Birth control pills seem to work as well as antibiotics for long-term treatment of acne in women, according to a new review of past clinical trials. After six months, both treatments reduced acne by just over 50 percent, prompting dermatologists to call the Pill a good alternative for some women and a means of avoiding the drawbacks of stronger oral acne medications or long-term antibiotic use. Past research has shown that both antibiotics and birth control pills can improve acne, but the new review compared the two options side-by-side and found antibiotics worked better after three months, but after six months of use, results were about equal. “Oral contraceptives (OCPs) take longer to work because they have a different mechanism of action,” said Dr. Kelly H. Tyler, who was not involved in the new review. “Antibiotics have anti-inflammatory properties, and OCPs do not have those same properties, so the reduction in acne is going to be more gradual and less dramatic in the b