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Acne Vulgaris — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

EasyInflammatory DermatosesAcne VulgarisSCE Dermatology

A 25-year-old man with acne vulgaris has been prescribed Lymecycline 408 mg daily. He asks about the minimum recommended treatment duration. What is the standard recommendation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BAt least 3 months (12 weeks)

BAD and NICE guidelines recommend oral antibiotics for acne should be prescribed for a minimum of 3 months (12 weeks) to adequately assess response. Courses shorter than 3 months may show incomplete response and contribute to antibiotic resistance through subtherapeutic treatment. If no improvement at 3 months, the antibiotic should be changed or treatment escalated. Oral antibiotics should not be continued beyond 6 months due to resistance concerns. They should always be combined with a topical retinoid or benzoyl peroxide (never with a topical antibiotic) to reduce resistance risk.

Reference: BAD 2023 Acne Guidelines; NICE CKS