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. 2013 Jun 20;30(3):178–187. doi: 10.5114/pdia.2013.35621

Table 1.

Treatment of acne

Comedonal acne Papulopustular acne mild Papulopustular acne medium Nodular acne Nodular/cystic acne
First-linetherapy Local retinoid Local retinoid, antibacterial drug Oral antibiotic + local retinoid + benzyl peroxide Oral antibiotic + local retinoid + benzyl peroxide Oral isotretinoin
Alternativetherapy Local retinoid, azelaic acid, salicylic acid Local retinoid, antibacterial drug + alt. local retinoid or salicylic acid Alt. oral antibiotic + alt. local retinoid + benzyl peroxide Oral isotretinoin or alt. oral antibiotic + alt. local retinoid + benzyl peroxide + azelaic acid High dose of oral antibiotic + local retinoid + benzyl peroxide
Alternative therapy for women See first-line therapy See first-line therapy Oral antiandrogens + local retinoid, azelaic acid, local antibacterial drug Oral antiandrogens + local retinoid ± oral antibiotic ± alt. antibacterial High dose of antiandrogens + local retinoid + local antibacterial drug
Supportive therapy Local retinoid Local retinoid Local retinoid + benzyl peroxide Local retinoid + benzyl peroxide Local retinoid + benzyl peroxide