A member asked:

I have had pretty severe acne for four years now (i'm 21). have tried all antibiotics and topical treatments but nothing helps. possible causes?

A doctor has provided 1 answer

Big guns: I'm going to assume your periods are normal and there's not a major hormonal problem. Antibiotics should never be used alone for acne, and even combined with topical Rx are not always effective. You will never find the cause. The disease eventually remits (mine did at age 50) but until then, you must manage it. If spironolactone and the oral contraceptive pill fail, it's isotretinoin. Be brave.

Answered 8/19/2016

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Thank

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