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🚨 Acne Management: Oral Antibiotics & Key Contraindications! 🚨 Hello, fellow doctors! When you encounter patients with pustular acne, oral antibiotics are often a crucial part of the treatment plan. Here's a quick guide to best practices, particularly with Doxycycline: 💡 Your Oral Antibiotic Choice: For moderate to severe acne with pustules, Doxycycline (a widely used tetracycline) is often preferred. 🌙 Crucial Dosing Tip: Always instruct patients to take Doxycycline at night. This is because tetracyclines are photosensitive, meaning they can significantly increase the risk of severe sunburn and other phototoxic reactions if taken during daylight hours when exposed to sun. 🚫 Important Contraindications to Remember: Pregnant Women: Tetracyclines are strictly contraindicated in pregnancy due to their potential to cause permanent dental discoloration and affect bone development in the fetus. Children: Avoid prescribing tetracyclines to children under 9 years of age, and ideally not under 12 years, to prevent similar adverse effects on developing teeth and bones. ✅ Safer Alternatives: For Pregnant Patients: Consider Azithromycin pulse therapy as a safer oral antibiotic option for acne during pregnancy. For Children: Since acne in younger children is typically less severe, topical treatments are usually sufficient and pose fewer risks. Let's prioritize patient safety and effective treatment. What are your go-to practices for these scenarios? Share in the comments! 👇 #AcneTreatment #DermatologyPearls #OralAntibiotics #Doxycycline #MedicalTips #IndianDoctors #ClinicalPractice #HealthcareUpdates #DocTalk #Tier2Healthcare