Minor ailments

Acne (mild)

Clinical basis & sources

Sources used

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Allowable drugs under Schedule 4 (11)

Drugs an Ontario pharmacist may prescribe for Acne (mild) under O. Reg. 256/24, Schedule 4. Choice still depends on the assessment, contraindications, allergies, and product availability — this is the eligible list, not a recommendation.

  • Adapalene
  • Azelaic acid
  • Benzoyl peroxide
  • Clindamycin
  • Dapsone
  • Erythromycin
  • Glycolic acid
  • Salicylic acid
  • Tazarotene
  • Tretinoin
  • Trifarotene

Symptoms this assessment screens

  • Blackheads or whiteheads
  • Small red bumps or pustules
  • Face, chest, shoulders, or back involvement
  • Oily skin or clogged pores
  • Prior OTC or prescription acne treatment
  • Self-esteem, mood, school, work, or social impact

Red flags — any positive means refer

  • Painful nodules, cysts, or deep lesions
  • Scarring, pitting, or rapid worsening
  • Fever, malaise, joint pain, ulceration, or acne fulminans concern
  • Major distress, depression, social withdrawal, or self-harm concern
  • Hirsutism, menstrual irregularity, sudden adult onset, or endocrine concern
  • Pregnant, planning pregnancy, or breastfeeding when retinoids are being considered
  • Infantile, neonatal, or prepubertal acne pattern

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