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Subantimicrobial Dose Doxycycline for Acne and Rosacea


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"A 50-patient, open-label experience trial with SD doxycycline in the treatment of rosacea also provided evidence of the utility of the drug. The use of SD doxycycline can potentially avoid the adverse events of standard-dose, long-term therapy with tetracyclines for acne and thereby enhance patient compliance. In addition, widespread adoption of this dosage as part of a maintenance therapy for acne and rosacea will limit exposure of patients and their microflora to doxycycline and may slow the steadily increasing rate of resistance of P. acnes and other organisms to the tetracyclines."

Subantimicrobial Dose Doxycycline for Acne and Rosacea
Joseph B. Bikowski, MD
Skinmed. 2003;2(4), Medscape

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Abstract
Rosacea affects many individuals and is commonly treated with long-term antibiotics, which are associated with the emergence of antibiotic-resistant organisms. Recently, subantimicrobial dose doxycycline 20 mg twice a day (SDD) has been used to treat rosacea because of its anti-inflammatory properties. Results of clinical studies support the benefits of SDD, its efficacy in rosacea and acne vulgaris, and even its potential use to prevent atherosclerosis.

Cutis. 2005 Apr;75(4 Suppl):19-24.
Subantimicrobial dose doxycycline: a unique treatment for rosacea.
Berman B, Zell D.

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