Hi,
You said you suffer from
acne vulgaris. It is a multifactorial disease. There may be different form of acne like comedones,papules,pustules or cystic lesions. After healing the lesions,you may develop black spots and scars. Stress, anxiety,
sleeplessness,drugs like steroids,oil food,dandruff..etc might exacerbate the disease. I can understand your anxiety for acne and post acne melanosis.But, you might take long time to have good response after regular and proper treatment. You
consult dermatologist.
He might give antibiotic like minocycline 50 mg daily in morning and
isotretinoin cap in low dose of 5 mg daily at night . For black spots,
tranexamic acid tab or glutathion would be helpful.
And he might advise to apply clindamycine gel in morning and adapalene gel at night. And to cleanse the face with antiseptic like acmed face wash. For black spots and patches... kojic acid and arbutin containg gel might be helpful.
Have pateince for the result. It may take few months for the good result. I hope you got my answer.
Thanks.
Dr. Ilyas Patel MD