What are the important recommendations for maintenance therapy in acne vulgaris?

This podcast features Dr. Mohammed Abdul Samad, a consultant dermatologist, who discusses the essential role of maintenance therapy in managing acne vulgaris. He explains that once active lesions are controlled, treatment shifts to preventing relapse, with the primary goal being to suppress microcomedone formation and sustain follicular health. The cornerstone of this long-term treatment is the consistent application of topical retinoids, such as adapalene, which work by normalizing keratinization and preventing new lesions from forming. Dr. Samad also notes that benzoyl peroxide may be used alongside retinoids to reduce bacterial colonization and minimize antibiotic resistance, adding that patients should be counselled on potential irritation and the necessity of using mild cleansers and sun protection. Ultimately, he stresses that adherence to consistent topical retinoid use and appropriate adjunct treatments is crucial for achieving long-term acne control, often requiring treatment for three to six months or longer.