Hi, You said you suffer from acne vulgaris. It is a multifactorial disease. There may be different form of acne like comedones,papules,pustules or cystic lesions. Stress, anxiety,sleeplessness,drugs like steroids,oil food,dandruff..etc might exacerbate the disease. I can understand your anxiety for acne. But,you have to keep patience for the good result. You may take antibiotic like minocycline 50 mg daily in morning and isotretinoin cap in low dose of 5 mg daily at night . Apply clindamycine gel in morning and adapalene gel at night. Cleanse the face with antiseptic like acmed face wash. Avoid tension and worries related with acne. It may take few months for the good result. After clearance or control of acne lesions, there may be black brown spots. Glycolic acid 6% lotion may be applied daily at night. And glycolic acid containing face wash may be helpful to clear black patches and spots. Increase vitamin A ,C and zinc, containing food articles like carrot,oranges, apple green leafy vagetables..etc I hope you got my answer. Thanks. Dr. Ilyas Patel MD