### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 31 years old women with 5.4" and 65kg. I have very severe acne and  i have tried many things from home remedies to medication. When using medication they seem to clam down but they again start up when i stop using them. I am also suffering from Hyperpigmentation. Please suggest

### output:

Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding Acne and I will try to answer your queries in the best possible way. Acne is caused chiefly due to hormonal influence and clogging of pores and followed by infection and inflammation. It has tendency for recurrence and complications like pigmentation and scarring, thus mandates proper treatment at the earliest. Treatment usually depends on severity of acne and for the accurate grading you need a proper examination by a dermatologist. Usually I advise proper course of oral antibiotics (Azithromycin etc.) with or without oral isotretinoin for few months. Additionally, I advise use of a cream containing nadifloxacin/clindamycin twice day and a gel containing benzoyl peroxide and Darlene for few months. Apart from home-based treatment, I also advise procedures like chemical peeling and laser and light therapy as you are having associated complication like pigmentation. Use good quality face wash and a moisturizer on regular basis. Avoid junk food as far as possible and include plenty of fresh fruits and vegetables in your diet. Hope this will take care of your condition. I would suggest you to share your pictures in a direct question and if you wish to contact me in future for any question kindly use the following link:http://doctor.ChatDoctor .com/doctors/ Chat Doctor. 