I use spironolactone. I have tried everything. Including expensive treatments. Spiro is a pill you take once daily. You need to get a prescription for it. My co pay is $15 a month and well worth it. I have no side effects from this med. All I do now is wash morning and evening with dove bar soap and apply vaseline under my eyes at night. My skin has never been so clear. All I have is just some minor scarring from previous breakouts. I found my cure....by the way I am on 100mg once a day.