Treatment options for moderate acne on the basis of lesion type.
Treatment options for moderate acne on the basis of lesion type. - Flowchart Acne Vulgaris Acne Vulgaris
«Flowchart»

Moderate Acne

Moderate Acne

Moderate Acne

Moderate Acne

Only face involved


Combination therapy (benzoyl peroxide [BPO]/retinoid, BPO/antibiotic + retinoid, retinoid/antibiotic + BPO) (prescribe as individual agents if fixed-dose combinations not available).
Consider oral antibiotic (eg, doxycycline, minocycline, sarecycline) along with topical regimen if inflammatory lesions are numerous.

Only face involved

Only face involved


Combination therapy (benzoyl peroxide [BPO]/retinoid, BPO/antibiotic + retinoid, retinoid/antibiotic + BPO) (prescribe as individual agents if fixed-dose combinations not available).
Consider oral antibiotic (eg, doxycycline, minocycline, sarecycline) along with topical regimen if inflammatory lesions are numerous.


Combination therapy (benzoyl peroxide [BPO]/retinoid, BPO/antibiotic + retinoid, retinoid/antibiotic + BPO) (prescribe as individual agents if fixed-dose combinations not available).
Consider oral antibiotic (eg, doxycycline, minocycline, sarecycline) along with topical regimen if inflammatory lesions are numerous. Only face involved

Face and chest or back involved


Oral antibiotic plus topical regimen (See box at left.)
BPO wash for use on chest or back in shower

Face and chest or back involved

Face and chest or back involved


Oral antibiotic plus topical regimen (See box at left.)
BPO wash for use on chest or back in shower


Oral antibiotic plus topical regimen (See box at left.)
BPO wash for use on chest or back in shower Face and chest or back involved

End

End

End

If patient does not improve with this treatment


Add oral antibiotic (if not already done) or try alternative antibiotic or dosing regimen.
Consider hormonal therapy (eg, combined oral contraceptive) for females.
Refer to dermatologist.

If patient does not improve with this treatment


Add oral antibiotic (if not already done) or try alternative antibiotic or dosing regimen.
Consider hormonal therapy (eg, combined oral contraceptive) for females.
Refer to dermatologist.

If patient does not improve with this treatment

If patient does not improve with this treatment


Add oral antibiotic (if not already done) or try alternative antibiotic or dosing regimen.
Consider hormonal therapy (eg, combined oral contraceptive) for females.
Refer to dermatologist.


Add oral antibiotic (if not already done) or try alternative antibiotic or dosing regimen. Add oral antibiotic (if not already done) or try alternative antibiotic or dosing regimen.
Consider hormonal therapy (eg, combined oral contraceptive) for females. Consider hormonal therapy (eg, combined oral contraceptive) for females.
Refer to dermatologist. Refer to dermatologist.