Treatment Options for Severe Acne on the Basis of Lesion Type. - Flowchart
Treatment Options for Severe Acne on the Basis of Lesion Type. - Flowchart Acne Vulgaris Acne Vulgaris
«Flowchart»

Severe Acne

Severe Acne

Severe Acne

Severe Acne

Consider referral to a dermatologist.

Consider referral to a dermatologist.

Consider referral to a dermatologist


Oral antibiotic (eg, minocycline, doxycycline, sarecycline).

AND


Topical retinoid (alone or as fixed-dose product with benzoyl peroxide [BPO] or topical antibiotic) daily.

AND


BPO (if not used as part of a fixed-dose product) daily.
Consider topical antibiotic (as individual agent or as fixed-dose product) if not already included.


Oral antibiotic (eg, minocycline, doxycycline, sarecycline).


Oral antibiotic (eg, minocycline, doxycycline, sarecycline).

AND

AND


Topical retinoid (alone or as fixed-dose product with benzoyl peroxide [BPO] or topical antibiotic) daily.


Topical retinoid (alone or as fixed-dose product with benzoyl peroxide [BPO] or topical antibiotic) daily.

AND

AND


BPO (if not used as part of a fixed-dose product) daily.
Consider topical antibiotic (as individual agent or as fixed-dose product) if not already included.


BPO (if not used as part of a fixed-dose product) daily.
Consider topical antibiotic (as individual agent or as fixed-dose product) if not already included. Oral antibiotic

In females, consider adding hormonal therapy (eg, combined oral contraceptive or other antiandrogen) as adjunctive therapy.

In females, consider adding hormonal therapy (eg, combined oral contraceptive or other antiandrogen) as adjunctive therapy.

In females

End

End

End

If patient does not improve with this treatment, refer to dermatologist.

If patient does not improve with this treatment, refer to dermatologist.

If patient does not improve with this treatment, refer to dermatologist.

If patient does not improve with this treatment, refer to dermatologist.