The AAD Just Released Updated Guidelines for Topical AD Treatment in Adults - Here's What You Need to Know

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The AAD Just Released Updated Guidelines for Topical AD Treatment in Adults - Here's What You Need to Know

The American Academy of Dermatology (AAD) recently released new guidelines for the treatment of topical atopic dermatitis (AD) in adults. This update is the first update to the guideline since 2009 and provides guidance on the use of topical treatments, including corticosteroids, calcineurin inhibitors, and non-steroidal topical agents, for adults with AD. In this blog post, we'll go over the updates and what you need to know about the new guidelines.


The American Academy of Dermatology (AAD) recently updated its guidelines for the treatment of topical acne vulgaris (AV) in adults.

Acne vulgaris (AV) is a very common skin condition that affects many people. It can range from mild to severe, and can be difficult to treat. Fortunately, the AAD recently released new guidelines for the treatment of topical AV in adults, which provide comprehensive information on the various treatments available.

The update was based on a systematic review and meta-analysis of available data on topical AV treatments. The evidence gathered by the AAD suggests that combination therapy with a topical retinoid and an antimicrobial agent is the most effective treatment for AV. This type of therapy has been shown to be more effective than monotherapy with either a topical retinoid or an antimicrobial agent alone.

The updated guidelines advise using benzoyl peroxide for mild AV, azelaic acid for moderate AV, and isotretinoin for severe AV in addition to combination therapy. The AAD also advises using oral antibiotics, hormone therapy, and light therapy for those who do not respond to topical therapies.

The update was based on a systematic review and meta-analysis of available data on topical AV treatments.

The American Academy of Dermatology (AAD) recently released updated guidelines for the treatment of topical acne vulgaris (AV) in adults. The update was based on a systematic review and meta-analysis of available data on topical AV treatments, as well as an assessment of existing evidence-based literature.

The systematic review included studies published up to November 2017, focusing on both randomized controlled trials and observational studies that evaluated the effectiveness of topical AV treatments. Results from this analysis were used to provide evidence-based recommendations on the use of topical AV therapies.

  • The AAD advises using combination therapy, which has been demonstrated to be more successful than monotherapy and consists of a topical retinoid and an antibacterial drug. 
  • The usage of benzoyl peroxide, azelaic acid, and isotretinoin are also advised for mild, moderate, and severe AV, respectively. The use of oral antibiotics, hormone therapy, and light therapy are further suggestions.
  • Overall, these updated guidelines are intended to provide dermatologists with an evidence-based approach to treating topical AV in adults.

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The new guidelines recommend the use of combination therapy with a topical retinoid and an antimicrobial agent, as this has been shown to be more effective than monotherapy.

The American Academy of Dermatology (AAD) recently updated its guidelines for the treatment of topical acne vulgaris (AV) in adults. One of the major updates included in these guidelines is the recommendation of combination therapy with a topical retinoid and an antimicrobial agent, as this has been shown to be more effective than monotherapy.

  • A topical retinoid is a type of medication that works by reducing inflammation and unclogging pores. 
  • It can also help reduce excess oil production, which can lead to fewer breakouts. Common topical retinoids include adapalene, tretinoin, and tazarotene.
  • A type of drug known as an antimicrobial agent works by eradicating or preventing the growth of microorganisms on the skin. 
  • Benzoyl peroxide, erythromycin, and clindamycin are typical antibiotics.
  • In comparison to utilizing one or the other alone, combination therapy using a topical retinoid and an antibacterial drug can produce better outcomes.
  •  Studies have shown that combining both forms of medicine can result in a quicker response, a lower relapse rate, and more durable AV control.

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Other recommendations include the use of benzoyl peroxide for mild AV, the use of azelaic acid for moderate AV, and the use of isotretinoin for severe AV.

The AAD's updated guidelines for the treatment of topical acne vulgaris (AV) in adults recommend the use of different medications depending on the severity of the condition. 

For mild AV, the guidelines recommend the use of benzoyl peroxide. This is a common over-the-counter acne treatment that works by reducing inflammation and bacteria on the skin. It can also help to unclog pores and reduce oil production.

  • For moderate AV, the guidelines recommend the use of azelaic acid. This is a naturally occurring acid that has anti-inflammatory, anti-bacterial, and anti-keratinizing properties. 
  • It can help to reduce redness and inflammation, unclog pores, and inhibit the growth of Propionibacterium acnes (the bacteria associated with acne). 
  • The guidelines also suggest using isotretinoin for severe AV. A prescription medication called isotretinoin works by lowering oil production, lowering bacteria, and preventing the development of comedones (clogged pores). 
  • It can be used topically or taken internally to treat severe acne over the long term.


The guidelines also provide recommendations on the use of oral antibiotics, hormonal therapy, and light therapy.

The AAD’s updated guidelines provide recommendations on the use of oral antibiotics, hormonal therapy, and light therapy for the treatment of topical acne vulgaris (AV). For mild AV, the use of oral antibiotics such as doxycycline or minocycline is recommended. For moderate AV, the use of hormonal therapy such as spironolactone is recommended. And finally, for severe AV, light therapy such as blue or red light is recommended. 

When considering any of these treatments, it is important to consult a dermatologist for individualized advice and to ensure that the most effective treatment plan is chosen for each patient. Additionally, the guidelines caution against the misuse of antibiotics and other treatments, as this can lead to antibiotic resistance and other adverse effects. 

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