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Oral antibiotics are indicated for moderate-to severe disease, for the treatment of acne on the chest, back, or shoulders, and in patients with inflammatory disease in whom topical combinations have failed or are not tolerated. After control of the acne is achieved and maintained for at least two months, a reduction in the dose can be attempted. Hormonal treatment is especially useful in women who desire contraception or have other manifestations of hyperandrogenism, such as irregular menstrual cycles or hirsute. Oral antibiotics and topical therapy may be used in combination with hormonal treatments.When the use of this agent is being considered, an assessment of the severity of disease should include the effect of the acne on the patient, such as the potential for scarring.
For stubborn acne and severe cases you may have to get an antibiotic prescription, or prescription strength Retin-A. Acne on the back is much more resistant to treatment and the skin is tougher, so it will need to be treated aggressively. As a last resort, you could try Accutane.
It is also unwise to use cleansers with alcohol as it could dry up your skin thus continuing the cycle of oil production in your face. After cleansing, toning will remove every last trace of make-up and dirt from your face. Toners make your pores look like they shrunk creating a finer tone. At this point your skin looks tighter. The final step is moisturizing. Make sure you apply a natural oil-free moisturizer to keep the skin supple and shine free.
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