The severity of acne dictates the choice of treatment. In the early grades of acne even the cream might suffice however in moderate to higher grades tablets also need to be taken. The treatment has to be continued for a few months otherwise the pimples would tend to return easily. Kindly do not self medicate without professional advice as that could further damage your skin. also, getting acne post 30 we need to rule out a hormonal cause..... Between the 2nd to 5th day of your menstrual cycle get your S.
FSH and S.
LH blood test done along with USG (sonography) of your pelvis to check for ovarian cysts. you can follow up with me once you have the reports by meeting directly(preferably) or through online private consultation. Get an online consult privately with pictures or meet a dermatologist directly for a proper evaluation of the condition. Hope this was helpful.