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Another option would be to take oral antibiotics and use a topical retinoid gel such as Retin-a (tretinoin) or Differin (adapalene).
You don't say if you are male or female, but female acne patients often respond well to an anti-androgen contraceptive pill such as Diane35 (called Dianette in the UK) or Yaz/Yasmin. You could take this with an oral antibiotic for a few months till it becomes effective, then stop the antibiotics. If you take the pill and an oral antibiotic together use a condom as tetracyclines may reduce the contraceptive effective of the pill.
Best Wishes, Eloise.