What treatment will you suggest for recurring acne?

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I have reviewed the attached photographs (attachments removed to protect patient identity).

I recommend you use Salicylic acid face wash twice daily and apply Benzoyl peroxide 2.5 percent gel twice daily on the affected areas. Along with this, take a course of antibiotic tablet Azithromycin 500 mg daily before lunch or dinner for three consecutive days a week for six weeks.

Use Face Guard sunscreen gel and moisturizing silk cream as sunscreen and moisturizer. Besides this, keep your face dry, avoid applying oily cream or moisturizers and avoid oiling of the scalp. Use cosmetics labeled as non-comedogenic and reduce the intake of sugary foods. Follow the guidelines mentioned above for six weeks.

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Acne on the forehead is because of increased sebum production on the forehead. The intensity of sebum production varies from person to person at various sites like cheeks, forehead, chin, etc. Acne on the forehead is sometimes associated with dandruff. In that case, use Ketoconazole shampoo twice weekly. For maintenance of acne, continue with Benzoyl peroxide gel once daily on the areas most affected and then gradually reduce to thrice weekly, twice weekly, and once weekly. Also, continue with the face wash. Even the Azithromycin tablet has to be used for a long time for the clearance of acne. It varies from person to person but usually takes four to six months.