Monday 10 February 2014

Acne vulgaris

Evidence Based Reports

Minocycline for acne vulgaris: efficacy and safety (2012) [Cochrane Library] NEW

Combined oral contraceptive pills for treatment of acne (2012) [Cochrane Library] NEW

Acne Vulgaris (2011) [Clinical Evidence] subcription required

Adapalene 0.1% of Benzoyl Peroxide (Epiduo Gel) - cutaneous treatment of acne vulgaris when comedones, papules and pustules are present (2011)[Scottish Medicines Consortium]

Laser and other light therapies for the treatment of acne vulgaris: systematic review (2010)[DARE]

Combined oral contraceptive pills for treatment of acne (2009)[Cochrane Library]

Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne (2009)[Cochrane Library]

Evidence-based review of lasers, light sources and photodynamic therapy in the treatment of acne vulgaris (2008)[DARE]

Clinical Guidelines

Agne Vulgaris (2013) [CKS] updated

Recent articles in core journals

Acne vulgaris.(2011)[Lancet]

Association of suicide attempts with acne and treatment with isotretinoin: retrospective Swedish cohort study. (2010)[BMJ]

Hematologic safety of dapsone gel, 5%, for topical treatment of acne vulgaris. (2009)[EvidenceUpdates]

Comparison of a 585-nm pulsed dye laser and a 1064-nm Nd:YAG laser for the treatment of acne scars: A randomized split-face clinical study. (2009)[EvidenceUpdates]

An aqueous gel fixed combination of clindamycin phosphate 1.2% and benzoyl peroxide 2.5% for the once-daily treatment of moderate to severe acne vulgaris: assessment of efficacy and safety in 2813 patients.(2008)[EvidenceUpdates]

Detecting implausible social network effects in acne, height, and headaches: longitudinal analysis.(2008)[BMJ]

eTextbooks

Acne Vulgaris (2013)[eMedicine]updated

Acne Vulgaris (2010)[Mentor]

Clinical Queries

Is there any evidence to support the use of the desogestrel-only pill (Cerazette®) or co-cyprindiol (Dianette®, Clairette®) combined pill in women using isotretinoin (Roaccutane®) for acne? (2012)[FSRH] NEW

Can combined oral contraception be offered to a 19 year old woman requesting contraception and treatment of acne who does not wish to use isotretinoins and has a family history of breast cancer and uterine leimyosarcoma? (2013) [FSRH]NEW

Is it possible to use a copper-bearing intrauterine device (Cu-IUD) or levonorgestrel-releasing intrauterine system (LNG-IUS) in a woman on co-cyprindiol (Dianette®) who wishes to stay on co-cyprindiol for good acne control but fails to take it correctly so would be at risk of pregnancy without an additional contraceptive? (2011)[FSRH]

How common is acne vulgaris? (2008)[TRIPAnswers]

What is the evidence for Nlite(pulsed laser) in acne vulgaris? Sould it be used alone or in combination? (2008)[TRIPAnswers]

I have a 39 year old patient who was started on lymecycline for acne about 18 months ago. Is there a maximum length of time that we can prescribe antibiotics for acne. She has tried several other treatments. (2008)[ATTRACT]

Patient on oxytetracycline 250mg bd for acne - planned for at least 3/12, also on combined oral contraceptive pill. How long does she need to use condoms for? (2008)[ATTRACT]

In mild acne, what are the best topical alternatives for benzoyl peroxide?(2008)[TRIPAnswers]

Is topical azelaic acid safe for use by pregnant women for the treatment of acne?(2008)[TRIPAnswers]

Is Zineryt (erythromycin and zinc acetate) safe for use by pregnant women for the treatment of acne? (2008)[TRIPAnswers]

Is there a lower age restriction on commencing dianette for acne in young teenagers? (2008)[TRIPAnswers]

Can an asplenia patient with acne (who cannot tolerate penicillin) take lymecycline? (2008)[TRIPAnswers]

What is the evidence for low dose isotretinoin for acne rather than full dose? In which patients is it most effective? (2008)[TRIPAnswers]

Patient Information

Acne(2013)[BUPA] updated

Acne(2013)[NHS Choices] updated

Acne(2010)[British Association Of Dermatologists]

Acne(2012)[PatientUK] updated

Topical (Rub-On) Treatments For Acne(2012)[PatientUK]updated

Antibiotic Tablets for Acne(2012)[PatientUK] updated

Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

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