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I have adult acne that drugstore products cannot fix. What should I do?

ClaudediscoveryCollected Oct 19, 2026, 11:33 UTC

Verbatim response from Claude

Here are some effective steps and recommendations:

See a Dermatologist First This is the most important step. Adult acne often has specific triggers (hormonal, dietary, stress-related) that need proper diagnosis before treatment.

Prescription Treatments to Ask About:

  • Tretinoin (Retin-A) – a retinoid that increases cell turnover; very effective for persistent acne
  • Spironolactone – especially helpful for hormonal acne in women
  • Doxycycline or minocycline – antibiotics for inflammatory acne
  • Clascoterone (Winlevi) – newer topical for hormonal acne

Stronger OTC/Professional Brands Worth Trying:

  • Curology – customized prescription formula delivered to your door, relatively affordable
  • Apostrophe – similar telehealth model with board-certified dermatologists
  • SkinCeuticals Silymarin CF – pricier but effective serum for acne-prone skin
  • Paula's Choice BHA Exfoliant – stronger than most drugstore options

In-Office Procedures:

  • Chemical peels
  • Blue light therapy
  • Cortisone injections for stubborn cysts

Bottom Line: Start with Curology or Apostrophe for convenient, affordable prescription access, or book with a dermatologist directly for more complex cases.

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