derm

Question 1

First line treatment options for acne vulgaris
mild

Answer 1

Acne of any severity:
Fixed combination topical adapalene with benzoyl peroxide, or
Fixed combination topical tretinoin with clindamycin.

Mild to moderate acne:
Fixed combination topical benzoyl peroxide with clindamycin.

Question 2

Moderate to severe acne Tx

Answer 2

Fixed combination topical adapalene with benzoyl peroxide with oral lymecycline or doxycycline, or
Topical azelaic acid with oral lymecycline or doxycycline.

Alternative antibacterial options if lymecycline or doxycycline unsuitable: trimethoprim [unlicensed] or a macrolide (such as erythromycin).

Question 3

When should you reasses acne treatment
PCOS option?
option for maintenance

Answer 3

Review first line treatment after 12 weeks. For patients whose acne has cleared, maintenance options should also be considered
can consider a further course of antibiotic if has not totally clearled
co-cyprindiol) or COCP

maintence not always needed - adapalene with benzoyl peroxide, of single aceltic acid. review 12weekly