When do I need tablet treatments for my acne?

By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon
Last updated 2020-04-05

The different treatments for acne can be thought of as a ladder starting with over the counter products, moving up through prescription topical treatments (creams, ointments and lotions) and then on to tablet treatments. Generally as this ladder is ascended the treatments are more effective, however there can be a greater potential for side effects.

In most cases, patients will have tried over the counter and prescription topical (creams, ointments and lotions) treatments prior to moving on to tablet treatments. However, there are are certain scenarios where is is reasonable to move on to tablet treatments sooner

Where acne is moderate or severe, particularly where there is evidence of scarring, it is unlikely that topical treatments will prove effective and important to find an effective treatment rapidly to minimize the permanent consequences of scarring.

The combined oral contraceptive pill (OCP) can be an effective treatment for acne in women, particularly for hormonal acne. Where women are considering the OCP for contraception the presence of acne can be another reason to start since certain brands of the OCP, such as Yasmin, have additional activity in blocking the action of the male sex hormone testosterone and can be particularly effective for acne.

How can I help

I see patients in person in central London. An in person consultation allows me to examine the skin directly including features that are difficult to capture in a photograph such as 3-dimensional changes and textural change. This is the better option where the diagnosis is uncertain, where previous treatment has not been effective, or where a procedure is being considered. For more straightforward conditions such as acne and rosacea a remote consultation with clear photographs can be a good option.

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About Dr Magnus Lynch

MA(Cantab) DPhil(Oxon) MRCS FRCP

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John's Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King's College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions.

My NHS practice is at Guy's Hospital. I consult with private patients at OneWelbeck (near to Bond Street station) and on Harley Street. Book A Consultation.