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Gracial ProdMonograph_cover - epgonline.org

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<strong>Gracial</strong> and mild to moderate acne<br />

Number and<br />

severity of acne<br />

lesions reduced<br />

Recently, the effects of <strong>Gracial</strong> on acne were again compared<br />

with those of an OC preparation containing ethinylestradiol and<br />

cyproterone acetate (2.0 mg cyproterone acetate/35 µg EE)<br />

(Melief 2000). The study (in which 172 women were randomized<br />

to either treatment) found that <strong>Gracial</strong> progressively reduced<br />

the number and severity of acne lesions during the six cycles of<br />

treatment. In both groups, the majority of women with severe<br />

acne shifted to a less severe acne category (Figure 14). The<br />

efficacy of <strong>Gracial</strong> was comparable to the preparation containing<br />

the antiandrogen cyproterone acetate and no statistically<br />

significant differences were observed between the two groups.<br />

%<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

%<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

A<br />

0 3 6 0 3 6<br />

Combiphasic EE/DSG<br />

EE35/CPA<br />

B<br />

0 3 6 0 3 6<br />

Combiphasic EE/DSG<br />

EE35/CPA<br />

Severe Moderate Mild No acne<br />

Fig. 14: Objective (A) and subjective (B) classification<br />

of severity of acne at pretreatment, Cycle 3<br />

and Cycle 6<br />

25<br />

Melief 2000

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