua/
29. Sauer N, Oślizło M, Brzostek M, Wolska J, Lubaszka K, Karłowicz-Bodalska K. The multiple uses of azelaic acid in dermatology: mechanism of action, preparations, and potential therapeutic applications. Postepy Dermatol Alergol. 2023; 40(6):716-24. doi: 10.5114/ada.2023.133955. DOI: https://doi.org/10.5114/ada.2023.133955
30. Feng X, Shang J, Gu Z, Gong J, Chen Y, Liu Y. Azelaic Acid: Mechanisms of Action and Clinical Applications. Clin Cosmet Investig Dermatol. 2024;17:2359-71. doi: 10.2147/CCID.S485237. DOI: https://doi.org/10.2147/CCID.S485237
31. Pandey A, Jatana GK, Sonthalia S. Cosmeceuticals. 2023. https://pubmed.ncbi.nlm.nih.gov/31334943/
32. Searle T, Ali F R, Al-Niaimi F. The versatility of azelaic acid in dermatology. J. Dermatological Treatment. 2022;33(2),722-32. doi: 10.1080/09546634.2020.1800579 DOI: https://doi.org/10.1080/09546634.2020.1800579
33. Liu H, Yu H, Xia J, Liu L, Liu GJ, Sang H, Peinemann F. Topical azelaic acid, salicylic acid, nicotinamide, sulphur, zinc and fruit acid (alpha-hydroxy acid) for acne. Cochrane Database Syst Rev. 2020;5(5). doi:10.1002/14651858.CD011368.pub2. DOI: https://doi.org/10.1002/14651858.CD011368.pub2
34. Webster G. Combination azelaic acid therapy for acne vulgaris. J Am Acad Dermatol. 2000.43(2 Pt 3):47-50. doi: 10.1067/mjd.2000.108318. DOI: https://doi.org/10.1067/mjd.2000.108318
35. Jacobs SW, Culbertson EJ. Effects of Topical Mandelic Acid Treatment on Facial Skin Viscoelasticity. Facial Plast Surg. 2018; 34(6):651-6. doi: 10.1055/s-0038-1676048. DOI: https://doi.org/10.1055/s-0038-1676048
36. Dayal S, Kalra KD, Sahu P. Comparative study of efficacy and safety of 45% mandelic acid versus 30% salicylic acid peels in mild-to-moderate acne vulgaris. J. Cosmet Dermatol. 2020;19(2):393-9. doi: 10.1111/jocd.13168. DOI: https://doi.org/10.1111/jocd.13168
37. Garg VK, Sinha S, Sarkar R. Glycolic acid peels versus salicylic-mandelic acid peels in active acne vulgaris and post-acne scarring and hyperpigmentation: a comparative study. Dermatol Surg. 2009;35(1):59-65. doi: 10.1111/j.1524-4725.2008.34383.x. DOI: https://doi.org/10.1111/j.1524-4725.2008.34383.x
38. Dutil M. Benzoyl peroxide: enhancing antibiotic efficacy in acne management. Skin Therapy Lett. 2010;15(10):5-7.
39. Yang Z, Zhang Y, Lazic Mosler E, Hu J, Li H, Zhang Y, Liu J, Zhang Q. Topical benzoyl peroxide for acne. Cochrane Database Syst Rev. 2020;3(3): CD011154. doi: 10.1002/14651858.CD011154.pub2. DOI: https://doi.org/10.1002/14651858.CD011154.pub2
40. Fan D, Ma J, Liu X, Zhang S, Sun J, LiY, Jiang B, Zhang L. The safety and efficiency of benzoyl peroxide for reducing Cutibacterium acnes in the shoulder: An updated systematic review and meta-analysis. Front Surg. 2023;10:1015490. doi: 10.3389/fsurg.2023.1015490. DOI: https://doi.org/10.3389/fsurg.2023.1015490
41. Czyz S, Yang K. Jafarian F. Benzoyl peroxide in the treatment of acne: are there potential health concerns? Front. Pediatr. 2025;13:1599491. doi: 10.3389/fped.2025.159949. DOI: https://doi.org/10.3389/fped.2025.1599491
42. Zhou L, Chen L, Liu X, Huang Y, Xu Y, Xiong X, Deng Y. The influence of benzoyl peroxide on skin microbiota and the epidermal barrier for acne vulgaris. Dermatol Ther. 2022;35(3). doi:10.1111/dth.15288. DOI: https://doi.org/10.1111/dth.15288
43. Tan J, Bissonnette R, Gratton D, Kerrouche N, Canosa JM. The safety and efficacy of four different fixed combination regimens of adapalene 0.1%/benzoyl peroxide 2.5% gel for the treatment of acne vulgaris: results from a randomised controlled study. Eur J. Dermatol. 2018;28 (4):502-8. doi: 10.1684/ejd.2018.3367. DOI: https://doi.org/10.1684/ejd.2018.3367
44. Keating GM. Adapalene 0.1%/benzoyl peroxide 2.5% gel: a review of its use in the treatment of acne vulgaris in patients aged ≥ 12 years. Am. J. Clin. Dermatol. 2011;12(6):407-20. doi: 10.2165/11208170-000000000-00000. DOI: https://doi.org/10.2165/11208170-000000000-00000
45. Dréno B, Layton AM, Troielli P, Rocha M, Chavda R. Adapalene/benzoyl peroxide gel 0.3%/2.5% for acne vulgaris. Eur J. Dermatol. 2022;32(4):445-50. doi: 10.1684/ejd.2022.4275. DOI: https://doi.org/10.1684/ejd.2022.4275
46. Draelos ZD, Baalbaki N, Colon G, Dreno B. Ceramide-Containing Adjunctive Skin Care for Skin Barrier Restoration During Acne Vulgaris Treatment. J. Drugs Dermatol. 2023;22(6):554-8. doi: 10.36849/JDD.7142. DOI: https://doi.org/10.36849/JDD.7142
47. Chaudhuri RK, Bojanowski K. Bakuchiol: a retinol-like functional compound revealed by gene expression profiling and clinically proven to have anti-aging effects. Int J. Cosmet Sci. 2014;36(3):221-30. doi: 10.1111/ics.12117. DOI: https://doi.org/10.1111/ics.12117
48. Greenzaid J, Friedman A, Sodha P. The Use of Bakuchiol in Dermatology: A Review of In Vitro and In Vivo Evidence. J. Drugs Dermatol. 2022;21(6):624-9. doi: 10.36849/JDD.6740. DOI: https://doi.org/10.36849/JDD.6740
49. Nizam NN, Mahmud S, Ark SM, Kamruzzaman M, Hasan MK. Bakuchiol, a natural constituent and its pharmacological benefits. F1000Res. 2023;12:29. doi: 10.12688/f1000research.129072.2. DOI: https://doi.org/10.12688/f1000research.129072.2
50. Puyana C, Chandan N, Tsoukas M. Applications of bakuchiol in dermatology: Systematic review of the literature. J. Cosmet Dermatol. 2022;21(12): 6636-43. doi: 10.1111/jocd.15420. DOI: https://doi.org/10.1111/jocd.15420
51. Spierings N. Cosmetic commentary: Is bakuchiol the new «skincare hero»? J. Cosmet Dermatol. 2020;19(12):3208-9. doi: 10.1111/jocd.13708. DOI: https://doi.org/10.1111/jocd.13708
52. Dhaliwal S, Rybak I, Ellis SR, Notay M, Trivedi M, Burney W, Vaughn AR, Nguyen M, Reiter P, Bosanac S, Yan H, Foolad N, Sivamani RK. Prospective, randomized, double-blind assessment of topical bakuchiol and retinol for facial photoageing. Br J. Dermatol. 2019;180(2):289-96. doi: 10.1111/bjd.16918. DOI: https://doi.org/10.1111/bjd.16918
53. Fanning JE, McGee SA, Ibrahim O.I. Human Clinical Trials Using Topical Bakuchiol Formulations for the Treatment of Skin Disorders: A Systematic Review. J. Drugs Dermatol. 2024;23(4):239-43. doi: 10.36849/JDD.7763. DOI: https://doi.org/10.36849/JDD.7763
54. Wang JV, Schoenberg E, Saedi N. Bakuchiol as a Trendy Ingredient in Skincare: Recent Evidence. Skinmed. 2019;17(3):188-9.
55. Draelos ZD, Gunt H, Zeichner J, Levy S. Clinical Evaluation of a Nature-Based Bakuchiol Anti-Aging Moisturizer for Sensitive Skin. J. Drugs Dermatol. 2020;19(12):1181-3. doi: 10.36849/JDD.2020.5522. DOI: https://doi.org/10.36849/JDD.2020.5522
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