What's the best treatment for acne? only capsules not creams?

Systemic Rx: Your question suggests to me that you have tried topical therapy and it failed. Most men clear on a systemic antibiotic that's right for them; the tough cases respond to drugs that only a dermatologist can write for. You may want to give topical rx a second try; clindamycin, benzoyl peroxide, and a retinoic acid derivative may all help.