Oral Antibiotic Treatments for Acne

Oral antibiotics are generally reserved for severe acne cases, including cystic acne that hasn’t responded to topical treatments, or for skin types at higher risk for scarring. While effective in reducing outbreaks and inflammation, antibiotics don’t completely resolve acne. Currently, there’s no clear evidence to suggest that one oral antibiotic is more effective than another for treating cystic acne, or that high doses are more effective than low doses.

The choice of oral antibiotics should consider factors like patient preference, side effects, severity of acne, and cost. The typical treatment duration ranges from six to nine weeks, but can extend up to 16 weeks for stubborn cases. If a patient doesn’t respond well, increasing the dose may help. However, if no improvement is seen, discontinuing the antibiotic is advised. Routine maintenance with oral antibiotics is not recommended due to other equally effective treatment options.

To combat antibiotic resistance, benzoyl peroxide can be used to eliminate resistant bacteria. Guidelines from the Global Alliance to Improve Outcomes in Acne recommend using benzoyl peroxide for at least a week between antibiotic courses if treatment extends beyond two months. Given the global rise in antibiotic resistance, careful consideration should be given to the use of oral antibiotics, which are most effective when used in combination with other treatments that unclog skin follicles.

Considering the complexities of acne treatment and the importance of your medical history, it’s crucial to consult a dermatologist for a personalized treatment plan tailored to your unique condition.