Many other treatment options exist, including topical agents such as azelaic acid, adapalene, tazarotene, salicylic acid, and topical antibiotics. Oral medications that can be used include multiple oral antibiotics, spironolactone, and birth control pills. The latter two medications are especially helpful in the treatment of adult female acne. They work on the hormonal influence on acne and are highly successful in this type of patient. All the medications used for acne have potential side effects, and treatment must be tailored to the individual. Comedone extraction, intralesional triamcinolone, and photodynamic therapy have shown some success intreating acne. Laser resurfacing, chemical peels, and use of artificial fillers should be reserved for the treatment of scarring after the inflammatory acne has been controlled.