Hi. Thanks for posting your concern at HCM Acne is a chronic condition and requires regular care upto a certain age by when the acne activity gradually subsides on its own Specific treatment: Oral Antibiotics: For inflammatory acne(papules and pustules) i advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. Then there are oral retinoids which can also be prescribed in severe grade acne. Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically 1)Topical Antibacterials: Either clindamycin 1%/ benzoyl peroxide 2.5% OR Nadifloxacin during the day time. 2)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). General measures form an invaluable part of specific therapy. General measures: 1)Use a mild cleanser like cetaphil twice daily 2)Avoid all the regular use creams, moisturizers, sunscreens that you may be using for the time being till you are on anti-acne treatment. 3)Avoid taking facials. 4)Avoid picking your acne. 5)Use an Anti-dandruff shampoo since acne is worsened by dandruff. I would advice that you see a dermatologist for a detailed discussion about the various treatment modalities in your case. take care regards