How to Get Duac Online in Florence

If you need to get Duac online in Florence, you do not have to wait weeks for a local dermatology appointment in Tuscany. Duac is a prescription-only combination topical gel containing clindamycin 1% and benzoyl peroxide (3% or 5%) designed to treat mild-to-moderate inflammatory acne. Through Hi-Doctor, an EU-licensed doctor reviews your medical history and clinical photos through an asynchronous online consultation. When clinically appropriate, a Spanish REMPE electronic prescription is issued in under 24 hours. The 40 EUR consultation fee is refunded in full if the doctor does not issue a prescription. You can present your downloadable PDF at any EU pharmacy, where the pharmacist reviews it and may dispense the medication.

Over 50,000 patients have accessed asynchronous medical consultations through Hi-Doctor, maintaining a 4.8/5 Trustpilot rating across the European Union.

How it works — get your consultation in 4 steps

Hi-Doctor operates an entirely digital, asynchronous consultation model. You do not need to attend a video call or book an appointment at a clinic in Florence.

1. Complete the online questionnaire: You answer targeted questions about your acne history, skin type, past treatments, and general health.
2. Upload clear photographs: You provide well-lit photos of the affected skin areas so the doctor can accurately grade your acne lesions.
3. Clinical evaluation: An EU-licensed doctor assesses your case against European dermatological guidelines.
4. Prescription issuance or refund: If approved, your REMPE prescription is delivered to your secure account as a downloadable PDF in under 24 hours. If the doctor determines treatment is unsuitable, the 40 EUR consultation fee is refunded in full.

Who qualifies

Duac is indicated for patients with mild-to-moderate inflammatory acne characterised by papules and pustules. Because clinical safety is paramount, our doctors only prescribe topical treatments online.

Clinical Presentation	Typical Features	Eligible for Online Consultation
Mild Inflammatory Acne	Scattered papules, minor pustules, comedones	Yes (Duac or alternative topicals)
Moderate Inflammatory Acne	Multiple inflammatory papules, pustules, redness	Yes (Duac capped at 12 weeks)
Severe / Nodulocystic Acne	Deep painful nodules, cysts, active scarring	No (Referred to in-person care)
Oral Therapy Candidates	Requires isotretinoin or oral antibiotics	No (Referred to in-person care)

Hi-Doctor's acne pathway strictly covers topical options, including Duac, azelaic acid 15% gel, and adapalene 0.1% + benzoyl peroxide 2.5% gel. Oral isotretinoin (Roaccutane), oral antibiotics, hormonal therapy, and severe cystic or scarring disease are out of scope and referred to in-person specialists.

What Duac actually does

Duac combines two synergistic active ingredients to clear inflammatory acne lesions and prevent new breakouts:

• Clindamycin 1%: A lincosamide antibiotic that halts the protein synthesis of Cutibacterium acnes, rapidly suppressing bacterial proliferation within the pilosebaceous unit.
• Benzoyl Peroxide (3% or 5%): A powerful oxidising agent with keratolytic and bactericidal properties. Its oxidising action prevents C. acnes from developing resistance to clindamycin.

Because benzoyl peroxide prevents bacterial resistance, clindamycin is never prescribed as a monotherapy for acne. Treatment courses of Duac are capped at a maximum duration of 12 continuous weeks. Most patients notice visible reduction in inflammation within 4 to 6 weeks, but full clinical efficacy must be judged at 12 weeks.

Side effects and when to stop

Most side effects from Duac occur locally at the application site during the initial weeks of treatment. Common reactions include mild erythema, peeling, dryness, burning sensations, and increased photosensitivity.

Apply Duac once daily in the evening to clean, dry skin, and always use daily broad-spectrum sunscreen. Discontinue use and seek urgent medical attention if you experience signs of an allergic reaction, severe swelling, or persistent abdominal cramps and severe diarrhoea.

Why Hi-Doctor vs. walking into a clinic

Arranging a private dermatology visit in Florence often involves consultation fees exceeding 120 € and extended booking delays. Hi-Doctor provides an accessible, fully GDPR-compliant alternative for 40 € per one-off consultation.

When you get Duac online through our platform, you receive a Spanish REMPE (Receta Médica Privada Electrónica) prescription complying with Commission Implementing Directive 2012/52/EU for cross-border medical details. Under Directive 2011/24/EU on cross-border healthcare, your prescription can be presented at any EU pharmacy, where the pharmacist reviews it and may dispense the medication or a locally authorised equivalent. Pharmacists retain the professional discretion to refuse dispensing.