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2006 Current Consult: Medicine
Acne Vulgaris
Sections: Key Features, Essentials of
Diagnosis, General Considerations, Demographics, Clinical Findings, Symptoms and
Signs, Differential
Diagnosis, Diagnosis, Laboratory Tests, Treatment, Medications, Comedonal Acne, Papular Inflammatory
Acne, Therapeutic
Procedures, Outcome, Complications, Prognosis, When to Refer, Prevention, Evidence, Practice Guidelines, Web Site, Information
for Patients, References, Author(s).
Excerpt:
| |  Soaps play little part and, if any are used,
they should be mild
Topical retinoids | | – Tretinoin is very effective: start with 0.025% cream
(not gel) twice weekly at night, then build up to as often as nightly;
a pea-sized amount is sufficient to cover half the entire face;
wait 20 min after washing to apply – Adapalene gel 0.1% and reformulated tretinoin (Renova,
Retin A Micro, Avita), and tazarotene gel 0.05% or 0.1% are
other options if standard tretinoin preparations cause irritation – Lesions may flare in the first 4 weeks of treatment; the drug
is contraindicated in pregnancy |
Benzoyl..."
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