3 doctors weighed in:

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?

3 doctors weighed in
Dr. John Munshower
Family Medicine
2 doctors agree

In brief: 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.

In brief: 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.
Dr. John Munshower
Dr. John Munshower
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Dr. Ed Friedlander
Pathology

In brief: 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.

In brief: 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. Ed Friedlander
Dr. Ed Friedlander
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