If drugstore acne products aren’t working, the next step is to see a dermatologist or GP/primary care clinician for prescription treatment.[1][7][9] Adult acne that is deep, painful, scarring, moderate-to-severe, or unresponsive after 6–8 weeks to a few months of consistent OTC use needs medical evaluation rather than more over-the-counter switching.[1][7][9] What a clinician may prescribe depends on your acne type:[2][7][8] Topical retinoids such as tretinoin, tazarotene, or prescription-strength regimens to prevent clogged pores.[2][3][7] Benzoyl peroxide combinations and, if appropriate, topical antibiotics like clindamycin only with benzoyl peroxide to reduce resistance.[8] Oral antibiotics for inflammatory or moderate-to-severe acne that has not responded to topical treatment.[2][7][8] For women with a hormonal pattern, spironolactone or certain combined oral contraceptives may help.[7][8] For persistent, scarring, or severe acne, isotretinoin may be recommended.[8] Until you get seen, the safest basic routine is to keep it simple:[1][9] Use one acne active at a time and give it a fair trial. Common first-line OTC actives are adapalene and benzoyl peroxide.[1][3][9] Apply acne medicine to the whole affected area, not just individual pimples.[1] Use a gentle cleanser, noncomedogenic moisturizer, and daily sunscreen.[9] Avoid picking, harsh scrubs, and over-exfoliating, which can worsen irritation.[8][9] Specific brands/services you can look for while you wait: Differin Gel 0.1% (adapalene) for clogged pores and comedonal acne.[3][9] PanOxyl or other benzoyl peroxide washes/gels for inflammatory breakouts.[3][8] A dermatologist service such as a board-certified dermatologist, or a primary care clinician if that’s faster for the first prescription visit.[1][7][8] If you tell me what your acne looks like—whiteheads/blackheads, red inflamed pimples, deep painful cysts, jawline flares, or scarring—I can suggest the most likely prescription path to ask about.
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