hi, I m 23 years old and its been 6 years that I m having cystic acne . I have taken two rounds of isotretinoin but after leaving it the acne has come back.i have taken antibiotics also in these six years off and on..I have been on medicines for 6 years but acne is still there and scars as well. what should I do? I have PCOs as well and I m on Neodipar. please help
Treatment of acne depends on the stage and severity of the condition. Very good results can be obtained if you are under regular treatment-the duration of the treatment lasting from 6-9 months. The problem of relapse occurs because most of the time either the medicines are not applied properly or not applied for the needed duration or the treatment is stopped midway or irregular. More than antibiotics for prolonged duration what is needed is topical retinoids for six to nine months Cystic acne means you have grade 4 acne the management of which might require oral retinoids, which need to be taken only after proper investigation, counselling and guidance of an experienced dermal. You have taken two courses, but more course might be needed please visit the nearest dermal who will decide the stage and chalk out a management plan for you. Also one thing you need to strictly follow is that you need to continue the medicines for at least 6-9 months if you want to get rid of acne for quite a long duration.  Regards