North South North West Statewide

Pre-referral work-up


THS - Southern Region - Note: No new referrals accepted.

When refer to a specialist:

  • Severe inflammatory nodular acne
  • Acne extending to the lower back
  • Acne unresponsive to three to six months conventional multimodal treatment
  • If significant scarring
  • If significant emotional disturbance due to acne



Interim/GP management

To refer a patient with this condition, please see the Dermatology clinic page for the full referral process and templates.

Initially if mild, treat with topical agents (peeling agents, retinoids or topical antibiotics +/- benzoyl peroxide).

Then add in oral antibiotics (tetracyclines) for minimum of three months (usually nine to eighteen).

In female patients consider Diane-35 or Yasmin OCP.

See: NZ DermNet - Acne and follicular disorders

For more information please see the Tasmanian Health Pathways website.

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.


Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 8302  Fax: (03) 6777 5201
MCH ED – Phone: 0409 867 492  Fax: (03) 6441 5923
NWRH ED – Phone: 0459 848 725  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6101  Fax: (03) 6173 0489