| Order | Medication | Mechanism | Special considerations |
Picture |
| 1 | Benzoyl peroxide | Antibacterial | Overuse dries skin |
Patient with acne vulgaris. Note the presence of white heads called closed comedones and the absence of cystic acne |
| 2 |
Retin A Differin |
Keratinolytic |
- May dry skin - Apply Retin A QPM bec. of photosensitivity |
|
| 3 | Topical Clindamycin or Erythomycin | Topical antibacterial | May leave white film | |
| 4 | Benzaclin | Benzoyl peroxide and clindamycin | May cause drying of skin | |
| 5 |
PO Clindamycin PO Erythromycin PO Tetracycline, Doxycycline or Minocycline |
Antibacterial | May cause upset stomach | |
| 6 | Accutane | Shrinks sebaceous glands |
- SE include dry lips, increased
triglycerides and LFT's, decreased wbc; Requires pregnancy test and
patient must be on contraceptives during therapy (Usually 6 months) - Must follow patient's LFT's |
