Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain acne or pimples can occur due to causes like: -Clogged pores. -Oily skin. -Hormonal Imbalances. -Bacterial infection. -Inflammation -Excess sun exposure etc. As it is a recurring skin condition, therefore in case of recurrences you need to repeat the treatment which is not just taking Azifast that is an antibiotic Azithromycin, but is a combination of topical as well as oral antibiotic and anti acne medications.. I would suggest you to consult a Dermatologist and get evaluated and he can do a proper clinical evaluation and can advise you to wash your face with Salicylic acid containing facewash.. Apply topical ointment containing Clindamycin and Benzoyl Peroxide.. Apply retinoids like Adapelene gel in thin layer on pimples at night time.. Do cool compresses over face.. Exfoliate your face twice a week to unclog the pores.. You can also apply a sunscreen lotion when exposed to sun.. Oral Medication like antibiotics like Clindamycin or Minocycline and retinoid like Isotretinoin can also be advised Avoid oily food.. You can also be advised treatment like Microdermabrasion, dermal rollers, glycolic acid peels etc.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.