Acnetrex (isotretinoin). All of the above is true. Expensive but effective, and drying.
A couple years ago I broke out (lower part of the cheeks and jaw area) and when topicals didn't work, my derma prescribed this. My face really stopped producing oil, even after an entire day outside. I needed to balance the dryness with lots of moisturizer though.
Side effects are pretty scary, good thing it works fast. I was on it three months and the acne didn't come back after the medication ended. No scarring either, buti na lang![]()