Acne is annoying, but most breakouts improve when you use the right approach. Pick treatments based on how bad your acne is, whether it’s whiteheads and blackheads, inflamed pimples, or deep cysts. Small changes in routine often help faster than swapping products every few days.
Start slow. Use a gentle cleanser twice a day and a light, non-comedogenic moisturizer to keep skin balanced. For active spots, try benzoyl peroxide (2.5–5%). It kills acne bacteria and reduces inflammation. Expect irritation at first — use every other day if your skin flakes, then build up.
Salicylic acid (0.5–2%) helps clear pores and works well on blackheads. OTC adapalene (a topical retinoid) is available now; it speeds up cell turnover and prevents new clogs. Apply retinoids at night and use sunscreen in the morning — they make skin more sun-sensitive.
Azelaic acid is a gentler option for redness and mild lesions. If you get dryness or irritation, add a basic moisturizer containing ceramides or glycerin. Patch test new products on the jawline for a week before using them all over.
If you have painful nodules, cysts, or acne that doesn’t improve after 6–12 weeks of consistent OTC use, see a dermatologist. They may prescribe topical antibiotics, topical benzoyl peroxide combinations, or oral antibiotics for short courses. For adult women with hormonal acne, birth control pills or spironolactone can be effective under medical supervision.
Isotretinoin (Accutane) is the most powerful option for severe, scarring acne. It works well but needs close monitoring because of side effects and pregnancy risks. Discuss blood tests and birth control with your doctor before starting.
Procedures like cortisone injections (for big cysts), chemical peels, or light therapies can speed recovery for some people. A dermatologist will suggest the safest choice based on your skin type and history.
Small habits matter: don’t pick or squeeze lesions, avoid heavy makeup or oily hair products, wash pillowcases weekly, and keep phone screens clean. Diet isn’t a magic cure, but lowering high-glycemic foods and tracking if dairy affects you can help some people.
Bring a list of your current skincare and medications when you see a clinician, plus photos that show how your acne changes over time. Clear skin takes patience — expect a few weeks before you see real improvement, and stick to one tested routine before declaring it ‘not working.’
If you want, browse Family24Rx’s articles for deeper reads on topical ingredients, prescription options, and how to shop safely online for medication. Small, steady changes beat quick fixes every time.