Mild | Moderate | Severe | |
---|---|---|---|
First choice | Benzoyl peroxide (BPO) | Comedone predominant | Oral isotretinoin |
Benzoyl peroxide + topical retinoid | |||
Inflammatory predominant | |||
Benzoyl peroxide + topical antibiotic | |||
Alternatives | Topical retinoid | Oral antibiotic + BPO | As for moderate acne |
Azelaic acid | Oral antibiotic + BPO + topical retinoid | ||
Salicylic acid | Azelaic acid | ||
Consider hormonal therapy for females |