Since your current acne treatment isn't working, it's time to adjust your regimen. If you are currently using basic topicals, we can escalate to prescription-strength topical retinoids (like tretinoin) or combination topical therapies. For persistent or deeper breakouts, oral antibiotics or hormonal therapies (like spironolactone or specific birth control pills) are highly effective. For severe, resistant acne, oral isotretinoin (Accutane) is the most definitive option. Please consult your dermatologist to evaluate your current routine and safely transition to these prescription alternatives.