<s>[INST] I need to go to a dermatologist regarding my acne and even tho it s not really bad I m afraid she will proscribe me with some acne pills. I m already taking antibiotics for my acne and I m able to swallow them because they re tiny like the size of the pill tablet. So I m afraid the tdermatologist will give me a massive pill to take??? Are acne pills usually big? [/INST] Hi, If you have grade4 acne it is better to take oral medications. Generally all the antiacne pills are not big except for doxycycline and Minocycline. You can start on oral Acutret20mg for a month along with C. Evion 600 mg and topical Lilac by night. After doing Lipid profile and liver function test with strict dual contraceptive methods. Do get the tests done and report to me before starting treatment. </s>