hello Dear. Since you have taken so many treatment i will first tell you some of the home remedies that you need to follow 1. Wash your face about twice each day. Do not wash it more often. Use a mild soap made especially for people with acne, and warm water. Do not scrub the skin. Experts advise the use of an OTC lotion which contains benzoyl peroxide 2. Don t try to burst the pimples. You may push the infection further down, causing more blocking and worse swelling and redness. Popping pimples makes scarring more likely 3. If you have to get rid of a pimple for some event, such as a wedding, or public speaking occasions, ask a specialist to treat it for you 4. Try to refrain from touching your face with your hands. When you are on the phone try not to let the receiver touch your face - there may be sebum and skin residue on it 5. Keep your hands clean, wash them regularly 6. Always wash your hands before touching your face. This includes before applying lotions, creams or makeup 7. Glasses should regularly be cleaned. They will collect sebum and skin residue 8. You skin needs to breathe. If your acne is on your back, shoulders or chest try wearing loose clothing. Tight garments, such as headbands, caps and scarves should be avoided - if you have to wear them make sure they are cleaned regularly 9. Don t go to sleep with makeup on. Only use makeup that is noncomedogenic or nonacnegenic - you should be able to read this on the label. If you cannot find it, ask the shopkeeper or pharmacist. You should use makeup which does not have oil and does not clog up the pores Hair collects sebum and skin residue. Keep your hair clean and away from your face 10. Too much sun can cause your skin to produce more sebum. Several acne medications make it more likely that you will be sunburned 11. If you shave your face, do it carefully. Use either an electric shaver or safety razors. If you use a safety razor make sure the blade is sharp. Soften your skin and beard with warm soapy water before applying the shaving cream. Examples of some over-the-counter products used to treat acne include: 1. Benzoyl peroxide (such as Brevoxyl or Triaz), which unplugs pores. Alpha hydroxy acid, which dries up blemishes and causes the top skin layer to peel. You ll find alpha hydroxy acid in some moisturizers, cleansers, eye creams, and sunscreens. 2. Salicylic acid (such as Propa pH or Stridex), which dries up blemishes and causes the top skin layer to peel. 3. Tea tree oil, which kills bacteria. You ll find tea tree oil in some gels, creams, and oils. Some skin care products, such as those with alpha hydroxy acid, will make your skin very sensitive to ultraviolet (UV) light. Protect your skin from the sun and other sources of UV light. The most common types of medicines that doctors use to treat acne include: 1. Benzoyl peroxide, such as Brevoxyl or Triaz. 2. Salicylic acid, such as Propa pH or Stridex. 3. Topical and oral antibiotics, such as clindamycin, doxycycline, erythromycin, and tetracycline. 4. Topical retinoid medicines, such as tretinoin (Retin-A), adapalene (Differin), and tazarotene (Tazorac). 5. Azelaic acid, such as Azelex, a topical cream. 6. Isotretinoin, an oral retinoid. 7. Low-dose birth control pills that contain estrogen (such as Estrostep, Ortho Tri-Cyclen, or Yaz), which work well on moderate acne in women and for premenstrual flare-ups. 8. Androgen blockers, such as spironolactone. Androgen blockers can be useful in treating acne. These medicines decrease the amount of sebum (oil) made in your pores. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini