You can use your existing Medical Independent, MediLearning or PharmacistCPD account to log in.


Medicalindependent.ie is Ireland's only investigative medical news website for doctors, healthcare professionals and anyone with an interest in health issues.

Established in 2010, along with its sister publication The Medical Independent, our stated aim is to investigate and analyse the major issues affecting healthcare and the medical profession in Ireland. The Medical Independent has won a number of awards for its investigative journalism, and its stories are frequently picked up by national digital, broadcast and print media. The Medical Independent is published by GreenCross Publishing.

Address: Top Floor, 111 Rathmines Road Lr, Dublin 6

Tel: 353 (01) 441 0024

GreenCross Publishing is owned by Graham Cooke.


The benefits of registering: only registered users:
  • receive the ecCopy two days prior to the printed edition.
  • have automatic access to our free CPD sites.
  • can partake in our online MCQs.
  • can enter our online sports quiz.

Sign up now for ease of access to The Medical Independent, Ireland’s most frequently published medical newspaper, delivering award-winning news and investigative reporting.

Download the new Mindo app for both IOS & Android.

  • Get notified when a story goes live
  • Access Premium Content
  • Read Offline
 
[the_ad_placement id="main-ldb-public"]
[the_ad_placement id="main-ldb-mobile-public"]

You are reading 1 of 2 free-access articles allowed for 30 days

Topical therapies and oral antibiotics in acne discussed

By Dermot - 13th Mar 2019 | 10 views

The most effective topical therapies and oral antibiotics, which have become mainstays in the management of acne, were highlighted by Prof Jerry Tan, Adjunct Professor, Schulich School of Medicine and Dentistry, Department of Medicine, University of Western Ontario, Canada, in two separate talks at the PCDSI acne and rosacea symposium.

A member of the expert committee of the National Rosacea Society, Prof Tan covered several topics, including appropriate use based on clinical severity, individual patient features,  mitigation of risk, including intolerance to local application, and reducing the risk of antibiotic resistance.

In his first talk on topical, evidence-based therapies, Prof Tan stressed the importance of maximising adherence in order to achieve the best possible outcomes in acne treatment.

Factors such as accessibility, application, adverse events, appropriate selection and anticipated timelines should always be considered by clinicians, he said.

Acne, he stated, is the eighth-most common condition seen worldwide and can range in type and severity. Evidence-based guidelines recommend topical therapies for most first-line acne treatment, Prof Tan noted.  What patients can afford and what is available are important considerations when prescribing topical agents, he added.

In terms of the application of topical agents, he recommended “field coverage”, not spot treatment. Typically, a pea-sized amount will deliver about two palms’ coverage. The face requires about four palms’ coverage.  The medication should be applied before any moisturisers and left to absorb for about 15 minutes before any other creams/agents are applied, he suggested.

Advice on how to mitigate and prevent adverse events, such as the risk of irritation and dryness from agents, was also covered by Prof Tan.

Agents, for instance, could be used every other night in some cases to reduce erythema, stinging and burning.

Signs of irritation usually peak within one-to-two weeks. Between two-to-four weeks, some improvement should be seen, he said.

Medication adherence requires reminders and patient encouragement, Prof Tan maintained. To achieve this, he advised that a weekly email regarding treatment can be extremely beneficial for patients.

In his next talk on oral antibiotic use in the treatment of acne, Prof Tan said that antibiotic over-use is a concern, but that a treatment equal to or better than oral antibiotics had yet to be found.

Leave a Reply

[the_ad_placement id="main-ldb-public-2"]
[the_ad_placement id="main-ldb-mobile-public-2"]
Latest Issue
The Medical Independent – 24 June 2021

You need to be logged in to access this content. Please login or sign up using the links below.

[the_ad_placement id="main-mpu-public"]
Most Read
[the_ad_placement id="main-ldb-public-2"]
[the_ad_placement id="main-ldb-mobile-public-2"]