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Questions and Answers
What is the first line treatment for mild to moderate acne?
What is the first line treatment for mild to moderate acne?
- Topical benzoyl peroxide monotherapy (correct)
- Topical adapalene with benzoyl peroxide with oral lymecycline or doxycycline
- None of the above
- Trimethoprim or a macrolide
What is the alternative antibacterial option for moderate to severe acne?
What is the alternative antibacterial option for moderate to severe acne?
- None of the above
- Topical benzoyl peroxide monotherapy
- Trimethoprim or a macrolide (correct)
- Topical adapalene with benzoyl peroxide with oral lymecycline or doxycycline
When should the first line treatment be reviewed?
When should the first line treatment be reviewed?
- After 12 weeks (correct)
- After 6 weeks
- After 18 weeks
- After 24 weeks
What is the treatment option for severe acne that is resistant to other treatments?
What is the treatment option for severe acne that is resistant to other treatments?
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What caution should be taken when using isotretinoin in females of childbearing potential?
What caution should be taken when using isotretinoin in females of childbearing potential?
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What should be done if there is a relapse after treatment?
What should be done if there is a relapse after treatment?
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When should a referral to a consultant dermatologist-led team be considered?
When should a referral to a consultant dermatologist-led team be considered?
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Study Notes
- First line treatments for acne depend on severity.
- Mild to moderate acne can be treated with topical benzoyl peroxide with clindamycin.
- Moderate to severe acne can be treated with topical adapalene with benzoyl peroxide with oral lymecycline or doxycycline.
- Alternative antibacterial options include trimethoprim or a macrolide.
- Topical benzoyl peroxide monotherapy can be used if first line options are contraindicated.
- Review first line treatment after 12 weeks and consider maintenance options if acne has cleared.
- Isotretinoin can be used for severe acne that is resistant to other treatments.
- Isotretinoin is a powerful teratogen and must be used with caution in females of childbearing potential.
- Relapse can be treated with another 12-week course of the same or alternative treatment option.
- Referral to a consultant dermatologist-led team may be necessary for unresponsive cases.
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