Teledermatology and Modulation of Antibiotic Dose in Acne Vulgaris

The investigators are going to ascertain if antibiotic burden can be reduced with tele
dermatology use.

There are two arms of the study:

1. Feedback group

2. Non feedback group

All subjects will be randomised to either group, all subjects will take photos of their face
and answer questions at baseline, visit 2 (1 month), visit 3 (2 months), visit 4 (3 months).

The investigators will then use measurements of acne grading (patient grading, investigator
global assessment, lesion counting, global acne grading) to reduce/taper antibiotics in the
feedback group.

Inclusion Criteria:

- Subjects aged 15 years and older

- Subjects who have been prescribed doxycycline or minocycline by their physician for
acne vulgaris but have not initiated treatment yet.

Exclusion Criteria:

- Subjects who have used isotretinoin in the last 6 weeks

- Those who have used oral antibiotics within the last 4 weeks

- Those who have been initiated or changed brand of oral contraceptive pill within the
last one month.

- Those subjects who cannot engage with the teledermatology platform

- Prisoners

- Adults unable to consent