Brief Answer:
Oral antibacterials; Topical antiacne preparations; Salicylic acid peel

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have also reviewed the Image.

She seem to have inflammatory acne flare.
I can also see that she has non-inflammatory acne lesions as well i.e white heads/ closed comedones and her face skin seems oily.

Treatment of inflammatory acne flare such as i her case is with both Oral antibiotics as well as Topical antiacne antibacterials.
Any of the Oral antiacne antibiotics can be started e.g Doxycycline Or Minocycline Or Azithromycin Or Lymecycline.

Topically I would suggest benzoyl peroxide gel, as a spot treatment for inflammatory acne during day time.
At night she may use a clindamycin+adapalene combination gel, to be applied over the whole of acne prone area, not just on acne

The aim of antiacne treatment is to resolve existing acne as well as prevent develoment of new acne.

Topical benzoyl peroxide and clindamycin are mainly for inflammatory acne i.e red , itchy, painful acne whereas topical adapalene is effective for all grades of acne i.e inflammatory as well as non-inflammatory i.e comedones.
Adapalene has comedolytic properties thereby preventing new acne as well as helping resolve existing acne.

She may also opt for a few sessions of salicylic acid chemical peel from your treating dermatologist.
This peel is quite useful for both acne as well as oily skin.

She must use a mild cleanser e.g cetaphil cleansing lotion, twice daily.

I suggest that she visits a dermatologist in your vicinity for the needful.

Regards

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Brief Answer:
Advice regarding oal and topical antiacne treatment

Detailed Answer:
Hi.

Doxycycline is available as 100 mg capsules. Dose in acne varies from once daily to twice daily.

Minocycline is available as Extended release tablet in 2 strengths i.e 45 mg for patients less than 50 kgs and 55 mg for patients more than 50 Kgs. Dose is usually once daily.

Azithromycin is usually given as 500 mg tablets once daily, in pulse dosing i.e 3 consecutive days every week for 4-6 weeks or longer.

Your doctor may chose to prescribe any one of these for her.

Duration of treatment with Oral antibiotics varies from patient to patient depending on severity of acne & on response to treatment.

Topical clindamycin is available as 1% gel and benzoyl peroxide as 2.5% gel. They can be used once Or twice daily on active acne.
Adapalene is available in 0.1% strength. It is available either as plain adapalene 0.1% gel Or in combination with Clindamycin 1% gel.
Adapalene is mainly for night time application. It is antiinflammatory, comedolytic and therefore helps both existing acne as well as prevents new acne.

I suggest that she uses these medications under supervision of a dermatologist in your vicinity.
Please avoid self medication.

Regards

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