How to Get Duac Online in San Sebastián
Need a Duac prescription for inflammatory acne in San Sebastián? Request an online consultation with an EU doctor. If approved, receive your REMPE prescription in <24h for 40 € with a full money-back guarantee.

DIRECT ANSWER
An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue a prescription that is valid across the EU.
Less than 4 hours on average
Prescription issued in less than 4 hours on average if approved.
EU-licensed doctors
Every case is reviewed by a licensed clinician.
Valid across the EU
Approved prescriptions can be used at any EU pharmacy.
In this article
If you are dealing with persistent inflammatory acne and want to get Duac online in San Sebastián, you do not need to wait weeks for an in-person clinic appointment. Hi-Doctor connects you directly with EU-licensed doctors who evaluate your skin via a secure medical questionnaire with photo upload. If clinically appropriate, the doctor issues an official REMPE electronic prescription in under 24 hours for a flat 40 € consultation fee. You can present the downloadable PDF at local pharmacies in Gipuzkoa or across the EU. There is no risk: if our doctor determines treatment is not suitable, you get a 100% refund.
Over 50,000 patients have accessed asynchronous medical consultations via Hi-Doctor, backed by a 4.8/5 Trustpilot rating.
Key takeaways
- Direct access: Request a medical evaluation online without clinic queues or video calls.
- Capped course: Duac (clindamycin 1% + benzoyl peroxide) is prescribed for a maximum of 12 weeks to prevent bacterial resistance.
- Flat pricing: One-off 40 € dermatology consultation with a full money-back guarantee if the doctor says no.
- Official prescription: Issued via Spain's REMPE standard (Receta Médica Privada Electrónica) with cross-border fields under Commission Implementing Directive 2012/52/EU.
How it works — get your consultation in 4 steps
Getting an acne consultation is straightforward and handled entirely asynchronously through our secure platform.

- Fill out the online questionnaire: Share your medical history, acne symptoms, current skincare routine, and any known allergies.
- Upload clear photos: Upload high-resolution images of your affected skin so the doctor can assess lesion type and severity.
- Doctor clinical review: An EU-registered physician reviews your case in under 24 hours. If treatment is not safe or appropriate, your 40 € consultation fee is refunded in full.
- Download your prescription: If approved, download your official REMPE prescription PDF from your patient account. You can present the digital QR code or a printed copy at your local pharmacy in San Sebastián or throughout the EU, where the pharmacist reviews it and may dispense the medication.
Who qualifies
Duac is a prescription-only topical treatment designed for specific presentations of acne vulgaris. Our doctors evaluate whether topical dual therapy is the safest and most effective option for you.

- Qualifies: Adults and adolescents aged 12+ with mild-to-moderate inflammatory acne characterised by red papules, pustules, and comedones.
- Alternative topical options: For patients with sensitive skin or pregnancy, doctors may prescribe azelaic acid 15% gel, or adapalene 0.1% + benzoyl peroxide 2.5% gel for non-inflammatory comedonal congestion.
- Out of scope: Severe nodulocystic acne, extensive scarring, and cases requiring oral isotretinoin or oral antibiotics require in-person dermatological management. Hi-Doctor does not prescribe oral acne medications online.
- Contraindications: Individuals with a history of regional enteritis, ulcerative colitis, or antibiotic-associated colitis cannot use clindamycin.
What Duac actually does
Duac combines two complementary active ingredients: clindamycin 1% (a lincosamide antibiotic) and benzoyl peroxide (3% or 5%). This combination works simultaneously against the biological drivers of inflammatory breakouts.
| Active Ingredient | Mechanism of Action | Clinical Role |
|---|---|---|
| Clindamycin 1% | Inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit. | Reduces Cutibacterium acnes counts and calms active inflammation. |
| Benzoyl Peroxide (3% or 5%) | Releases free-radical oxygen species; provides mild keratolytic action. | Kills bacteria directly and prevents C. acnes from developing resistance to clindamycin. |
Because benzoyl peroxide prevents bacterial resistance, clindamycin is not prescribed as a standalone topical monotherapy. Duac is applied once daily at night on clean skin. Treatment is strictly capped at a 12-week course. Meaningful clinical improvement is typically evaluated between weeks 6 and 12.
Under Directive 2011/24/EU, prescriptions issued by EU-licensed doctors carry cross-border recognition, while Commission Implementing Directive 2012/52/EU specifies the mandatory prescriber and active-ingredient fields.
Side effects and when to stop
Like any topical active treatment, Duac can cause local cutaneous reactions during the first few weeks of use.
- Common early effects: Dryness, mild peeling, erythema (redness), and mild stinging. These often settle as the skin acclimatises. Use an oil-free moisturiser.
- Fabric bleaching: Benzoyl peroxide bleaches towels, pillowcases, and coloured clothing. Wash hands thoroughly after application.
- When to stop immediately: Discontinue use and seek urgent medical evaluation if you experience severe abdominal cramps, prolonged watery diarrhoea, or signs of an allergic reaction (facial swelling, hives, shortness of breath).
Why Hi-Doctor vs. walking into a clinic
Accessing dermatology care through local clinics often involves long waiting lists or high private consultation rates.

| Feature | Hi-Doctor Online Consultation | Traditional Clinic in San Sebastián |
|---|---|---|
| Consultation Fee | 40 € flat one-off fee | 80 € – 150 €+ per visit |
| Wait Time | Doctor assessment in under 24 hours | Days to weeks for an appointment |
| Format | 100% online questionnaire + photo upload | In-person waiting room visit |
| Prescription Format | Official REMPE PDF (printable & digital) | Paper or regional health card only |
| Refund Guarantee | Full refund if treatment is not appropriate | Non-refundable consultation fee |
COMMON QUESTIONS
Frequently asked questions
No. Duac contains an antibiotic (clindamycin) and is strictly classified as a prescription-only medicine under Spanish and EU law. A licensed doctor must evaluate your medical profile before prescribing it.





