Dove

You should see a dermatologist for prescription-strength treatments, as drugstore products are unlikely to effectively treat adult acne that is deep, painful, or scarring [1][2]. Since over-the-counter options have failed after several weeks, a doctor can provide medications specifically designed for resistant or severe cases [2]. Key Prescription Options a Dermatologist May Recommend Topical Retinoids: Prescription versions (like tretinoin) are stronger than over-the-counter adapalene and help unclog pores by increasing cell turnover [5][16]. Oral Antibiotics: Medications such as doxycycline, minocycline, or sarecycline reduce inflammation and bacteria internally, which is often more effective for widespread or deep acne than topicals alone [4][5][13]. Hormonal Treatments: If your acne is hormonally influenced (common along the jawline in women), doctors may prescribe combined oral contraceptives (birth control pills) or spironolactone to reduce oil production [4][5][12]. Isotretinoin (Accutane): For severe, cystic acne that leaves scars, this oral retinoid is considered the "gold standard" for long-term healing, though it requires strict medical supervision due to side effects [5][12]. Other Topicals: Prescription options include clascoterone (a hormonal blocker), topical antibiotics (like clindamycin), azelaic acid, or combinations with benzoyl peroxide [4][5]. Important Next Steps Book an Appointment: Look for a board-certified dermatologist to determine the specific type of acne you have (e.g., cystic, hormonal) and tailor a treatment plan [1][10][11]. Gentle Skincare Routine: While waiting for your appointment, use a gentle, non-abrasive cleanser (like Cetaphil or Dove) and an oil-free moisturizer with sunscreen (SPF 30+) to avoid further irritation [13][14]. Lifestyle Factors: Incorporate stress reduction, adequate sleep, and a nutrient-rich diet, as these support medical treatments for adult acne [3][18]. Avoid Picking: Do not pop or squeeze pimples, as this increases the risk of permanent scarring [9]. Drugstore products often fail because adult acne (especially cystic or deep nodules) requires mechanisms that penetrate deeper or target hormones, which only prescription medications can provide [1].

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