look into vitamin supplements, probiotics, diet, juicing and yoga for a few months. If it doesn't work then go for antibiotics. But use the topicals provided by the derm.

after 18 years of many antibiotics the pros heavily outweigh the cons there is a remote chance of getting sepsis from them.have a liver panel blood test once a year.best antibiotics for acne plus least side effects are cephalosporins 1st 2nd 3rdgeneration duricef ,cephalexin, omnicef, spectracef, vantin, ceftin, ceclor,cedax, velosef if available, but not -cefzil. Theyre best taken with food and always take with 400 mg of ibuprofen which is advil twice a day. ibuprofen greatly increases absorption of the antibiotics and your acne will be gone until u develop eesistance to antibiotic.if u have a derm understanding enough be better to have 2 running antiobiotics perscriptions and switch back and forth between them week to week.i always had major resistance at 5 month mark after 1 antibiotic so I I had derm give me 2 alternating antibiotics week to week good luck