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Oral antibiotics for acne treatment

Presented By
Dr Neal Bhatia, Therapeutics Clinical research, USA
AAD 2019

Dermatologists prescribe more oral antibiotics than physicians of other specialities [1]. The main indication is acne vulgaris. The novel narrow-spectrum antibiotic sarecycline is a valuable new treatment for moderate-to-severe acne.

Oral antibiotics are indicated in patients with inadequate response to topical treatments and acne involving multiple body areas [2]. Divergent opinions concerning dosing, duration of treatment, and follow-up period still exist, according to Dr Neal Bhatia (Therapeutics Clinical research, USA) [1].

Tetracyclines − mainstay of oral antibiotics for acne

Consensus statements include that antibiotics for acne should be combined with topical therapies (i.e. benzoyl peroxide or retinoid), and tetracyclines are recommended as first-line drug. Treatments and therapy duration should be limited with regard to the induction of resistance. Other agents like erythromycin and azithromycin should be restricted to cases were t...

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