Isotroin 5-20 mg daily for severe nodular and pus filled pimples , foam producing cleanser like salicylic acid
based face wash,azithromycin 500mg thrice in a wk for 3 consecutive days like mon, tues, wed for 8 wks. Combination of benzoyl peroxide
and adapalene like epiduo gel can be tried.
Besides medical management chemical peels
of salicylic acid and glycolic acid
are very effective in clearing pimples and its spots. Scars and pits left after healed pimples can be corrected with dermaroller and fractional co2 and Erb-yag lasers.