ZAPZYT Acne Treatment Gel

On top of that, BPO has keratolytic properties to help shed dead skin cells and keep pores from getting clogged.

One of the coolest things about BPO is that bacteria do not develop resistance to it the way they can with antibiotics. That's why dermatologists recommend pairing it with topical antibiotics to keep resistance at bay.

BPO is usually available in 2.5%, 5%, and 10% concentrations. Research has shown that 2.5% tends to be just as effective as the higher strengths while being more gentle on the skin.

The FDA has classified BPO as a safe and effective acne treatment. You'll be able to find this ingredient in over-the-counter products in many countries.

Just so you know, BPO is a known mild irritant. It's common to see dryness, peeling, and some redness when you first start using it. This usually goes away as your skin adjusts.

A very small number of people might develop allergic contact dermatitis from it as patch test studies show positive reactions in about 1-5% of patients.

Once BPO is absorbed into the skin, our bodies turn it into benzoic acid and quickly exits in urine. It's also worth noting that BPO will bleach fabrics and hair, so watch your towels and pillowcases!

A 2012 assessment found this ingredient is used in leave-on products at up to 21%, which is at the very high end for the category; most cosmetic use is far lower and typically in the single digits.

A true allergy to Laureth-4 is rare; similar alcohol ethoxylates tested negative for skin sensitization in undiluted guinea pig studies, and related compounds were non-sensitizing in Magnusson-Kligman maximization tests.

There is one caveat for this whole ingredient family: ethoxylated surfactants slowly oxidize when exposed to air, and it's the oxidation products, not the fresh material, that act as sensitizers. This is mostly a formulation and shelf life issue.

Dr. James Fulton's rabbit ear test from the 1980's scored this ingredient as a 5 on the comedogenic scale. Fulton himself described the rabbit ear as not an ideal model and the tests used undiluted ingredients on rabbit ears, which are more reactive than human facial skin.

Dr. Draelos later used a human assay on finished cosmetic products and found that products built with so-called comedogenic ingredients are not necessarily comedogenic themselves.

This ingredient can be potentially pore clogging if it appears high in the ingredient list of a leave-on product.

The fungal acne picture is actually reassuring: Malassezia uses fatty acids from its surroundings (C11-24). This ingredient has nothing for the Malassezia yeast to use since it is an alcohol and not an acid.

Supporting this, closely related ethoxylated alcohol detergents like Ceteth-20 get used in Malassezia lab work as neutral carriers to disperse a separately added fatty acid (not as the food source itself).