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How can I clear my acne and spots quickly?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have acne, post-inflammatory erythema, and dark spots. What should I do to reduce them quickly? Please help.

Thank you in advance.

Answered by Dr. Chibitam Hope Obia

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

I am very sorry to hear about your medical condition, and I am glad that you are paying attention to changes in your body. Please do not worry, I am here to help and guide you through this. Thank you for sharing your concerns.

I believe your acne, hyperpigmented skin patches, and erythematous lesions (red, inflamed areas on the skin) may be linked to hormonal changes, genetic factors, or internal inflammation. Here is a breakdown of what might be happening and how to approach it beyond just temporary fixes:

Why does your acne keep coming back?

  1. Acne may worsen around your menstrual period, appear on the jawline or chin, or flare up during times of emotional or physical stress. These are common signs of hormone-related acne.

  2. If your skin is naturally oily, topical creams alone may not be sufficient. Excess oil (sebum) and dead skin cells can block pores and lead to breakouts.

  3. Consuming a diet high in sugar, dairy, or processed foods may trigger inflammation in sensitive people, which can worsen acne.

  4. Using harsh skincare products or washing the face too frequently can damage the skin's natural barrier, making acne and redness worse.

Long-term treatment options:

Medical options:

  • Oral antibiotics like Doxycycline 100 mg, taken orally three times a day, for two weeks. Doxycycline is a tetracycline-class antibiotic used to reduce bacterial overgrowth and inflammation in acne.

  • Hormonal treatments like combined oral contraceptive pills or Spironolactone (a medication that blocks androgen hormones in females). These are usually taken twice daily for one month or as directed by your physician.

  • Topical isotretinoin, a vitamin A derivative applied to the skin to reduce oil production, unclog pores, and reduce inflammation. It is used twice daily for one month under medical supervision.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 8, 2025
Reviewed At October 8, 2025

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

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