Acne

Question 1

1st line Tx, Mild Acne

Answer 1

1. BP or Topical Retinoid

OR

2. Topical combo therapy:
   - BP + Antibiotic
   - BP + Retinoid
   - BP + Retinoid + Antibiotic

Question 2

Alternative 1st line tx for mild acne

Answer 2

Consider topical Dapsone

Question 3

1st line Tx, Moderate Acne

Answer 3

1. Topical combo therapy
   - BP + Antibiotic
   - BP + Retinoid
   - BP + Retinoid + Antibiotic

OR

2. Oral Antibiotic + Topical Retinoid + BP

OR

3. Oral Antibiotic + Topical Retinoid + BP + Topical Antibiotic

Question 4

Alternative tx for moderate acne

Answer 4

Change topical

Change oral antibiotic

**Add oral contraceptive or oral Spironolactone

(can consider isotrentinoin)

Question 5

1st line tx, Severe Acne

Answer 5

Oral antibiotic + Topical combo therapy

OR

Oral Isotrentinoin

Question 6

Antibiotics recommended for acne, grade A

Answer 6

Tetracyclines (Minacycline, doxycycline)

Macrolides (Azithromycin, Erythromycin)