For more severe forms of acne, you may need prescription medication. Dr Wong explains: “This can range from antibiotics which you apply as a cream or a or your doctor could prescribe antibiotic tablets, for courses of three to six months. “There are also stronger tablets, which people can take and would be done under the supervision of a dermatologist.”
“There comes a time in a young woman’s life when breakouts start to become few and far between,” Renée says about what sounds like a very lovely stage of life. “Yet many people make the mistake of continuing to use a skin care routine carried over from their teen years thinking that if they stop using that routine, their blemishes will all come back.” But that’s the wrong way to think about it! If your skin changes, so too should your products. The acne leftovers are probably too strong and drying, especially if it’s time to start thinking about incorporating some preventative anti-aging products into the rotation.
When we asked what those types of other ingredients are, Dr. Green said there were no clear answers there either — skin is too subjective. “I think the best answer is to use one that feels good and rubs into your skin well without over-drying it,” he says. The more comfortable it is to apply, the more likely you are to keep up the regimen.
Hormones are ruthless, and all the topical treatments in the world won’t make a difference if yours are seriously out of whack. In that case, you need to fix things internally first. “Medications that manipulate hormonal levels, such as oral contraceptives and spironolactone, are helpful in curbing hormonal chin and lower face outbreaks,” Dr. Tzu says. Ask your derm about what might work for you.
The two laser treatment options above are great for acne scar removal, but aren’t generally recommended as acne treatment. If you’re still experiencing active acne breakouts and wondering how to get rid of acne with laser treatments, check out photodynamic therapy. It combats active moderate to severe acne while also diminishing older acne scars by using light energy to activate a powerful acne-fighting solution. Patients may require 2 or 3 treatments over several weeks and should expect some redness, peeling, and sun sensitivity. This treatment will cost between $2000 to $3500 per series.
The aim of using oral antibiotics is to reduce* Propionibacterium acnes which affected with bacterium. Although initial dosage is high, it becomes lower once the acne reduces*. The maximum period of acne resistant to antibiotics is six months.
Spironolactone may also be used in the treatment of acne vulgaris.  Spironolactone binds the androgen receptor and reduces androgen production. Adverse effects include dizziness, breast tenderness, and dysmenorrhea.  Dysmenorrhea may be lessened by coadministration with an oral contraceptive. In two 2017 retrospective studies, spironolactone has been shown to be effective in reducing inflammatory lesions in multiple areas of the body with minimal adverse effects. [46, 47] Currently, more high-powered randomized controlled trials are needed to assess the efficacy of spironolactone monotherapy in treating acne, but spironolactone should be considered in recalcitrant acne, in women who do not tolerate or have contraindications to oral contraceptives, and to prevent antibiotic resistance.  A 2015 large retrospective study of healthy women aged 18-45 years confirms potassium monitoring is unnecessary for these patients while taking spironolactone.  Pregnancy must be avoided while taking spironolactone because of the risk of feminization of the male fetus, and spironolactone is not recommended for males because of the potential for gynecomastia. [31, 46] While a black box warning regarding possible cancer risk was placed on spironolactone many years ago after rats fed high doses of the medication developed both benign and malignant tumors, several large retrospective and longitudinal studies have found no association with cancer. 
For a long time nobody knew why teenagers get acne. But many assumed that it would come from hormonal changes as teenagers grow up. But why then are there some ethnic regions in the world where teenagers do not get acne? In this blog I will present the background that shows that wheat, sugar and dairy products are the culprits. They are not eaten in those regions of our planet where acne does not exist.
More than 80% of adolescents suffer from acne. Even adults and younger children are affected by these annoying breakouts. A simple pimple may take three to seven days to go away by itself. Sometimes, they last longer and indicate a more complex underlying cause that needs to be treated.
If you are spot prone anyway, I would like to recommend Sudocrem. Forget the “put a tiny bit just on the spot”, you can spread it all over your face if you want, it won’t harm you, but it does reduce and clear spots very well if you leave it overnight. Unfortunately after a while, it doesn’t seem to work as well as the first few times you use it, but it still does help. It’s fairly cheap and can be bought pretty much anywhere that sells cosmetics etc.