Lymecycline and Epiduo gel

two boxes capsules and gel an acne treatment

An oral antibiotic paired with a prescription-strength topical gel with two active ingredients. This combination can improve the appearance of acne and help stop new breakouts.

  • Effective for moderate acne in men and women

  • Oral antibiotic targets acne-causing bacteria

  • Gel gently exfoliates, breaks down spots and calms inflammation

What are lymecycline and Epiduo gel?

Lymecycline is an oral antibiotic that reduces acne-causing bacteria and inflammation. It may be less likely to cause sensitivity to sunlight as a side effect for some people than the antibiotic doxycycline.

Epiduo gel contains two active ingredients. The benzoyl peroxide in it works to kill bacteria, reduce inflammation and help unplug blocked pores. It also contains a topical retinoid (exfoliant) called adapalene, to help remove dead skin and reduce inflammation.

Used together, lymecycline and Epiduo gel can be an effective combination for clearing existing spots and preventing new ones. Complete an acne assessment and your GP or our clinicians can advise you on the right acne combination for your skin.

How do I take lymecycline and apply Epiduo gel?

Lymecycline

Take one daily lymecycline tablet, ideally in the morning. Sit or stand while swallowing it, with plenty of water. Avoid lying down for at least 30 minutes so it’s less likely to irritate your stomach.

Epiduo gel

  • Before bed, gently wash your face, rinse and pat dry.

  • Smooth a thin layer of Epiduo gel onto your clean, dry skin.

  • Let the gel dry fully before using moisturiser or putting on make‑up, and use a non‑oily sunscreen each morning (SPF 30+).

  • Epiduo gel may irritate your eyes and the benzoyl peroxide in it can bleach towels, clothing, bedding or even your hair. So always wash your hands after applying it.

How do lymecycline and Epiduo gel work?

Lymecycline reduces the amount of acne-causing bacteria on your skin and calms inflammation. 

Epiduo gel contains two active ingredients: 

Combining the two increases the chance of getting smoother, less inflamed skin by tackling different acne triggers at the same time.

Is this combination acne treatment effective?

When you have mild-to-moderate acne, doctors and clinicians will usually prescribe topical treatments like Epiduo gel, and this may be combined with antibiotic tablets like lymecycline.

It usually takes around 6 weeks before oral antibiotics like lymecycline make a noticeable improvement in your skin. 

Gels with more than one active ingredient may work better. Adding a topical gel containing benzoyl peroxide can also help the antibiotic do its job while limiting the chance that the germs become resistant to it.

Are there any possible side effects from lymecycline or Epiduo gel?

Lymecycline may make skin more sensitive to sunlight, so follow a good sun protection routine. Apply daily sun block (non oily, fragrance-free) and keep out of the sun when it’s most intense. You should also avoid sun beds.

Other possible side effects include nausea, upset stomach or diarrhoea. Always let your doctor or clinician know if you get severe or persistent symptoms. 

As it combines two active ingredients, when you use Epiduo gel you could get side effects from adapalene (a retinoid) or benzoyl peroxide. Common side effects include dry or peeling skin, redness, mild burning or stinging and Itching or irritation.

The benzoyl peroxide in Epiduo gel can also increase your sensitivity to sunlight. So, it’s even more important to protect yourself. Apply a non oily, fragrance-free sunscreen daily (SPF 30+), try to stay out of the sun when it’s most intense and avoid sun beds. 

Full details on use and safety are in the lymecycline and Epiduo gel patient information leaflets.

Frequently asked questions

Lymecycline or Epiduo gel are not recommended treatments if you’re pregnant, breastfeeding or trying for a baby. Ask your doctor or our clinicians about safer alternatives.

Lymecycline can interact with other medicines you’re taking at the same time, making it less effective or more potent. These include other antibiotics and:

  • Indigestion remedies (antacids)

  • Warfarin, a medicine that helps prevent blood clots

  • Medicines containing aluminium, bismuth, calcium, iron, kaolin, magnesium or zinc

  • Quinapril, a medication for high blood pressure or heart failure

  • Acne medicines like isotretinoin that contain vitamin A  

  • Tablets like furosemide that make you urinate more (diuretics)

  • Epilepsy medications such as phenytoin or carbamazepine

  • Iron supplements 

  • Supplements that contain aluminium, bismuth, calcium, magnesium or zinc

Avoid using Epiduo gel alongside products that contain erythromycin, tretinoin, isotretinoin or tazarotene. Also steer clear of using strong exfoliants or alcohol‑rich toners at the same time.

Always let your doctor or our clinicians know about all medications you're taking or using, especially those for other skin conditions like eczema.

If lymecycline and Epiduo gel aren’t suitable for you, there are alternatives:

  • Other topical treatments such as azelaic acid gel.

  • Other oral antibiotics combined with topical treatments.

  • If you’re a woman, hormonal acne treatments include co‑cyprindiol.

  • Lifestyle tweaks like a balanced diet, gentle skincare and avoiding heavy make‑up.

  • A dermatologist can recommend isotretinoin for severe, stubborn acne.

  • Light therapy and chemical peels may be beneficial adjuncts or alternatives for some people, particularly if medications are unsuitable or not fully effective.

  • Getting stubborn whiteheads, blackheads or cysts removed using special tools could improve how your skin looks short term, but can also scar it.

Your GP or our clinicians can advise you on the best acne treatment for clearer, healthier looking skin.

References

https://www.nhs.uk/medicines/benzoyl-peroxide/

https://www.nhs.uk/medicines/benzoyl-peroxide/how-and-when-to-use-benzoyl-peroxide/

https://patient.info/medicine/benzoyl-peroxide-for-acne-acnecide

https://www.nhs.uk/conditions/acne/treatment/

https://www.nhs.uk/medicines/benzoyl-peroxide/side-effects-of-benzoyl-peroxide/

https://www.nhs.uk/medicines/benzoyl-peroxide/using-benzoyl-peroxide-with-other-medicines-and-herbal-supplements/

https://www.mayoclinic.org/diseases-conditions/acne/diagnosis-treatment/drc-20368048

https://www.nhs.uk/medicines/lymecycline/

https://www.nhs.uk/medicines/lymecycline/side-effects-of-lymecycline/

https://www.nhs.uk/medicines/lymecycline/taking-lymecycline-with-other-medicines-and-herbal-supplements/#cautions-with-other-medicines

https://patient.info/skin-conditions/acne-leaflet/acne-treatments

https://www.nhs.uk/conditions/acne/treatment/

https://patient.info/skin-conditions/acne-leaflet/acne-treatments

https://www.mayoclinic.org/drugs-supplements/adapalene-and-benzoyl-peroxide-topical-application-route/description/drg-20072549

https://patient.info/skin-conditions/acne-leaflet/acne-treatments

https://www.dchft.nhs.uk/wp-content/uploads/2024/04/Adapalene-Gels-and-Creams-Differin-and-Epiduo-April-2024.pdf