Gracial ProdMonograph_cover - epgonline.org
Gracial ProdMonograph_cover - epgonline.org
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