If your skin condition does not improve after four to six weeks, you may need to consult a doctor about stronger treatment. Most prescribe tretinoin to open the plug, an anti-microbial such as erythromycin or clindamycin to kill the bacteria, and possibly stronger benzoyl peroxide preparations. Prescriptions are stronger, but it still takes some time for them to work effectively. Still, more aggressive treatment involves the use of systemic antibiotics, such as tetracycline pills. A very serious drug called acutane can be used if all other therapies fail.
Some severe acne can cause permanent scarring.
For instance, dirt accumulation does not cause acne, debunking the myth that repeated face washing will clear up the condition. Instead, wash your face with water and mild soap twice daily, and pat it dry gently. Eating junk food or chocolates likewise has no effect on acne, so radical changes in your diet are unnecessary. In some cases, women may develop acne as the result of hormonal imbalances produced either by the adrenal glands or the ovaries. A simple blood test can determine your hormone levels, and the condition can be easily treated unless you are pregnant.