Acne Doctor Discussion Guide

Get the most from your doctor's visit. Use this Doctor Discussion Guide to prepare for your appointment with your doctor or dermatologist.

Know how to describe your symptoms

I have acne on my (choose all that apply):

My acne looks like (choose all that apply):

Overall, I would say my acne is (choose one):

Important facts about my health (choose all that apply):

I have acne on my:

    My acne looks like:

      Overall, I would say my acne is:

        Important facts about my health:

          What acne treatments have you tried before? Choose all that apply:

          Combination products
          Adapalene/benzoyl peroxide (TACTUPUMP™, previously TACTUO®) Rx*
          When did you take it?
          When?:
          Benzoyl peroxide/clindamycin (CLINDOXYL®, BENZACLIN®) Rx*
          When did you take it?
          When?:
          Benzoyl peroxide/erythromycin (BENZAMYCIN®) Rx*
          When did you take it?
          When?:
          Tretinoin/clindamycin (BIACNA®) Rx
          When did you take it?
          When?:
          Tretinoin/erythromycin (STIEVAMYCIN®) Rx
          When did you take it?
          When?:
          Single-ingredient products
          Adapalene (DIFFERIN®, DIFFERIN XP®) Rx*
          When did you take it?
          When?:
          Benzoyl peroxide (e.g., BENZAC®, PANOXYL®, PROACTIV®, others)
          When did you take it?
          When?:
          Clindamycin (e.g., CLINDASOL®, CLINDETS®, DALACIN-T®, others) Rx*
          When did you take it?
          When?:
          Dapsone (ACZONE®) Rx*
          When did you take it?
          When?:
          Erythromycin (ERYSOL®) Rx*
          When did you take it?
          When?:
          Salicylic acid (used in numerous products such as CLEAN & CLEAR®, CLEARASIL®, and others)
          When did you take it?
          When?:
          Tazarotene (TAZORAC® Cream and Gel) Rx*
          When did you take it?
          When?:
          Tretinoin (RETIN-A®, RETIN-A MICRO®, STIEVA-A®, VITAMIN A ACID®) Rx*
          When did you take it?
          When?:
          Other treatments
          Other
          When did you take it?
          When?:
          Other
          When did you take it?
          When?:

          Combination products

            Single-ingredient products

              Other treatments

                What is important to you in choosing an acne treatment?

                Choose all that apply:

                Treatments for acne include topical medications (medications that are applied to the skin), oral medications (medications that are taken by mouth), laser therapy, and cosmetic procedures such as microdermabrasion and chemical peels. View a table of topical treatment options for acne.

                What is important to you in choosing an acne treatment?

                  Concerns about my acne treatment

                  Choose all that apply:

                  Treatments for acne include topical medications (medications that are applied to the skin), oral medications (medications that are taken by mouth), laser therapy, and cosmetic procedures such as microdermabrasion and chemical peels. View a table of topical treatment options for acne.

                  Concerns about my acne treatment

                    Questions to ask the doctor

                    Choose all that apply:

                    Treatments for acne include topical medications (medications that are applied to the skin), oral medications (medications that are taken by mouth), laser therapy, and cosmetic procedures such as microdermabrasion and chemical peels. View a table of topical treatment options for acne.

                    Questions to ask the doctor

                      Share your information with your doctor

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                      *Medications marked "Rx" require a doctor's prescription.
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