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I have been utilizing two acne treatments on my face for around six weeks. Initially I was truly satisfied, as my skin seemed to get better very quickly, but it soon got spotty again and isn't really much better. Exactly why is this?

Every spot lasts just a few days before clearing and being replaced by a new one. We very often find that even the best acne treatment will work perfectly in the first few days and then seem to stop working. It is really worth knowing that spots do not simply appear on the surface. Due to the way they are caused by blocked skin pores and inflammation building up, there is always a new crop coming up through the skin. The treatment helps to clean up those on the surface quicker than they would have gone, leaving slightly gap during which you really feel your skin has cleared. Remember this when the creams seem to have worked well and your skin remains clear - it is important to keep utilizing them for some weeks more to ensure that all of the spots under the skin may also be treated.

My doctor gave me Minocin, which seems to be working really well. How long must I be taking it for, and when will I understand that it has been effective?

Minocin MR is a brand of the antibiotic minocycline. It is a good acne treatment since you take it only once a day. It is good news that this treatment is effective on your acne but your queries are difficult ones to reply to. Usually, it takes about two months before antibiotics work 'really well' and perhaps three to six months before the skin looks clear. Once the skin is clear it is advisable to continue for a few weeks more after which try stopping. Your acne breakouts might stay clear for some time before gradually coming back but it is difficult to predict this.

Antibiotics are like all the other treatments which your Doctor could propose in that they do not get rid of acne. They just suppress it and prevent it from causing permanent scarring, in the hope that the condition will slowly stop as you grow old. Since we don't know when your acne will stop naturally, we simply cannot say how long you will need treatment.

I can't seem to stop my skin looking like an oil-slick. I wash four or five times a day but it still gets really oily. What should I do?

Greasiness is an issue for many individuals with acne breakouts and it can be as bad as you say. Sebum production is greater than normal in acne and some treatments are better at dealing with it compared to others. The retinoids, that are formed from vitamin A, are quite effective in dealing with greasiness; same goes with adapalene, a similar treatment. The creams, gels or lotions should help you a lot however, if the problem continues it could be really worth consulting your doctor about the much stronger tablet form of isotretinoin (Roaccutane).

Since it is so much stronger, and needs careful monitoring, it is available only from hospital doctors.

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