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Low-dose doxycycline moderately effective for acne
PRACTICE RECOMMENDATIONS

The authors propose that moderate acne may be treated with doxycycline in subantimicrobial doses (20-mg tablets taken twice daily). This regimen was well-tolerated, moderately effective in reducing skin lesions, and did not have a detectable effect on the antibiotic resistance of skin flora.

The cost of Periostat (the only form of doxycycline 20 mg available in the US) is about $55 per month, while generic doxycycline 100 mg is about $10.1 This study has some significant flaws, but a trial of low-dose doxycycline in an adult with acne severe enough to warrant antibiotics would still seem a reasonable, albeit expensive, option.

 
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Practice Recommendations from Key Studies

Skidmore R, Kovach R, Walker C, et al. Effects of subantimicrobial-dose doxycycline in the treatment of moderate acne. Arch Dermatol 2003; 139:459–464.

Seth T. Miller, MD
James J. Stevermer, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia.

Millerse@health.missouri.edu

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The Journal of Family Practice - 52(8)
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587-604
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Practice Recommendations from Key Studies

Skidmore R, Kovach R, Walker C, et al. Effects of subantimicrobial-dose doxycycline in the treatment of moderate acne. Arch Dermatol 2003; 139:459–464.

Seth T. Miller, MD
James J. Stevermer, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia.

Millerse@health.missouri.edu

Author and Disclosure Information

Practice Recommendations from Key Studies

Skidmore R, Kovach R, Walker C, et al. Effects of subantimicrobial-dose doxycycline in the treatment of moderate acne. Arch Dermatol 2003; 139:459–464.

Seth T. Miller, MD
James J. Stevermer, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia.

Millerse@health.missouri.edu

Article PDF
Article PDF
PRACTICE RECOMMENDATIONS

The authors propose that moderate acne may be treated with doxycycline in subantimicrobial doses (20-mg tablets taken twice daily). This regimen was well-tolerated, moderately effective in reducing skin lesions, and did not have a detectable effect on the antibiotic resistance of skin flora.

The cost of Periostat (the only form of doxycycline 20 mg available in the US) is about $55 per month, while generic doxycycline 100 mg is about $10.1 This study has some significant flaws, but a trial of low-dose doxycycline in an adult with acne severe enough to warrant antibiotics would still seem a reasonable, albeit expensive, option.

 
PRACTICE RECOMMENDATIONS

The authors propose that moderate acne may be treated with doxycycline in subantimicrobial doses (20-mg tablets taken twice daily). This regimen was well-tolerated, moderately effective in reducing skin lesions, and did not have a detectable effect on the antibiotic resistance of skin flora.

The cost of Periostat (the only form of doxycycline 20 mg available in the US) is about $55 per month, while generic doxycycline 100 mg is about $10.1 This study has some significant flaws, but a trial of low-dose doxycycline in an adult with acne severe enough to warrant antibiotics would still seem a reasonable, albeit expensive, option.

 
Issue
The Journal of Family Practice - 52(8)
Issue
The Journal of Family Practice - 52(8)
Page Number
587-604
Page Number
587-604
Publications
Publications
Topics
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Low-dose doxycycline moderately effective for acne
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Low-dose doxycycline moderately effective for acne
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