Consultation and treatment is open to NP/PA providers only, as this requires a diagnostic component.

• Treatment is limited to acne vulgaris or acne mechanica dx only
  • Ex: No treatment of rosacea, seborrheic dermatitis, or acne conglobata
• Treatment is limited to patients who are 18 and over
• All consultations will be charted accurately and clearly, (Service Name is “Acne Consult”, under “Miscellaneous Service Group” category)
• Prescriptions for Portrait patients are to be sent in through Treat
• Notify/confer with your Clinical Director if
  • Treatment is >4 months when using oral antibiotic therapy
  • Any questions about clinical candidacy

Treatment is limited to Grade I-II acne, as defined by:

• Grade 1: Comedones, occasional papules on face only
• Grade 2: Papules, comedones, few pustules at face and body

Grade 3 / 4 acne shall be referred to local Dermatologist for consideration of Isotretinoin

• Grade 3: Predominant pustules, nodules, abscesses at face and body
• Grade 4: Mainly cysts, abscesses, widespread scarring at face and body

The following options are available/on formulary

Topical Options * Refer to contraindications page *

• Tretinoin
  • SIG: apply pea-sized amount to dry face every 3 nights x for 10 days, then every other night for 10 days, and nightly thereafter
• Clindamycin
  • SIG: apply QD/BID thin film to affected area of face
• Aczone
  • SIG: apply QD/BID thin film to affected area of face
• Sulfacetamide/sulfur cleanser
  • SIG: wash once daily in the PM
• Azelaic acid 15%
  • SIG: apply QD thin layer to affected area of face
• Superficial / medium depth peels
  • As per Portrait protocols