Although HS cannot be cured, there are currently multiple effective treatments to help manage HS.
 

Early detection and prompt treatment

Early diagnosis and prompt treatment of HS can help reduce flares, and lowers the risk of tunnelling and scarring¹. Treating early also reduces the risk of needing surgical treatment in future¹. It’s important for people with symptoms of HS to see a dermatologist who is experienced in diagnosing and treating HS, so they can get the right treatment as soon as possible.
 

Treatment options for hidradenitis suppurativa

A dermatologist will choose the most appropriate HS treatment based on disease severity, taking into account any other medical conditions or treatments.
 

Treatments for HS can include:

Antibiotics: Symptoms of HS may be managed with antibiotics for some patients, either taken by mouth or applied to the skin (topical).

Antiseptics: Patients may be prescribed an antiseptic wash such as chlorhexidine, to keep wounds clean and reduce the spread of bacteria on the skin.

Biologics: These are medications that are produced from living cells, tissues, or blood. They are used to treat many inflammatory conditions like HS. Biologics are taken either as a one-off injection or as an infusion into a vein that is delivered over time (minutes to hours).

Retinoids: These are medications derived from Vitamin A. They are used to treat skin conditions and other medical conditions, and may be taken by mouth or applied directly to the skin (topical). They may be prescribed by a dermatologist for some patients with HS.

Corticosteroids: Topical corticosteroids may sometimes be prescribed to treat HS These can be given in the form of creams and ointments, or as an injection into a lesion. Corticosteroids are typically only used short-term, to avoid side effects such as skin thinning.

Pain medication: Non-steroidal anti-inflammatory drugs may provide temporary relief of HS symptoms, including pain.

Contraceptives: These may be helpful for women with HS who experience flares around the time of their monthly period.

Surgery: This can be another way to manage HS when a tunnel and sores (or abscesses) are present. Different surgical approaches are available depending on the extent and severity of HS. After surgery, sores might recur or appear in other areas.