Long-term antibiotic use for acne, rosacea and other dermatology conditions

Scottish Antimicrobial Prescribing Group

Not all antibiotics combat life-threatening infections. Dermatological conditions like acne and rosacea carry a significant psychological burden of depression and low self-confidence, as well as pain and scarring­—both mental and physical. For conditions like these, long-term antibiotics are the mainstay of treatment. As with any antimicrobial, unnecessary use or over-prescription carries risks of side effects and resistance. Balancing the benefits and risks, particularly in conditions where options are limited, remains a pillar of proper clinical practice.

This Guidelines summary covers advice for appropriate prescribing and monitoring of patients receiving antibiotics for dermatological conditions and when treatment should be reviewed

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