Since your severe acne and dark spots haven?t responded to topicals like Nadoxin and Kozic cream, you likely require stronger, prescription-grade options. For severe acne, dermatologists often prescribe oral retinoids (like Isotretinoin) or oral antibiotics (like Doxycycline), paired with topical Benzoyl Peroxide or Adapalene gel. Once active acne is controlled, treatments like Azelaic acid, Vitamin C, or clinical chemical peels can effectively target the black spots. I highly recommend visiting a dermatologist for a physical evaluation. They can safely prescribe these stronger treatments and tailor a regimen specifically for your skin type. In the meantime, avoid popping pimples to prevent further scarring.

For oily, acne-prone skin and dark spots, I recommend a simple, targeted skincare routine. Cleanser: Use a Salicylic Acid (BHA) face wash twice daily to control excess oil and unclog pores. Acne Treatment: Apply Adapalene gel (0.1%) or Benzoyl Peroxide at night to clear pimples and prevent new breakouts. Dark Spots: Use Azelaic Acid (10%) or Niacinamide serum in the morning to fade hyperpigmentation and reduce redness. Protection: Apply a lightweight, non-comedogenic moisturiser and a broad-spectrum SPF 30+ sunscreen daily, as sun exposure darkens spots. If your acne is severe, please consult a dermatologist for prescription-strength treatments.