Treatment and management of acne

The table below shows how to treat and manage acne in adolescents and young adults.

  Mild  Moderate  Severe 
1st Line Treatment 

Benzoyl peroxide (BP) or topical retinoid
-OR-
Topical combination therapy**
BP + antibiotic
or retinoid + BP
or retinoid + BP + antibiotic

Topical combination therapy**
BP + antibiotic
or retinoid + BP
or retinoid + BP + antibiotic
-OR-
Oral antibiotic + topical retinoid + BP
-OR-
Oral antibiotic + topical retinoid + BP + topical antibiotic

Oral antibiotic + topical combination therapy**
BP + antibiotic
or retinoid + BP
or retinoid + BP + antibiotic
-OR-
Oral Isotretinoin

Alternative Treatment  Add topical retinoid or BP (if not on already)
-OR-
Consider alternate retinoid
-OR-
Consider topical Dapsone 
Consider alternate combination therapy
-OR-
Consider change in oral antibiotic
-OR-
Add combined oral contraceptive or oral spironolactone (females)
-OR-
Consider oral Isotretinoin 

Consider change in oral antibiotic
-OR-
Add combined oral contraceptive or oral spironolactone (females)
-OR-
Consider oral Isotretinoin

**May be prescribed as a fixed combination product or as separate component.