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ACNE, consider ADDING an ORAL tetracycline (for max 3/12)., Topical…
ACNE
Advise
:forbidden: over cleaning (dryness and irritation). Not caused by poor hygiene and BD washing with a gentle soap and fragrance-free cleanser
If cosmetics are used, non-comedogenic preparations with pH close to the skin :check:
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Tx effective but take time to work (usually up to 8 weeks) and may irritate the skin, especially at the start
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Refer
Refer, with urgency depending on the clinical situation if:
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Severe acne + visible scarring or risk of scarring/ significant hyperpigmentation — primary care tx should be initiated
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NO RESPONSE to TWO different courses, or if starting to SCAR
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During COVID - cannot give initial treatment in the practice so if any signs of severe attack then admit. If moderate can I give initial tx??
