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. 2019 Jul 1;12(7):34–50.

TABLE 16.

Treatment choices for pregnant and lactating women

TREATMENT EVIDENCE LEVEL
First-line
  • 1.

    Antibiotics (erythromycin, clindamycin)

  • 2.

    Benzoyl peroxide

  • 3.

    Azelaic acid

  • 4.

    Salicylic acid

 Level 2− to 3, Grades C to D
Second-line
  • 1.

    Oral macrolides (azithromycin)

  • 2.

    Cephalexin

 Level 3, Grade D
Third-line
  • 1.

    Chemical peel (glycolic acid)

  • 2.

    Light-based therapy (intense pulsed light, blue or red light phototherapy) in addition to topical and/or oral therapies

 Level 3, Grade D