Since standard treatments, including isotretinoin, had limited success, your acne may have an underlying hormonal driver. For persistent cases in adult females, oral spironolactone or specific oral contraceptives are highly effective at regulating sebum-stimulating hormones. For topical management, a stronger retinoid like tazarotene can promote deeper skin cell turnover. To address both active breakouts and stubborn pimple marks (hyperpigmentation), topical azelaic acid is an excellent, gentle option. I highly recommend discussing these targeted medical options with your dermatologist, who may also suggest in-office treatments like chemical peels to safely accelerate your results.

Since Epiduo is expensive, you can ask your doctor about a similar, more affordable acne gel that has both retinoid and antibacterial action. A simpler skincare routine with a gentle cleanser and moisturiser can also help. Always check with your doctor before switching to ensure it suits your skin type.

Follow your doctor's advice and use the creams regularly as told, without skipping days. Keep your face clean, avoid touching or squeezing pimples, and avoid oily foods. If pimples worsen or irritation increases, go back for a review.

Acne redness and poor beard growth can happen due to skin irritation, stress, or hormone changes. Use the gel as advised, avoid overuse, and keep your skin gentle and moisturised. If redness or hair issues continue, a doctor should reassess your skin care plan.

To prevent acne (pimples), maintain proper facial hygiene by washing your face twice daily with a gentle cleanser to remove excess oil and dirt. Avoid picking or squeezing pimples to prevent infection and scarring. Use non-comedogenic skincare products, eat a balanced diet, and drink plenty of water. Over-the-counter creams containing salicylic acid or benzoyl peroxide can help control breakouts. If your acne is severe or persistent, consult a dermatologist for appropriate medical treatment.