Get practical advice, treatment pathway, maintenance tips, and myth busting on treating acne in primary care with the Primary Care Dermatology Society (PCDS) guidance. PCDS acnetreatment skincare
should be used for all grades of acne. Adapalene is better tolerated than other topical retinoids. Topical retinoids are contraindicated in pregnancywith topical retinoids and benzoyl peroxide can be ameliorated by gradual introduction, for example, by short contact initially or less frequent application .
Lymecycline and doxycycline are likely to have better adherence because of their once-daily dosage. Minocycline should not normally be used in view of its higher risks. No tetracycline should be used in those aged under 12 years. Erythromycin is second line owing to its high bacterial resistance. Trimethoprim is an option, but uncommonly used in primary careunopposed progesterones can make acne worse. Second- and third-generation combined oral contraceptives are generally preferred.
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