Which oral tetracycline should I prescribe for acne vulgaris?
Minocycline, like other tetracyclines can cause candidiasis, gastrointestinal upset, hypersensitivity reactions, photosensitivity and benign intracranial hypertension. Minocycline is more likely than other tetracyclines to produce a lupus-like syndrome. Unlike other tetracyclines, minocycline can cause a potentially irreversible slate-grey hyperpigmentation of the skin.
Acne vulgaris is the most common skin disease of adolescence, affecting over 80 per cent of teenagers (aged 13–18 years) at some point. Depending on severity, there is a variety of effective topical and systemic treatments, including oral tetracyclines.