Can alternate benzoyl peroxide in the morning with topical tretinoin at bedtime. Despite its popularity, scrubbing the skin roughly is contraindicated. Have a significant inflammatory component with inflamed papules and pustules. As listed above with the addition of antibiotics. As the inflammation decreases, the antibiotics can be tapered and discontinued.
Severe cases require the use of systemic antibiotics.
With improvement, the dose can be tapered gradually. Depending on the patient, maintenance therapy may be continued or therapy may be discontinued. Do not administer tetracycline to pregnant women or children under 12 years of age. Manifested by comedones, inflammatory papules or pustules, and deep, inflamed nodules and cysts. Can result in scarring.