What is the difference in anti-acne action between minocycline, doxycycline, tretinoin and fluorouracil?

Doctor's Answers 1

Both doxycycline and minocycline are oral types of antibiotics. They act on the P. acne bacteria that cause inflammatory acne. They also do have anti-inflammation properties and are helpful in reducing the inflamed papules and cysts of acne.

Tretinoin is a vitamin D analogue. This is in the active ingredient in creams such as Retin-A and Retacnyl. The main action of tretinoin is its comedolytic action, ie. it is good for clearance of comedones like blackheads and whiteheads.

5 Fluorouracil is a cream that is often used for the treatment of actinic keratosis. It is not usually indicated for acne treatment.

Similar Questions

What should I do if doxycycline is not working for my acne?

It may be because your acne is severe and hence may need stronger treatment like isotretinoin. Another reason is non-compliance or you have not tried doxycycline long enough (usually takes 2-3 months to see significant results). Perhaps your acne is hormonal driven (in females), hence an oral contraceptive may be more beneficial for you. I would advise you to see a dermatologist for further assessment.

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Human

For acne, how long should I take oral antibiotic treatment for, such as with Minocycline or Doxycycline, before it is considered to be a treatment failure?

Hi,Treatment failure with oral antibiotics for inflammatory acne is considered to have occurred if there is no improvement in acne after 3 months of compliant therapy. Hope this helps!

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Dr Chin Yee Choong

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