Why Is My Acne Still Coming Back Even Though I’m Using Prescription Creams?
Persistent acne can be frustrating, especially when you already have prescription treatments at home. A 27-year-old woman returned for follow-up of acne vulgaris affecting her face and back. Her examination showed inflammatory pimples, pustules, and clogged pores consistent with ongoing acne.
Consistency Can Make a Difference With Acne Treatment
The patient had previously been prescribed several topical acne medications but was still using them inconsistently. Because her acne had improved with topical retinoids, her treatment plan was simplified to focus on the medications that were working.
Her dermatologist recommended continuing:
Tretinoin 0.05% on the face
Fabior (tazarotene) foam on the back
Clindamycin lotion on the face and back
Aczone and Avar cleanser were discontinued.
How Long Does Acne Treatment Take to Work?
Prescription acne treatments require consistency and patience. Patients may need approximately 2–3 months to see significant improvement.
Using gentle, non-comedogenic cleansers, moisturizers, and cosmetics can also help support an acne treatment regimen without unnecessarily clogging pores or irritating the skin.
If acne continues to worsen, causes new scars, or develops into more significant nodules or cysts, another dermatology evaluation is recommended.
For adults struggling with persistent facial or back acne, a dermatologist in Houston or Katy, Texas can develop a personalized treatment plan based on the type and severity of acne.

