Hidradenitis Suppurativa

Antimicrobial prescribing: NHS Forth Valley
NHS Forth Valley

British Association of Dermatologists guidelines for the management of hidradenitis suppurativa (acne inversa) 2018

REFER TO DERMATOLOGY IF THERE IS WIDESPREAD DISEASE OR SIGNIFICANT IMPAIRMENT ON EVERYDAY ACTIVITIES

Drug details

Mild Hiradenitis - minimal scarring and limited sites affected

Topical Clindamycin 1% Lotion

Apply TWICE daily

Assess at 12 weeks

Moderate Disease

Lymecycline

OR

Doxyxcycline

408mg daily

100mg OD or BD

Assess at 12 weeks and refer to Dermatology if not controlled