Acne management

Date Published: 
Wednesday, November 2, 2022

In this episode, Paul Jarrett discuses acne vulgaris in primary care.



00:01 intro
00:34 what is acne and how common is it?
01:43 what causes acne?
02:54 what are the clinical features of acne?
04:31 how do we classify acne?
06:01 do we need to run any tests?
06:26 general principles of treatment
07:30 is there evidence for a change in diet
08:12 is there evidence for supplements
08:40 treatments for mild acne
11:58 is there a role for laser treatment?
13:36 Isotretinoin class and mode of action
14:22 what do we need to consider before starting?
17:59 best time to start Isotretinoin
18:53 what dose is optimal?
20:02 is there any monitoring we need to do?
21:15 pregnancy contraception and Isotretinoin
24:03 risk of flare
26:36 how effective is a course?
27:46 red flags for referral
29:30 take-home messages


Take-home messages

  • Never underestimate the psychological impact of acne at any age.
  • What you may regard as mild the patient may regard as severe.
  • It is fully treatable.
  • Move through the treatment ladder progressively and if needed on to Isotretinoin.
  • Start Isotretinoin if acne is severe and/or there is a risk of scarring which is preventable.



Paul Jarrett

Paul is a Dermatologist at Middlemore Hospital, Counties Manukau District Health Board and Honorary Senior Lecturer in the Department of Medicine, The University of Auckland. He trained in Hamilton, Auckland, and in the UK where he undertook a fellowship year at the University of Glasgow. He completed his MD through The University of Auckland, and his interest is medical dermatology.

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.