Hi.. As you said you are having acne vulgaris. There may be different forms of acne..like white comedones,black comedones,inflammatory acne, conglobet and cystic acne . Acne vulgaris is a multifactorial disease. There may be some cause. Stress,anxiety,oily food,dandruff, sleeplessness, hormonal imbalance,drugs like pills,steroid ..etc may cause or exacerbate the disease. You consult dermatologist for firm diagnosis and treatment. However, some guideline may be helpful to you... I usually treat my patient having acne as follow.. - I advise to avoid all suspected factors which stimulate or exacerbate the lesions - tab azithromycine 500 mg thrice a week 24 hourly consecutively for few months. - cap isotretinoin 5 mg daily at night -clindamycine gel to apply in morning on lesions only - adapalene gel to apply at night on lesions only -cleanse the face with antiseptic face wash Have patience as the good result may be there after few months. I hope you got my answer. Thanks. Dr. Ilyas Patel MD