Hi. Thanks for posting your concern at HCM
Acne are common among young people. At 26 years it is not unusual to get acne. Almost all cases of Acne and Post-Acne Marks can be ultimately cured with proper medication and follow up.
General measures:
-Use a mild cleanser like cetaphil twice daily
-Avoid all the regular use creams, moisturizers, sunscreens that you may be using for the time being till you are on anti-acne treatment.
-Avoid taking facials.
-Avoid picking your acne.
-Use an Anti-dandruff shampoo since acne is worsened by dandruff.
Specific treatment:
Oral Antibiotics: For inflammatory acne(papules and pustules) i advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/
Minocycline.
Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically
1)Topical Antibacterials: Dermatologists around the world prescribe topical gels/creams containing topical antibiotics like either
clindamycin 1%/
benzoyl peroxide 2.5% OR
Nadifloxacin during the day time.
2)Topical Retinoids: Either
Adapalene 0.1%/ Tretinoin 0.025% OR Azaleic acid (10%/20%) at bed time.
Topical treatment has antibacterial, anti-inflammatory effect and normally show noticeable improvement by 2-4 weeks.
take care
regards