[Summary of the practice guideline 'Acne' (second revision) from the Dutch College of General Practitioners].
The 1999 practice guideline 'Acne vulgaris' from the Dutch College of General Practitioners has been revised. Benzoyl peroxide and local retinoids are first choice in local treatment of acne. When treatment with oral antibiotics is indicated, doxycycline is first choice. Use of minocycline is not recommended in general practice. It is recommended that both local and oral antibiotics are always combined with local benzoyl peroxide or a local retinoid. Oral contraceptives are only recommended in women with acne who also desire contraception. Use of oral contraceptives containing cyproterone acetate is no longer recommended in women with acne, because they are not more effective than other oral contraceptives. Treatment with oral isotretinoin may be given by the general practitioner, as long as the treatment guidelines are carefully followed.
Kertzman
M G M
MG
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Postbus 3231, 3502 GE Utrecht.
Smeets
J G E
JG
Boukes
F S
FS
Goudswaard
A N
AN
D000152:Acne Vulgaris / Q000188:drug therapy*; D000284:Administration, Oral; D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003276:Contraceptives, Oral; D005194:Family Practice / Q000592:standards*; D006801:Humans; D009426:Netherlands; D010818:Practice Patterns, Physicians'; D012955:Societies, Medical; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D003276:Contraceptives, Oral