Severe, recurring acne that hasn't responded to Melacare Forte or Skinlite creams usually requires a tailored treatment approach under a dermatologist's care.

🩺 Assessment and Diagnosis

• A dermatologist should evaluate your acne severity and check for any underlying factors that could affect treatment choices.

💊 Prescription Medications

• Oral antibiotics like doxycycline or minocycline may be prescribed to reduce inflammation and infection.
• For females, hormonal therapies such as certain birth control pills or anti-androgens can help if hormones play a role.
• Isotretinoin, a powerful oral retinoid, can be considered for very severe or resistant acne but requires close medical supervision due to potential side effects.

🩺 Adjunctive Topical Treatments

• Prescription topical retinoids (different from Melacare Forte’s tretinoin component used for melasma) or combination therapies including benzoyl peroxide with adapalene might be more effective.
• Avoid using Melacare Forte for acne, as it is designed for melasma and not acne treatment.

🩺 Monitoring and Follow-up

• Regular follow-up visits are important to monitor treatment effectiveness and manage side effects, especially if using systemic medications like isotretinoin.

🏥 Lifestyle and Skincare

• Supportive measures include gentle cleansing, non-comedogenic moisturizers, avoiding picking at acne lesions, and minimizing sun exposure especially when using photosensitive medications.

Please consult a dermatologist to get a personalized treatment plan suitable for your acne type and history.