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What are the first-line topical treatments for mild to moderate acne vulgaris in adolescents?
Answer
Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 14 August 2025
Offer a 12-week course of one of the following first-line topical treatments for mild to moderate acne in adolescents:
- A fixed combination of topical adapalene with topical benzoyl peroxide, applied once daily in the evening 1.
- A fixed combination of topical tretinoin with topical clindamycin, applied once daily in the evening 1.
- A fixed combination of topical benzoyl peroxide with topical clindamycin, applied once daily in the evening 1.
Consider topical benzoyl peroxide as monotherapy as an alternative if these options are contraindicated or the person wishes to avoid using a topical retinoid or an antibiotic 2.
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