How to Get Duac Online in Madrid

You can get an assessment for Duac online in Madrid without waiting weeks for an appointment. Through Hi-Doctor, an EU-licensed doctor evaluates your acne through an asynchronous medical questionnaire and photo review. When clinically appropriate, an official REMPE electronic prescription is issued in under 24 hours for a 40 € flat consultation fee.

Key facts: 40 € one-off consultation · Prescription issued in <24 hours if clinically appropriate · Downloadable PDF accepted at pharmacies across Spain and the EU · 50,000+ patients served with a 4.8/5 Trustpilot rating.

Over 50,000 patients have accessed asynchronous medical consultations through Hi-Doctor, backed by a 4.8/5 Trustpilot rating and a 100% money-back guarantee.

How it works — get your consultation in 4 steps

Getting evaluated for Duac online in Madrid takes only a few minutes from your phone or computer. The entire process is private, fully digital, and requires no waiting room or video call.

1. Complete the medical questionnaire: Answer clinical questions about your skin type, acne history, and allergies. Upload clear photos of the affected skin area so the doctor can accurately grade severity.
2. EU doctor review: An EU-licensed doctor reviews your clinical responses and photographs asynchronously to determine the safest, most effective topical treatment.
3. Download your REMPE prescription: If treatment is deemed appropriate, a Spanish official electronic prescription (Receta Médica Privada Electrónica) is generated within 24 hours. You receive a downloadable PDF in your patient account and by email notification.
4. Present at the pharmacy: Show the digital PDF on your phone or print the physical copy at any pharmacy in Madrid or throughout the EU. The pharmacist reviews the document and may dispense the medication.

Who qualifies

Duac is indicated for patients presenting with mild-to-moderate inflammatory acne characterised by papules and pustules. Because medical safety is paramount, our doctors verify your clinical suitability before issuing any prescription.

• Eligible cases: Adults with mild-to-moderate inflammatory facial acne seeking topical antimicrobial and keratolytic therapy.
• Mandatory photo upload: High-resolution photographs are mandatory so the reviewing clinician can confirm the absence of contraindicated skin conditions.
• Out-of-scope conditions: Severe nodulocystic acne, deep scarring acne, oral isotretinoin, oral antibiotics, and hormonal therapies are not prescribed online. Patients with severe acne are referred to in-person specialist care.

What Duac actually does

Duac is a dual-action topical gel combining clindamycin 1% (a lincosamide antibiotic) and benzoyl peroxide (3% or 5%). Clindamycin suppresses Cutibacterium acnes bacteria, while benzoyl peroxide provides bactericidal and mild comedolytic action.

Crucially, benzoyl peroxide prevents C. acnes from developing resistance to clindamycin, which is why clindamycin is never prescribed as a monotherapy. Treatment is applied once nightly and is strictly capped at a maximum duration of 12 weeks to minimise resistance risks.

Clinical evaluation for topical acne therapies is measured at the 12-week mark. Skin irritation or mild initial purging can occur during weeks 2 to 6.

Side effects and when to stop

Most side effects are localised and occur during the first few weeks of application. Common reactions include redness, peeling, dryness, and a mild burning or stinging sensation.

Benzoyl peroxide bleaches dyed fabrics, towels, and hair, so wash hands thoroughly after application. Discontinue use and seek urgent medical attention if you experience severe contact dermatitis, facial swelling, or symptoms of antibiotic-associated colitis such as severe or persistent watery diarrhea.

Why Hi-Doctor vs. walking into a clinic

Accessing private dermatology appointments in Madrid often involves long waitlists and consultation fees exceeding 100 €. Hi-Doctor delivers rapid clinical access with zero financial risk.

Feature	Hi-Doctor Online Consultation	Traditional Private Clinic in Madrid
Consultation Fee	40 € flat one-off fee	80 € – 150 €
Wait Time	Under 24 hours	1 to 3 weeks
Format	100% online (Questionnaire + Photo)	In-person visit required
Guarantee	100% refund if prescription not approved	No refund for appointment fee
Prescription	Official REMPE PDF (Spain & EU cross-border)	Paper or regional e-prescription

If our EU-licensed doctor determines that Duac is clinically unsuitable for your condition, your 40 € consultation fee is refunded in full automatically. There is no financial risk to submitting your case.