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Nodulocystic acne is treated by oral therapy: 1) spironolactone pills for hormonal acne to target the testosterone acting on sebaceous glands 2) oral antibiotics for a quick fix but the acne will return when you stop after a few months 3) isotretinoin (accutane) = vitamin A which is the only “cure” for acne and requires a 7 month or longer course to shrink enough sebaceous glands for a long lasting benefit. Whiteheads (pustules) and blackheads (comedones) can be treated by topical creams but dee
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