I have had severe cystic acne for over 20 years. I am 38 years old and the breakouts began right around my 15th birthday. Within the last two years I have seen a complete reversal. I never breakout anymore. Why? Because I am now under the care of a brilliant female dermatologist. I mention the fact that she is female to remind everyone that women are capable of professional brilliance. My regimen is as follows: Take 1,500mg of Amoxil (and it has to be amoxil, other antibiotics do nothing), use topical antibiotic clindamycin, use a mixture of clindamycin gel and benzoyl peroxide cream called "Benzaclin" (I use the generic version twice daily). And lastly, Retin-A (tretinoin is the generic version). For moisturizer I use strictly oil free cetaphil or nuetrogena http://www.cetaphil....sturizer-spf30/ or http://www.neutrogen...ture spf 35.do. Basically our whole concept is to wage an all out war on bacteria. If bacteria is left untreated it spreads and gets control of more tissue..ie more pimples emerge. The best way to combat acne is to attack it on all fronts. The Retin-A prevents pores from clogging with dead skin and sebum (oil). Benzoyl peroxide adds oxygen to the pores. Bacteria can't thrive in an oxygen rich environment. Benzoyl peroxide also dries up sebum (oil produced by pores). Sebum is basically food for the bacteria that cause acne. The topical antibiotic Clindamycin works by preventing the bacteria from replicating itself. It shuts down acne's reproductive system. Benzaclin has both anti-biotic and benzoyl peroxide in one tub. If you buy benzaclin you will notice that it is made and mixed up fresh by your pharmacist or a member of the pharmacy team. A label is then placed on the tub giving the benzaclin a three months expiration date. It is also best to store your benzaclin in the fridge. Acne hates benzaclin. When you first start using benzaclin you will have very dry skin. It is important never to use anything but an oil-free moisturizer on your face.Since you will be using Retin-A, the Retin-A should take care of peeling skin. It rinses right off when you wash your face. Make-up wont work with this regimen. However, if you are desperate to "cover up" I recommend http://www.neutrogen...sortby=ourPicks or http://www.neutrogen...sortby=ourPicks
The topical clindamycin is in a water based gel form and should be used after washing off the benzaclin. Its anti-biotic and moisturizing properties are gentle on your healing skin but tough on acne causing bacteria. Never give up!