Verbatim response from Claude
Here are some specific steps and recommendations for stubborn adult acne:
See a Professional First
- A dermatologist is your best first step — they can prescribe treatments like tretinoin, clindamycin, spironolactone (for hormonal acne in women), or oral antibiotics that over-the-counter products simply can't match
Prescription-Strength Options
- Tretinoin (generic or Retin-A) – a gold standard for acne and skin renewal
- Curology – an online service that creates custom prescription formulas and ships to your door; very convenient and affordable
- Apostrophe – similar to Curology, dermatologist-supervised online prescriptions
Upgraded Skincare to Pair With Treatment
- La Roche-Posay Effaclar line – more effective than typical drugstore brands
- Paula's Choice BHA Exfoliant – excellent for unclogging pores
- Differin (adapalene) – now available OTC and stronger than most drugstore options
Lifestyle Considerations
- Consider whether acne is hormonal (often along the jawline) — a gynecologist or dermatologist can help with this specifically
Bottom Line
Curology or a dermatologist visit is the most impactful next step — prescription ingredients make a dramatic difference when OTC products fail.