If your pimples are increasing along with darkening of the skin, it usually means ongoing acne with post-inflammatory pigmentation, which can be improved with the right combination of treatment and skincare, so start with a gentle routine, wash your face twice daily, avoid scrubbing or picking, and use sunscreen daily to prevent further darkening, while adding effective treatments like a retinoid or combination gel (such as adapalene + benzoyl peroxide) to control pimples and reduce oil, as these help unclog pores and kill acne-causing bacteria. For dark marks and uneven tone, creams containing azelaic acid can be helpful as they reduce pigmentation and inflammation, and examples include options like Aziderm Gel or Aziderm 10% Cream, while combination acne gels like Adapalene and Benzoyl Peroxide Gel or Epiduo Gel can help control active acne. However, since your condition seems to be worsening, it is best to consult a dermatologist who may prescribe stronger or oral medicines if needed, and with consistent treatment, improvement is usually seen over 4-8 weeks.

Mild peeling, dryness, or slight redness is a common and expected effect in the first few weeks of acne treatment, especially with medicines like Deriva CMS Gel, as they work by increasing skin cell turnover, so this usually means the treatment is working and often settles with time. You can continue your routine but use a gentle approach; apply a small amount of the gel at night, avoid overuse, use Epishine Facewash mildly without scrubbing, keep your skin well moisturised, and apply AC Screen Sunscreen regularly during the day. Avoid picking or rubbing the skin, and if the peeling becomes severe, painful, or associated with burning, it is best to reduce frequency (for example, every alternate night) and consult your dermatologist for adjustment.

Acne marks often take time to fade even after pimples are controlled, and they can be managed with the right care, so you can continue using Deriva CMS Gel if still advised, as it helps with skin renewal. Add measures like daily sunscreen to prevent marks from getting darker, along with gentle skin care and avoiding picking at the skin. Your doctor may also suggest creams containing ingredients like azelaic acid, vitamin C, or mild chemical exfoliants to gradually lighten marks, but improvement usually takes several weeks to months. If marks are deep or not improving, procedures like chemical peels or laser treatments by a dermatologist may be needed.

If new pimples are still appearing while using Ahaglow Face Wash and Deriva CMS Gel, it may mean your acne needs a stronger or slightly adjusted treatment, but it is also important to give the current medicines at least 4-6 weeks to show full effect, as acne improves gradually. Continue using them regularly, avoid over-washing or picking your skin, and use a light moisturizer and sunscreen to protect your skin, but if pimples keep increasing, become painful, or do not improve after a few weeks, consult your dermatologist, who may add other treatments such as oral medications, change the gel, or adjust your routine based on your skin type.

Mild redness, dryness, and slight itching are common in the first few weeks of using Deriva CMS Gel, as your skin is adjusting to the treatment. This is usually normal, and you can continue using it, but apply only a small amount at night and avoid overuse. However, Liril Lime Soap may be too harsh and can worsen irritation, so it is better to switch to a gentle, non-soap cleanser, use a light moisturiser to reduce dryness, and apply sunscreen during the day. If the redness or itching becomes severe, burning, or persistent, reduce the frequency (for example, every alternate night) and consult your dermatologist for advice.

Isotretinoin and the other products prescribed by your dermatologist may take more time to show noticeable results. During the initial weeks after starting or increasing isotretinoin, some people may experience temporary worsening of acne or new breakouts before improvement occurs. Since you are only on day 15 of the updated treatment, it may be too early to judge its effectiveness. Dark acne marks (post-acne pigmentation) usually take longer to improve and may not show significant changes within a few weeks. The time needed for improvement depends on the type of marks and how well the acne is controlled. Continue the treatment only as prescribed by your dermatologist. Do not increase, stop, or add any medicines or skincare products on your own. If your acne is worsening significantly or if you develop painful cysts, severe dryness, irritation, or other side effects, consult your dermatologist for further advice.