Brief Answer:
Acne treatment

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query and I have understood it.
I am going to guide you regarding acne only.

Headache and weight gain are entirely different concerns. Headache requires proper assessment with an internal medicine specialist after your eye sight has been evaluated by an ophthalmologist/optometrist.

Weight gain issues are mostly due to life style habits and unhealthy dietary habits and you can consult a dietician for expert advice. Besides that, regular walking/jogging for 30 minutes daily/swimming etc and attention to diet, particularly restricting your majority of dietary intake to healthy home made food, eating smaller meals 4-5 times a day and intake of lots of fresh fruits, salads etc would also help with weight issues

Coming back to acne. First of all, I must say it is not uncommon to have acne at age of 24.

Regarding Acne, there is no one time or quick fix solution for it. You need to be constantly taking care of your skin till at a certain when the tendency for new acne formation dies down, gradually.

Once acne activity is under control, you still need to use a maintenance gel, commonly a topical retinoid, to prevent the new lesions/comedones from developing.

-I usually start my patients of acne on topical benzoyl peroxide gel (e.g Benzac-AC 2.5 % gel) OR Clindamycin gel (e.g clin 3 gel or clindac -A gel) for day time use.

-At night I ask my patients to apply a topical retinoid e.g either Adapalene OR Adapalene+clindamycin combination. e.g Deriva-cms gel contains topical clindamycin along with adapalene in a gel formulation. While it is mainly used for acne, the retinoid component i.e adapalene increases the skin turnover and consequently decreases the contact time of keratinocytes with melanocytes, therefore it does has a lightening effect on post-inflammatory hyperpigmentation.

-I also decide to start my patients on oral antibiotics if they have inflammatory acne e.g either Doxycycline 100mg once or twice daily OR Azithromycin 500 mg three consecutive days/week for 4-6 weeks.

-A gentle cleanser is recommended for face wash e.g cetaphil cleansing lotion rather than using a soap or face wash.

-You could also opt for a few chemical peeling sessions (Salicylic acid peels) from a dermatologist for acne.

-Oral retinoids (Isotretinoin) can be considered in severe or acne unresponsive to traditional antiacne medications. They are the most effective drugs for acne and are usually first choice in severe or moderately severe acne OR acne not responding adequately to traditional antiacne medications OR acne significantly affecting the quality of life of patients regardless of severity. Oral retinoids and oral antibiotics can be started simultaneously in patients who have inflammatory acne (Azithromycin, can be combined with Oral retinoids)

These are all prescription drugs. Therefore you need to get a prescription for these before trying them

Hope this helps
Regards

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