Your nurse practitioner or doctor will choose the best option based on your skin condition and medical history.
Can I get an acne prescription online?
Yes! We specialize in acne prescriptions online — just upload a photo, answer a few questions, and we’ll take care of the rest.
Does Twentyeight Health prescribe Accutane?
No, we don't prescribe Accutane. Accutane (isotretinoin) is a powerful prescription acne treatment used for severe acne that requires more monitoring than we can provide via telehealth.
At Twentyeight Health, we offer safe and effective online acne treatments for mild to moderate acne, hormonal acne, and stubborn breakouts, utilizing prescription medications such as benzoyl peroxide, topical retinoids, oral antibiotics, and birth control pills.
If your treatment needs change or you experience side effects, your healthcare provider will help adjust your personalized treatment plan.
Do I need to take a picture?
Yes. A photo helps your provider accurately assess your acne, including acne scars, skin irritation, and inflammation, for a personalized treatment plan.
What’s the best over-the-counter acne treatment?
Many start with benzoyl peroxide or salicylic acid. For stronger results, we offer prescription medications proven to treat acne-causing bacteria and reduce breakouts.
What are the top 3 acne medications?
Benzoyl peroxide, Clindamycin, and Adapalene are among the most effective. We’ll help you find the right fit.
How much does treatment cost?
Most prescription medications cost under $30, depending on your insurance coverage and pharmacy.
Who can use this service?
We currently serve women and individuals assigned female at birth.
Can I treat acne while pregnant?
Yes. We offer safe options for pregnancy, and your provider will make sure the treatment is appropriate.
Can I take acne treatment pills if I’m on birth control?
Yes, but your provider will ensure there are no interactions between oral antibiotics or spironolactone and your birth control.
What are the potential side effects of acne medication?
Some prescription acne treatments can cause mild side effects, especially in the first few weeks as your skin adjusts. These may include: - Dryness or peeling - Redness or irritation - Oiliness or flaking - Breast tenderness, dizziness, or nausea (with oral treatments like spironolactone or birth control)
These effects are typically temporary, but if you experience discomfort, don’t worry — your healthcare provider can adjust your treatment. With Twentyeight Health, you have monthly check-ins and ongoing support, so you can change medications or update your plan anytime to keep your skin healthy and your treatment comfortable.