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If the patient is female is her menopause complete? Hormone replacement therapy may help as acne vulgaris can be a result of low oestrogen/high androgen levels. Some medicines such as steroids can induce acne. Are any medicines currently prescribed?
Both acne vulgaris and acne rosacea can be helped by a course of oral antibiotics such as Oxytetracycline 250mg twice daily.
Eloise.