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Strategies for Treating Adult Female Acne

Hilary Baldwin, MD; and Joshua Zeichner, MD, FAAD

Hilary Baldwin, MD joins DermTube Journal Club host Joshua Zeichner, MD to discuss treatment options for adult female acne. Dr. Baldwin says spironolactone prescriptions are on the rise with dermatologists and patients rediscovering this treatment, noting that it is safe, effective, and affordable. Drs. Baldwin and Zeichner talk about their approach to finding the optimal dosing for patients and how to manage expectations. They also discuss topical treatments and their preference for prescribing branded products—such as a new topical tretinoin lotion—with elegant vehicles to ensure tolerability. They also share insights about a new isotretinoin formulation that does not need to be taken with a high-fat meal, making it more ideal for this patient population.

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