Tatalaksana

1. Topikal
a. Retinoid
• Adapalene cream, gel, solution and pledgets (0.1%)
• Tretinoin cream (0.025%, 0.05%, 0.1%); gel (0.0196,
0.025%); liquid (0.05%); microsphere (0.1% and 0.04%
gel); polymerized (0.025% cream, 0.025% gel)
b. Antibiotik
• Clindamisin solution, lotion, pledget (1 %)
• Eritromisin solution, gel, ointment (1.5 to 2%)
• Benzoyl peroxide gel, lotion, cream, wash, bar (2.5 to
10%)
c. Azelaic acid cr 20%
2. Sistemik
Antibiotik oral
• Tetrasiklin 250 mg
• Minosiklin 50 mg
• Dosisiklin 100 mg
• Azitromisin 500 mg
 Ringan Sedang Berat

Komedonal Papular/pustular Papular/pustular Nodular Nodular/conglob

ate

Retinoid Retinoid topikal Antibiotik oral + Antibiotik Isotretinoin oral

topikal + antimikroba retinoid topikal oral + retinoid
topikal +/- BPO topikal +/-
BPO
Alt : Alt: Alt: Alt : Alt :
retinoid topikal Antimikroba antibiotik oral + isotretinoin Antibiotik oral
/ azelaic acid, topikal + retinoid retinoid topikal oral/ dosis tinggi +
as. salisil topikal / azelaic +/- BPO antibiotik oral retinoiid topikal
acid + retinoid + BPO
topikal +/-
BPO/ azelaic
acid