FACE - Acne Rosacea - Mild or Suppressive (Unknown cause) |
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Metronidazole Gel MetroGel® Pregnancy: B; Lactation: Unsafe Topical Gel 0.75% |
Children: Should not need until adolescence. Adult: Apply twice daily. (Use sparingly.) |
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Clindamycin Topical Cleocin T® Pregnancy: B; Lactation: Unsafe Topical Gel 1%: 7.5 g, 30 g Lotion 1%: 60 mL |
Children: Should not need until adolescence. Adult: Apply twice daily. (Use sparingly). |
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Erythromycin Gel Erygel®, EryDerm® Pregnancy: B; Lactation: Unsafe Topical Gel 2% |
Children: Should not need until adolescence. Adult: Apply twice daily. (Use sparingly). |
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FACE - Acne Rosacea - Moderate to Severe (Unknown cause) |
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Doxycycline (Vibramycin®) Generics available Pregnancy: D; Lactation: Unsafe Caps: 50 mg, 100 mg Tabs: 100 mg |
Children: Should not need until adolescence. Adult: 100 mg PO twice daily. |
Food: May take with food if GI upset occurs. Take 1 hour before or 2 hours after antacids, iron, milk, or other dairy products. Take with full glass of water to prevent esophagitis. Important side effects: Photosensitivity (use sunscreen), esophagitis. May discolor fingernails. |
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Tetracycline (Sumycin®, Achromycin V®) Generics available Pregnancy: D; Lactation: Unsafe Caps: 250 mg, 500 mg Tabs: 250 mg, 500 mg |
Adult: 250 mg PO four times daily for 7-10 days, then taper to 250-500 mg PO daily. |
Food: Take 1 hour before or 2 hours after meals. Take with full glass of water to minimize esophagitis. Do not take within three hours of antacids, iron, milk, or other dairy or calcium products. |
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Important side effects: Photosensitivity (use sunscreen), esophagitis. May discolor fingernails. Rash, nausea, vomiting, diarrhea, superinfection, hepatitis, renal damage. |
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FACE - Acne Rosacea – Resistant |
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Trimethoprim/Sulfamethoxazole (Bactrim®, Septra®) Generics available Pregnancy: C; Lactation: Unsafe |
Adult: 1 DS tablet PO twice daily for 10-21 days. |
Food: May take without regard to food. Encourage fluids. Important side effects: Photosensitivity, rash. |
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Single Strength (SS) Tabs: 80 mg/400 mg Double Strength (DS) Tabs: 160 mg/800 mg |
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Reduce dose if renal impairment (CrCl <30 mL/min). |
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