Bettter to consult dermatologist in person to start on appropriate medication. You are probably having cystic acne .

Skin care needs to be customized based on the presenting complaints. There are different ways to achieve a flawless skin after acne and it needs medical interventions and commitment on part of the patient. Acne treatment has multiple stages - to control new breakouts, to clear the sequelae (pigmentation and scars) and to prevent a relapse. An attempt to find out the root cause of acne should be made in every patient or else it keeps recurring. Each phase takes a couple of weeks before we move to the next phase of treatment. If you have active acne lesions, it should be controlled on priority basis