U.S. doctors online nowAsk doctors free
A 28-year-old male asked:

What's the next best antibiotic class for treating adult acne after doxycycline and bactrim (sulfamethoxazole and trimethoprim)? is cephalexin or azithromycin a good option?

2 doctor answers3 doctors weighed in
Dr. Ed Friedlander
Pathology 44 years experience
Use the big guns: An antibiotic should never be used as sole treatment for acne. If you've been doing this, you need to add a topical agent such a benzoyl peroxide. If the combination has failed, it's time for you to consider isotretinoin. It's not for the faint-hearted, but it's better than loading antibiotics that may leave you with colitis or worse.
Dr. John Munshower
Family Medicine 30 years experience
Acne treatment: Acne is treated by several different medications. Antibiotics aim to treat common skin bacteria that may precipitate acne formation, but antibiotics are not always the cure. Drying agents, washes, benzoil peroxides may be needed. Some severe cases may require dermatology evaluations and tx such as accutane. Best to see the skin dr. (derm) and get tx. Before using many antibx. Best wishes.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Sep 28, 2016

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.