Hello and welcome to healthcaremagic
Management of acne requires diligence as well patience both the part of the patient and doctor.
General measures:
-Use a mild cleanser like cetaphil twice daily
-Avoid all the regular use creams, moisturizers, sunscreens that you may be using for the time being till you are on anti-acne treatment.
-Avoid taking facials.
-Avoid picking your acne.
-Use an Anti-dandruff shampoo since acne is worsened by dandruff.
Specific Anti-acne treatment:
-Oral Antibiotics: For inflammatory acne(papules and pustules) i advice my patients to start with one of the oral antibiotics leither Azithromycin/ Doxycycline OR
Minocycline.
-Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically
Topical Antibacterials: Dermatologists around the world prescribe topical gels/creams containing topical antibiotics like either
clindamycin 1%/
benzoyl peroxide 2.5% OR
Nadifloxacin during the day time.
Topical Retinoids: Either Adapalene 0.1%/ Tretinoin 0.025% OR Azaleic acid (10%/20%) at bed time.
Topical treatment regimen especially the one which includes one of the retinoids that i mentioned above also helps to gradually fade away the black spots (
post acne hyperpigmentation)(PAH).
take care
regards