Optimal Use Recommendations and Stewardship Principles with Oral Antibiotics in Acne Vulgaris Management: An Expert Consensus Panel
Recommended Citation
Rosenberg AL, Shah M, Del Rosso JQ, Baldwin H, Harper J, Hebert AA, Keri J, Kwong P, Rieder E, Stein Gold L, Bartley B, Burshtein J, Debusk L, and Zakria D. Optimal Use Recommendations and Stewardship Principles with Oral Antibiotics in Acne Vulgaris Management: An Expert Consensus Panel. J Clin Aesthet Dermatol 2025;18(12):21-29.
Document Type
Article
Publication Date
12-1-2025
Publication Title
J Clin Aesthet Dermatol
Keywords
Acne vulgaris; doxycycline; minocycline; oral antibiotics; sarecycline; tetracyclines
Abstract
BACKGROUND: The purpose of this meeting was for an expert panel to analyze current literature and provide updated consensus statements regarding the optimal management, safety, and efficacy of oral antibiotics in acne vulgaris (AV).
METHODS: A thorough literature search was conducted across PubMed, Scopus, and Google Scholar to identify English-language original research articles evaluating the use of oral antibiotics for AV. An expert panel of 8 dermatologists, specializing in the management of AV, convened to assess the findings and develop statements regarding oral antibiotics for AV. Each statement was approved through a modified Delphi process, and a strength of recommendation was assigned based on the Strength of Recommendation Taxonomy (SORT) criteria.
RESULTS: A total of 544 articles regarding the safety, efficacy, and management of oral antibiotics for AV were identified through the literature search. Following a rigorous screening process, 17 articles were deemed relevant to the research questions and provided to the panelists for review prior to the roundtable discussion. The panel reached unanimous agreement on 10 consensus statements and recommendations, assigning seven a strength of A, one a strength of B, and two a strength of C.
CONCLUSION: The expert panel concluded that oral antibiotics can be used in the treatment of moderate-to-severe AV, oral antibiotics should be combined with topical treatments, and duration of use should be determined based on individualized patient care. Tetracyclines are recognized options for AV therapy, with sarecycline considered a preferred option for AV due to its targeted mode of action, unique ribosomal binding properties, narrow spectrum of antibiotic activity, lower bacterial resistance risk, and overall better tolerability. Additionally, tetracyclines should be avoided in pregnancy and in young children.
PubMed ID
41640785
Volume
18
Issue
12
First Page
21
Last Page
29
