Rao Shobha, Malik Mehreen A, Wilder Laura, Mott Timothy
University of Texas Southwestern Family Practice Residency, Dallas, TX, USA.
J Fam Pract. 2006 Nov;55(11):994-6.
For mild comedonal acne, monotherapy with topical retinoids is the treatment of choice (strength of recommendation [SOR]: A). For moderate comedonal and mild to moderate papulopustular acne, combination therapy with either benzoyl peroxide or topical retinoids (adapalene [Differin], tazarotene [Tazorac], tretinoin [Retin-A]) plus topical antibiotics (erythromycin or clindamycin) is proven most effective (SOR: A). Six to 8 weeks should be allowed for most treatments to work before altering the regimen (SOR: A).
对于轻度粉刺性痤疮,外用维甲酸类药物单一疗法是首选治疗方法(推荐强度[SOR]:A)。对于中度粉刺性以及轻度至中度丘疹脓疱性痤疮,联合使用过氧化苯甲酰或外用维甲酸类药物(阿达帕林[达芙文]、他扎罗汀[他扎罗克]、维甲酸[维甲酸乳膏])加外用抗生素(红霉素或克林霉素)已被证明是最有效的(SOR:A)。在改变治疗方案之前,大多数治疗应给予6至8周的时间来起效(SOR:A)。