NAC

N-acetylcysteine (NAC) is a derivative of the amino acid L-cysteine known primarily for its antioxidant and anti-inflammatory properties, and for improving insulin sensitivity.

Quick facts

  • NAC increases glutathione levels in the body by more than 30%, depending on the dose administered.
  • Significant improvement in the reduction of acne lesions by approximately 50%

WHAT IS N-ACETYLCYSTEINE USED FOR?

In the context of acne, NAC can offer several benefits due to its unique characteristics.

  • Beneficial for its antioxidant properties:

NAC is a precursor to glutathione, one of the body's most potent antioxidants. In acne, oxidative stress can worsen inflammation and aggravate the condition. By increasing glutathione levels, NAC helps reduce oxidative damage and inflammation in the skin.

  • Acts as an anti-inflammatory:

Inflammation is a key factor in the development of acne, especially in inflammatory lesions like papules and pustules. NAC has anti-inflammatory effects that can help reduce the redness and swelling associated with acne lesions.

  • Contributes to sebum regulation:

Although evidence is limited, NAC's antioxidant and anti-inflammatory effects may indirectly influence sebum production, as oxidative stress and inflammation can dysregulate sebaceous glands.

  • Has an antimicrobial effect:

Acne is exacerbated by the proliferation of bacteria such as Cutibacterium acnes. NAC has antimicrobial properties that can help control these bacteria on the skin.

  • Helps improve scarring:

NAC's antioxidant capacity promotes tissue repair, which can contribute to improving the scarring of acne lesions.

OTHER BENEFITS:

Helps reduce menstrual pain: Pain generation in inflammatory conditions is associated with the production of pro-inflammatory cytokines and oxidizing free radicals. These factors contribute to tissue destruction, overstimulation of pain nerve fibers, and, in the case of endometriosis, further enhance the synthesis of "abnormal" estrogens by endometrial implants.

In this context, N-acetylcysteine (NAC) plays a key role by reducing the accumulation of oxidizing radicals through increased levels of glutathione, an essential antioxidant. Furthermore, NAC inhibits the activity of the pro-inflammatory transcription factor NFKB, resulting in a significant decrease in pro-inflammatory cytokines such as IL-8, IL-6, and TNF-α. This mechanism helps mitigate inflammation, protect tissues, and reduce the perception of associated pain.

CONTRAINDICATIONS:

It is recommended to avoid its use during pregnancy and breastfeeding, especially if not indicated by a doctor.

Clinical Studies

N-Acetylcysteine and inflammation

In a recent study, it has been revealed that the administration of N-Acetylcysteine elevated serum levels of the antioxidant GSH by 205%, decreased the levels of inflammatory radicals MDA and IL-8 by 38.8% and 72%, reducing the total number of acneiform inflammatory lesions by 50%.

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Sahib AS, Al-Anbari HH, Salih M, Abdullah F (2012) Effects of Oral Antioxidants on Lesion Counts Associated with Oxidative Stress and Inflammation in Patients with Papulopustular Acne. J Clin Exp Dermatol Res 3:163.

NAC and endometriosis

A combination of N-acetylcysteine, alpha-lipoic acid, and bromelain significantly reduces pelvic pain associated with endometriosis after 6 months of treatment, in addition to decreasing the use of analgesics.

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Lete, I., Mendoza, N., de la Viuda, E., & Carmona, F. Effectiveness of an antioxidant preparation with N-acetyl cysteine, alpha lipoic acid and bromelain in the treatment of endometriosis-associated pelvic pain: LEAP study. European journal of obstetrics, gynecology, and reproductive biology. 2018; 228, 221–224.