Oral Antibiotic
Reviews
3.3
588 Reviews
Oral Antibiotic
Efficacy
69%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Note: Should never be used on its own and for a maximum of 3 months.
Oral Antibiotic
Side Effects
Medium-High
Oral Antibiotic
Acne.org’s Real World Take
Antibiotics should be used for a maximum of 3 months, provide only moderate benefit to only some people, and may lead to side effects and strains of resistant bacteria. Studies do show they can sometimes reduce severe acne in the short term, but approach with caution and stay your own advocate.
Oral Antibiotic
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Tetracycline
Compare To Other Treatments
5
16.3%
4
33.3%
3
23.6%
2
15.3%
1
11.4%

Used Tetracycline? Rate It:

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January 25, 2014
Such a naive treatment, you really need to read this.

Pros:

Reduces maximum by 50%

Cons:

It is naive for doctors to offer this, many have stopped due to ongoing research of side effects.
Please read.

Please read this if your GP has recommended this treatment, you need to understand and know what I am going to tell you. I've been on this, or I was on this, for about two years. I was also using Benzoyl Peroxide and used Erythromycin (another antibiotic), to treat acne. Antibiotics, at best, kill about 50%-75% of your acne, they will never get rid of your acne as the cause, i.e. hormones, allergies, immune system, is not treated. No matter how much you kill the Propionibacterium acnes, they are naturally occurring on your skin (and perform other functions, like preventing more serious skin infections), and so will only keep coming back, and eventually after long term use (maybe two years or more) will become resistant to antibiotics. MEANWHILE you are destroying your immune system, metabolism and almost everything in your body. The gut contains bacteria, and one of the main warned side affects of antibiotics are diarrhoea, wind, bloating i.e. impaired gut function. The antibiotics demolish the microflora in your gut, and this ecosystem is what controls your immune system, nutrition intake and metabolism. Please do feel free to google any of this, I'm am 100%, have consulted many doctors, read much research, these are FACTS, I will not delve into speculation here. There is plenty of that about on these kind of websites. You either have two acne types as far as I am concerned, you will either grow out of it post-puberty, i.e 19-20 maybe 21. In which case you need to just DEAL with it. Acne is horrible, it ruins self esteem, it feels unfair that you have it, you wish you could be 'normal' like everyone else. But such a high percentage of teenagers suffer from acne, it is not actually such a dramatic thing, and in most cases your acne WILL be gone by your 20's. a) This is the important bit: HOWEVER, if you take antibiotics in your teenage years to try control your skin, you will not clear your skin fully (so you will not be satisfied, believe me I know, you want it all gone, even if there are 3 or 4 spots left, you'll still feel as bad as if there were 9-10. Or 20% back covered in acne, compared to 80%. Any or other similar ratios.) In the process you will have made yourself open to serious health issues in the future, I'm talking potentially many years of weak immune system, diarrhoea, nausea, allergies (milk, egg, wheat) and if you think living with acne is hard - you won't survive with this. This is a very real issue and problem, sure it may not happen to you, but what antibiotics do is they leave you open to stomach infections, and if you get one of those, they can last for years, or permanently alter your stomach function so you no longer can eat wheat, milk, or anything, without feeling severely ill! OR b) you may have adult acne, in which case antibiotics will not make a difference, and you need to take something more considerable like accutane, which WILL cure you 100%, with possible side effects. This is far more preferable to antibiotics, which do not 100% cure you, and WILL cause side effects, and sometimes long term. As for benzoyl peroxide, it may dry your skin, and leave you open to skin infections when you finish using it (damaged skin + not natural bacteria left to fight off infection) but all in all, acne IS a current issue, so I think benzoyls pro's weigh heavier than it's cons. That's me done, I just had to leave this information here, even if its just to settle my mind that I have tried to help others. I used to browse this forum desperately searching for a 'cure', turns out my severe bacne and mild facial acne faded by themselves when I stopped benzoyl and left the teenage years. But now my intestinal dysbiosis lives with me, and I am having to pay £3000 pound for treatment, as well as live with the health consequences. In hindsight it is not worth the risk people, I hope I can get that point across to you. Best of luck
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February 7, 2010

Pros:

- Clears acne
- No inital breakout
- Healthy looking skin

Cons:

- Typical side effects of anti-biotic!
- Skin sensivity in the sun
- Doesnt clear blackheads

I have been on Tetracycline for many years now & this had been the ONLY thing that has worked for me. I have tried EVERYTHING! I have tried every topical treatment under the sun, as well as ProActiv & Dr. Murad. Nothing topical has given me any help or relief, aside from RetinA. My derm told me I needed somethign systemic so he prescibed Tetracyline. It works great, just doesnt clear blackheads. It does take about a month or 2 to fully get into your system & start clearing your acne. Nothing that really works, works overnight. Take it for 2-3 months & if skin still isnt clear go back to your derm. But give it time & you will be so glad you did. My skin looks great now & I have Tetracyline & retinA to thank!!
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January 8, 2010

Pros:

Free on NHS prescription, completely cleared up my acne and kept my face clear for several weeks. Not many side effects just occasional stomach aches when taking pills.

Cons:

Took a few weeks to start working and I had an initial break out for a few days at the start of the course. Have to take it on an empty stomach and it's annoying to plan your whole day around it.

Be prepared to wait a few weeks before seeing any improvement and make sure to take pills consistently.
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January 16, 2010

Pros:

Cleared up my acne after about 5 weeks, zone by zone.

Cons:

I don't count the "having to plan your meals" as a con, because everybody with acne knows that this is a very small price to pay for something that helps.

However - I think I'm developing a yeast infection - my testicles have become red and itchy. Not good.

Takes a while to work for some - 5 (demotivating) weeks for my part. Even the healthiest of us (I'm quite fit myself) can develop nasty stuff from it, and get resistent. Definitley not a permanent solution for those concerned about your general health and well being, but can work as something that clears your skin (and mind) so you can focus on finding something that works more permanently (dans regimen etc).
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June 10, 2010

Pros:

Clears skin initially. Worked wonders on my rosacea.

Cons:

When you stop it, the misery is back
Made me break out tremendously on my back, something i still suffer with several years later
Antibiotics shouldn´t be taken lightly
Tested on animals

Started this for rosacea. Made skin look better, but after i stopped it, it all went back to normal. Caused baaad breakouts of acne on my back and i still suffer with it to this day. I WOULD NEVER USE IT AGAIN!!!!
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January 7, 2010

Pros:

Cleared up acne on my face and back quickly, and kept it from coming back.

Cons:

The only thing I did not like was having to take it on an empty stomach and work meals around it.

I thought it was great and worked very well and quickly! I had no side effects from it a all. I now only take it if I know I have an event coming up that I want to be sure I'll be clear for, such as when I took it leading up to prom.
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March 17, 2011

Pros:

Did clear all my facial and body acne within 3 months

Cons:

acne will come back after you stop using this (although it kept me clear for about 7-8 months after i stoped)

i would recommend this for teenage acne or possibly something to use while you start holistic treatment maybe, wish i didn't become immune secound time round though, hopefully my new pills will work the same an i eventually grow out of this horrible condition (im 22)
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June 9, 2010

Pros:

Cleared up acne, reduced scarring, stablized skin's oil production

Cons:

Not being able to eat when i want

I'm 15, and i eat spirastically, so it was very hard for me to keep up on taking the pill twice a day. I stayed on track for a few months, but then just got lazy. And guess what! My acne came back. So tonight im taking one of those gosh darn pills. But it'll be worth it.
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October 9, 2010

Pros:

Let me think...none!

Cons:

Upset stomach, nausea, constipation

Tetracycline is either a hit or miss. For some people it works, and for others it's just useless. I was on Tetracycline for about two months, and it did absolutely nothing to improve my acne. After my treatment cycle, I also experienced weird constipation and almost like an irritable bowel thing going on. I wouldn't recommend it.
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February 6, 2010

Pros:

Cleared up my acne fast

Cons:

It did upset my stomach and I hated the whole 1 hr before and 2 -3 hrs after a meal.

I was trying different things but nothing worked my dr finally prescribed this for me to use for one month to see if it worked and it did work. Unfortunately after the month I went back and he took me off of it saying that I didn't need it.
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.