Acne/rosacea

Question 1

Management of rosacea? (3)

Answer 1

Mild- topical metronidazole
Topical brimodine for patients with flushing but limited telangiectasia
More severe disease- oral antibiotics e.g. oxytetracycline

Question 2

Which class of antibiotics should be avoided with retinoids?

Answer 2

Tetracyclines e.g. doxycycline

Question 3

Commonest side-effects of retinoids?

Answer 3

Dry skin/eyes/lips/mouth

Question 4

Management of hidradenitis?

Answer 4

Topical antibiotics e.g. clindamycin for 3 months

Oral or intra-lesional steroids can be used for severe flares

Question 5

How should antibiotics be prescribed for acne?

Answer 5

Should not combine oral + topical

Also do not use either oral or topical as monotherapy

Question 6

Management: mild to moderate acne

Answer 6

12 week course of either:

a) topical adapalene + benzoyl peroxide
b) topical tretinoin + topical clindamycin
c) topical clindamycin + benzoyl peroxide

Question 7

Antibiotic options for moderate to severe acne?

Answer 7

Either oral limecycline or doxycycline, in combination with topical benzoyl peroxide + adapalene or topiucal azelaic acid

Question 8

Adverse effects of doxycycline in acne?

Answer 8

Can cause a photosensitive reaction

Question 9

Options for acne in pregnant women?

Answer 9

Erythromycin; trimethoprim

Question 10

How should co-cyprindiol be used for acne?

Answer 10

In women who have failed to improve on other treatments; discontinue 3months after control is achieved