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Addressing severe cystic acne is usually a bit different than addressing other forms of acne. With most forms of acne a simple topical ointment and good routine of cleaning can keep breakouts to a minimum. With severe cystic acne you may need to see a doctor to get a prescription for antibiotics, which address the bacteria at their source. With an oral antibiotic you are killing bacteria from within and don't need to try and fight it on the surface, which is usually ineffective with severe cystic acne.

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