Acne Medication Visit: A Record Sheet to Bring to Your Dermatologist

Evidence mix: 7 sourcesLarge or systematic studies 4Medical societies & agencies 3Reviewed Next review See sourcesEvidence criteria

Before an acne medication visit, write on one sheet when it started, where it shows up, the products you tried and how your skin reacted, any medicines you take, and your menstrual cycle.

A man in a navy long-sleeved T-shirt sitting at a sunny desk by a window, writing something in a square of a desk calendar with a pen
What this note covers7 sections
  1. What should you write down before the visit?
  2. Acne returns when you stop the medicine. Do you keep taking it?
  3. Who decides how long you take oral antibiotics, and what about resistance?
  4. How do you cut back your skincare while using acne medicine?
  5. Acne record sheet to bring to the exam room
  6. When should you take this sheet to a dermatologist?
  7. Evidence behind this record sheet
Prepare before the visit Detail Basis
What the doctor checks Medicines you used before and how you reacted, other medicines, family history, whether you scar easily; for women, also cosmetics and how regular your cycle is Korean Dermatological Association · institution
Information to share The cosmetics and oral medicines you were using up to the visit Korea Disease Control and Prevention Agency (KDCA) · institution
When to revisit the plan If there is no improvement after 6 to 8 weeks of steady use under a doctor’s care, the approach is changed KDCA · institution
Adult acne patterns Persistent acne flares around your period; late-onset acne centers on the lower jaw Korean Dermatological Association · institution

What should you write down before the visit?

Put on one sheet when it started, where it shows up, what you have tried, and how your skin reacted. The Korean Dermatological Association, a professional society in Korea, says doctors check these points carefully before starting care.

Close-up of a woman with her hair tied back, pointing her index finger at her cheek near the ear, with two or three small red bumps beside it
Counting spots by area ahead of time keeps your explanation short in the exam room.

Acne returns when you stop the medicine. Do you keep taking it?

It is not set up as the same medicine for life; your doctor splits care into a phase that calms acne down and a maintenance phase, and decides each at the visit. Under the 2025 Swiss guideline, about a 50% drop in inflammatory lesions within 3 months counts as reaching the short-term goal.

A man in a gray T-shirt in a bathroom sink mirror, touching the side of his chin with his fingers as he studies his face
Noting the dates and spots where acne came back after stopping makes the maintenance talk easier.

Who decides how long you take oral antibiotics, and what about resistance?

The prescribing doctor decides how long, and you do not extend or stop them on your own. Write your start date and how many pills are left in your log and check at your follow-up.

How do you cut back your skincare while using acne medicine?

The KDCA says topical medicines can cause dryness and flaking, so avoid frequent soap washing and scrubbing off flakes, and use a moisturizer after washing. Do not add new skincare; ask in the exam room which steps to drop.

A young man with wet bangs in a white T-shirt holding a white towel to his cheeks with both hands in a bathroom
While you are on medicine, pat your face dry by pressing instead of rubbing.

Acne record sheet to bring to the exam room

Item What to write Example
When it started When it first appeared, when it got worse Since the winter of my first year at work; every exam season
Areas and counts Counts for forehead, cheeks, chin, back, and chest; dates photos were taken Chin 6, 3 photos
Type Tiny bumps, red bumps, pus, painful lumps 2 painful lumps on the chin
What you tried Drugstore products, past prescriptions, cosmetic names (exactly as on the package), how long you used them, your reaction Used 4 weeks, stopped because it stung
What you take Every medicine and supplement you take now Allergy medicine, probiotics
Menstrual cycle Start date, when it gets worse, whether it is regular Worse the week before my period
Scars and family history Any pitted marks, anyone in the family who had it badly Older brother has scars
Pregnancy and plans Pregnant, breastfeeding, or planning No plans within a year
Questions to ask How long to use it, when to come back, skincare to drop, cost Follow-up date

When should you take this sheet to a dermatologist?

  • If swollen, painful lumps keep coming back or pitted marks start to form, take your record sheet to a dermatologist.
  • If there is no improvement after 6 to 8 weeks of steady use of what was prescribed, discuss changing the approach at your follow-up.
  • If your periods are irregular and hair growth has increased, mention it at the visit and ask whether hormone tests are needed.
  • If acne is bringing your mood down, bring that up with your dermatologist too.

Evidence behind this record sheet

  • A 2024 Cochrane overview (PMID 39440650) pulled together 6 systematic reviews covering 40,910 acne patients and concluded that no approach had high-certainty evidence.
  • In a 2024 trial of 88 people with mild to moderate acne (PMID 38102855), the group that used a dermatological skincare routine alongside prescription topicals had an irritation score of 1.6 on day 14, lower than 2.4 in the regular skincare group.
  • The KDCA reports that in Korea in 2021, adults aged 20 and older made up 63.1% of patients seen for acne.

Frequently asked questions

Acne comes back when I stop my medicine. Do I have to take it forever?

It does not mean taking the same medicine for life. A 2025 Swiss dermatology guideline separates a first phase that calms acne down from a later maintenance phase, and considers maintenance necessary at every severity. The maintenance method and length are decided at your visit, so write down the dates acne came back after you stopped and discuss them.

How long should you take antibiotics for acne, and can you build resistance?

The prescribing doctor sets how long you take them, and you should not extend or stop them on your own. The American Academy of Dermatology's 2024 guideline presents limiting oral antibiotic use and pairing them with a topical medicine as good practice. Write your start date in your log and ask at your follow-up how long to continue.

Can I just get a prescription at the dermatologist, and how much does it cost?

Tell the doctor at the start of the visit whether you only want a prescription or would like to hear about other options too. Cost varies by clinic, insurance, and what the visit involves, so the sources behind this article cannot answer it; check when you book or check in. Korea's KDCA advises against diagnosing and prescribing for yourself.

Sources

  1. Korean Dermatological Association — Acne vulgaris (Korean)Institutional
  2. Korean Dermatological Association — Adult acne (Korean)Institutional
  3. Korea Disease Control and Prevention Agency, National Health Information Portal — Acne (Korean)Institutional
  4. Updated Swiss recommendations for acne care, 2025 (PMID 40772752)A
  5. American Academy of Dermatology guidelines of care for acne (GRADE, 18 recommendations), 2024 (PMID 38300170)A
  6. Cochrane overview of 6 systematic reviews on non-systemic acne care, 2024 (PMID 39440650)A
  7. RCT comparing irritation of skincare routines used with prescription topicals, 88 people, 2024 (PMID 38102855)A

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