Hi.. As you said you are having acne vulgaris. There may be different forms of acne..like white comedones,black comedones,inflammatory acne, conglobet and cystic acne . Acne vulgaris is a multifactorial disease. There may be some cause. Stress,anxiety,oily food,dandruff, sleeplessness, hormonal imbalance,drugs like pills,steroid ..etc may cause or exacerbate the disease.You consult dermatologist. I advise in my patients having acne as below.. - to avoid all suspected factors which stimulate or exacerbate the lesions - tab azithromycine 500 mg thrice a week 24 hourly consecutively for few months It is a safe drug in lactating mother. - clindamycine gel to apply at night on lesions only -cleanse the face with antiseptic face wash Have patience as the good result may be there after few months. And relapse may be prevented.I hope you got my answer. Thanks. Dr. Ilyas Patel MD