Antibiotic or retinoid creams, gels and lotions, plus antibiotic tablets to treat acne.
|Dalacin T topical solution (clindamycin)||30mls||£11.50|
|Dalacin T topical solution (clindamycin)||50mls||£16.00|
|Dalacin T topical lotion (clindamycin)||30mls||£12.00|
|Dalacin T topical lotion (clindamycin)||60mls (1 x 60mls)||£19.80|
|Dalacin T topical lotion (clindamycin)||90mls (3 x 30mls)||£27.80|
|Zineryt lotion (erythromycin in solution)||30mls||£14.20|
|Zineryt lotion (erythromycin in solution)||60mls (2 x 30mls)||£25.00|
|Zineryt lotion (erythromycin in solution)||90mls (1 x 90mls)||£33.00|
|Differin cream (adapalene 0.1%)||45 grams||£22.00|
|Differin cream (adapalene 0.1%)||90 grams (2 x 45 grams)||£39.00|
|Differin gel (adapalene 0.1%)||45 grams||£22.00|
|Differin gel (adapalene 0.1%)||90 grams (2 x 45 grams)||£39.00|
|Isotrex gel (isotretinoin 0.05%)||30 grams||£14.80|
|Isotrex gel (isotretinoin 0.05%)||60 grams (2 x 30 grams)||£26.00|
|Isotrex gel (isotretinoin 0.05%)||90 grams (3 x 30 grams)||£36.00|
|Duac gel (benzoyl peroxide 3% and clindamycin 1%)||30 grams||£18.50|
|Duac gel (benzoyl peroxide 3% and clindamycin 1%)||60 grams (1 x 60 grams)||£32.00|
|Epiduo gel (benzoyl peroxide 2.5% and adapalene 0.1%)||45 grams||£26.20|
|Epiduo gel (benzoyl peroxide 2.5% and adapalene 0.1%)||90 grams (2 x 45 grams)||£46.00|
|Epiduo gel (benzoyl peroxide 2.5% and adapalene 0.1%)||135 grams (3 x 45 grams)||£69.00|
|Lymecycline 408mg||28 capsules||£14.80|
|Lymecycline 408mg||56 capsules||£22.00|
|Lymecycline 408mg||84 capsules||£32.00|
Dr Fox charges a small prescription fee per order.
Dr Fox prices are 25%-50% lower cost than other online clinics.
If you have your own private paper prescription please post to our pharmacy (details).
Most acne treatment is prescription only medicine. You are required to answer medical questions before completing order. A doctor will review your information and issue a prescription online to our pharmacy.
Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.
Prescriptions are issued by our doctors online and sent electronically to our pharmacy.
If you have your own private paper prescription please post to our pharmacy (details).
Dr Fox prices are 25%–50% lower than other UK online clinics.
|Order value||Prescription fee|
|up to £10||£1.00|
|up to £20||£3.00|
|up to £50||£5.00|
|up to £100||£8.00|
|Treatment||Dr Fox||Pharmacy2U||Superdrug||Chemist Direct|
|Dalacin T 30ml||£11.50||£17.00||n/a||£16.99|
|Dalacin T 60ml||£19.80||£30.00||n/a||£29.99|
|Zineryt lotion 30ml||£14.20||£23.00||n/a||£22.99|
|Differin cream 45gm||£22.00||£35.00||n/a||£35.00|
|Isotrex gel 30gm||£14.80||£20.00||n/a||£19.99|
|Epiduo gel 45gm||£26.20||£35.00||£49.00||n/a|
|Lymecycline 408mg x 84||£32.00||£45.00||£45.00||n/a|
Acne is common, potentially distressing, and usually treatable.
Many young people have some acne, usually lasting about 4-5 years, although acne is not uncommon in adults and can last longer. The face is the most commonly affected area, although it can also occur on the chest and back and less frequently on the buttocks and in other places.
Acne arises when skin pores become blocked leading to a build up of secretions (sebum) within the skin. Sometimes in more severe forms, infection, pustules, and cysts may occur. Acne is not the same as rosacea, which sometimes appears similar.
Untreated, acne usually clears up without scarring. Acne can be treated with non-prescription topical preparations (creams, gels and solutions) bought from chemists/pharmacies or alternatively with prescription topical preparations and prescription tablets, including antibiotics. Prescription treatments can be obtained only through doctors, including online doctors.
Acne treatment from Dr Fox
Dr Fox does NOT supply medicines for under-18s.
Dr Fox is able to supply a range of prescription topical preparations (Differin, Isotrex, Zineryt, Dalacin T, Duac and Epiduo) and antibiotic tablets (Lymecycline) for the treatment of acne.
Treatment is usually stepped-up, starting with lower dose single component topical preparations, moving on to dual component (more than one active ingredient) topical preparations. Antibiotic tablets can be taken at the same time whilst using some topical treatments. See Acne treatment plans on this page.
Not all treatments work well in all people. It may be necessary to try different treatments to find the right one.
Some acne treatments are not available online from Dr Fox, particularly tretinoin tablets and Dianette.
Severe acne with scarring needs to be treated straightaway in face-to-face consultations with GPs or skin specialists.
Dalacin T, Zineryt, Differin, Isotrex, Duac, Epiduo and Lymecycline 408mg are only available on prescription – our doctors will issue the prescription online direct to our pharmacy.
You must read the manufacturer's 'patient information leaflets' (links below) before ordering.
You will need to complete a short Yes/No questionnaire before ordering.
Sometimes different topical preparations contain the same active ingredients. Some topical preparations contain two active ingredients. You should not usually use more than one topical treatment at the same time, without discussing this with a doctor.
- Zineryt and Dalacin T – both antibiotics
- Differin and Istorex – both retinoids
- Epiduo – antibiotic with retinoid
- Duac – antibiotic with peeling agent (benzoyl peroxide)
Antibiotic tablets (Lymecycline) can be taken whilst using Differin, Isotrex and Epiduo, but should NOT be taken whilst using Zineryt, Dalacin T and Duac (topical antibiotics).
After the consultation you can choose your order option, although it is not possible to order more than one item per consultation. This is for medical reasons.
If more than one item is required, a separate questionnaire must be completed for each item.
If more than one item has been ordered, you should web-message the doctors from your account to explain why.
If the doctors approve more than one item, email or web-message from your account and we will refund additional postage and consultation fees.
Declined orders are automatically refunded.
Diagnosis of acne
It is important that people obtaining treatment online for acne have previously seen a doctor about it. There are other causes of spots and rashes apart from acne. These other skin problems might require investigations, and might not respond to acne treatment. In some rare cases acne is associated with hormonal disturbance requiring investigation. This is rare. Women with acne and facial hirsutism, and irregular periods should be checked for polycystic ovaries.
Length of treatment
Creams, solutions or gels and antibiotic tablets for acne take time to work, usually at least 8 weeks and sometimes up to 4 months. It is best to use one new treatment at a time, and allow 8 weeks of continuous treatment before switching to, or adding a new one. If a treatment works well, stick with it.
The best response to treatment is usually seen after 4 to 6 months. If acne has completely gone or very much improved after 4 to 6 months, treatment can sometimes be stopped. Treatment may need to restarted if the acne comes back. If acne comes back, maintenance long-term treatment may be needed, possibly with a lower or less frequent amounts being required. If topical antibiotics (Zineryt, Dalacin T, Duac) are applied long-term (more than 6 months), bacteria may possibly build up resistance, and treatment can become less effective.
If there is no improvement or a worsening of acne after 8 weeks, a different treatment can be tried, or a new acne treatment can be added.
If acne is scarring or you are distressed by your skin problems, consult your GP straightaway.
Acne treatment plans
See a doctor face-to-face for diagnosis and advice before you start treatment.
- For mild acne, start with non-prescription benzoyl peroxide topical preparations bought from chemists/pharmacies without prescriptions. Try this for 8 weeks. Topical benzoyl peroxide is not available from Dr Fox.
- If step 1 is not working, stop it and try prescription topical treatment, either a topical antibiotic (Zineryt, Dalacin T) or topical retinoid (Differin, Isotrex). Try each one in turn for 8 weeks, and if not working, switch to another one for 8 weeks. All available from Dr Fox.
- If step 2 is not working, stop it and try a combination topical treatment, either Duac or Epiduo. If one does not work after 8 weeks, switch to the other one for 8 weeks – both available from Dr Fox.
- If step 3 does not work, start antibiotic tablets (Lymecycline). Antibiotic tablets (Lymecycline) can be taken on their own, or whilst using Differin, Isotrex and Epiduo, but NOT whilst using Zineryt, Dalacin T and Duac (topical antibiotics) – Lymecycline is available from Dr Fox.
Try different treatments on their own first. Only use more than one treatment at a time, if single treatments are not working.
Care should be taken not to use two treatments with the same type of ingredients at the same time, i.e. do not use two topical retinoids at the same time, or two topical antibiotics at the same time.
If acne is well controlled after 4 to 6 months, reduce the frequency of topical applications, or stop using treatment altogether. Acne may not come back, and if it does, treatment can be started again.
Same as plan one, except instead of trying the whole range of topical preparations first, add in antibiotic tablets (Lymecycline), at an earlier stage or from the beginning, but do NOT use Zineryt, Dalacin T and Duac (topical antibiotics) with antibiotic tablets (Lyemecycline) at the same time.
Available treatments for acne
Topical antibiotic for acne: Zineryt & Dalacin T
Acne is associated with infection of the skin which can be reduced by applying creams, lotions or gels which contain antibiotics. Topical antibiotics should NOT be used at the same time as taking antibiotic tablets (Lyemcycline).
Dalacin T comes as a lotion or solution containing the antibiotic clindamycin. It is usually applied twice daily. The lotion tends to be less irritant than the solution. See the manufacturer's patient information leaflet of Dalacin Lotion and Solution for details, including how to use, side effects and cautions.
Dalacin Patient Leaflet
Zineryt is a lotion containing the antibiotic erythromycin in solution. It is usually applied twice daily. See the manufacturer's patient information leaflet of Zineryt Solution for details, including how to use, side effects and cautions.
Zineryt Patient Leaflet
Topical retinoids: Differin and Isotrex
Retinoids are good at unplugging blocked pores.
They can cause irritation particularly at the start of treatment. Irritation can be reduced by starting treatment on alternate days, and building up to the prescribed dose as tolerated.
Differin comes as a gel or a cream containing the retinoid, adapalene. It is applied to the skin once daily, usually at night. See the manufacturer's 'patient information leaflet' of Differin Gel and Differin Cream for details, including how to use, side effects and cautions.
Differin Gel Patient Leaflet
Differin Cream Patient Leaflet
Isotrex comes as a gel containing the retinoid, isotretinoin. It is applied to the skin once or twice daily. See the manufacturer's 'patient information leaflet' of Isotrex Gel for details, including how to use, side effects and cautions.
Isotrex Gel Patient Leaflet
Combination topical treatments: Duac and Epiduo
Can cause irritation particularly at the start of treatment. Irritation can be reduced by starting treatment on alternate days, and building up to the prescribed dose as tolerated.
Duac is a gel which contains the antibiotic clindamycin combined with an astringent (peeling agent) benzoyl peroxide. See the manufacturer's 'patient information leaflet' of Duac 3% for details, including how to use, side effects and cautions.
Duac Gel 3% Patient Leaflet
Epiduo is a gel containing the retinoid adapalene combined with an astringent (peeling agent) benzoyl peroxide, 2.5%. It is applied once daily. See the manufacturer's 'patient information leaflet' of Epiduo Gel for details, including how to use, side effects and cautions.
Epiduo Gel Patient Leaflet
Antibiotic tablets: Lymecycline 408mg
Lymecycline 408mg is a capsule containing the antibiotic lymecycline of the tetracycline type. The dose used to treat acne is usually one capsule daily.
NOT to be taken whilst using Zineryt, Dalacin T and Duac (topical antibiotics).
See the manufacturer's 'patient information leaflet' of Lymecycline 408mg for details, including how to use, side effects and cautions.
Lymecycline 408mg Patient Leaflet
To combat antibiotic resistance please:
- Only use antibiotics when needed
- Never share antibiotics
- Always complete course as instructed
- Take unused medicine to local pharmacy for disposal
Dr Fox supplies acne treatment on prescription – you are required to answer a short medical questionnaire before your order can be completed.
It is not possible to order more than one item per consultation. This is for medical reasons.
If more than one item is required, a separate consultation must be completed for each item.
If more than one item has been ordered, you should message the doctors to explain why.
If the doctors approve more than one item on separate consultations, email firstname.lastname@example.org or send message from your account and we will refund additional postage and consultation fees. Declined items are automatically refunded.
Isotrex currently unavailable.
The order process
Answer short medical questionnaire
Choose treatment, register, and pay
Doctor issues prescription online
Medicine posted direct from pharmacy
“I'm completely satisfied with the whole process from start to finish. Great prices, superb communication and rapid delivery....highly recommended”08 October 2016 – Davey W., London
“I've used Dr Fox a couple of times now for malaria tablets. On both occasions I received a fast and reliable service. The prices are very good too. No need to pay your GP for a private prescription or pay High Street Chemist prices. Highly recommended.”04 October 2016 – Pete M., Corsham
“My experience is of top customer service with fast deliveries of genuine products sold at the lowest price around. I haven't dealt with better and believe they are unmatched so unrivalled.”02 October 2016 – Jason J., Colchester
“Great service quick uncomplicated good price”20 September 2016 – Mike H., Newcastle upon Tyne
“Answered questionnaire, ordered product. Product is competitively priced and delivered speedily - absolutely no criticism of any kind from me - product works every time.”08 September 2016 – Lionel E., Wigan
“I have used Dr Fox three times now and I find the service easy to use, with good products and delivery usually by return. I also feel confident about using the site and believe that they would only market products that were of reputable origin and safe to use.”22 August 2016 – Robin S., London
“very cautious about buying medicines online but Dr Fox seemed a credible retailer with a good reputation. Thankfully that turned about to be true. Ordering is relatively quick (even quicker to do a repeat order) and simple. The service has been good and I've had no reason to contact them even after many orders.”21 August 2016 – Andy B., Reading
“Impressively fast service to Malta. Also very helpful when I needed to ask a question. Very highly recommended.”17 August 2016 – Anonymous
“As this was the first time i had bought online, i was wary. So i checked the batch number with the manufacturer to make sure my medicine was legitimate and it was. I will definitely use again.”17 April 2016 – Anonymous