Table 4

 Summary of treatments for acne

MildModerateSevere
First choiceBenzoyl peroxide (BPO) Comedone predominant Oral isotretinoin
Benzoyl peroxide + topical retinoid
Inflammatory predominant
Benzoyl peroxide + topical antibiotic
AlternativesTopical retinoidOral antibiotic + BPOAs for moderate acne
Azelaic acidOral antibiotic + BPO + topical retinoid
Salicylic acidAzelaic acid
Consider hormonal therapy for females