Next step: If Clindamycin plus benzoyl peroxide has not worked, the next step may be a trial of the oral contraceptive pill if it is right for you, or a systemic antibiotic that's appropriate for you. Good luck. For the tough cases, you may consider accutane; it carries some risks but is worth it for rough disease. Your physician can determine if you have excess androgens as part of the problem. Good luck.
Answered 6/24/2014
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