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Dermatology

Acne

چہرے کے دانے

Pimples over the face with multiple small macules, treated with oral antibiotic, a medicated wash, a topical antibiotic gel and, in the sample, isotretinoin.

ICD-10
—
Source
OPD handbook p.110
Status
Draft

Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.

Symptoms

  • Pimples over the face (15 days in the sample)

Diagnosis

  • Face shows multiple small macules

Treatment

Step 1 of 4

1. Oral antibiotic

Prescription

AzithromycinMacrolide antibiotic
DoseEvery other day (Urdu: 'har dosre din'); the duration written beside it is not fully legible
Brand Tab Azitma 250 mg
Also sold as Zithromax, Azomax, Azitma, Arzomic, Zyto, Genthro
Caution: QT prolongation; caution with other QT-prolonging drugs
Step 2 of 4

2. Wash and topical

  • Acne soap wash: wash the face morning and evening with this soap
  • Cleret gel (clindamycin): apply to the affected site morning and evening

Prescription

DoseWash the face morning and evening
Brands Generic / hospital supply
Clindamycin gelTopical antibiotic (acne)
DoseApply to the affected site morning and evening
Brand Cleret gel
Step 3 of 4

3. Isotretinoin (in the sample)

  • Cap Maxinoin 10 mg every other day, taken with milk

Prescription

IsotretinoinRetinoid (acne)
DoseEvery other day with milk
Brand Cap Maxinoin 10 mg
Step 4 of 4

4. Counselling (Urdu notes)

  • Avoid oily things, fried foods and glossy/greasy things
  • Increase vegetables and fruits
  • Do not go out in the sun

Verify before use

  • Isotretinoin is a specialist drug (teratogenic; needs monitoring). It is recorded here exactly as it appears in the sample prescription; a clinician should decide whether it is appropriate in your setting.
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