Acne Vulgaris

Rx in Practice

• Patient education
• Combination Rx best for all degrees of acne
• Consider psychological impact - especially if scarring present
• Reduce cosmetic use and use non-greasy or water-based products

If female, consider

• Impact of Rx on pregnancy - present or planned
• Anti-androgen
• COCP + anti-androgen
• e.g. Diane
• Spironolactone

Consider oral prednisolone in severe cases or if acne fulminans --> short-term relief

Before Any Systemic Rx

• Check
• BP
• FBC
• LFTs; UCEs; eGFR
• Fasting TGs (for isotretinoin and prednisolone)