Hi. Thanks for posting your concern at HCM You seem to be suffering from severe grade Acne. Acne is disease of sebaceous glands and various pathogenetic factors are implicated: -Overactive sebaceous glands, -Propionibacterium acnes bacterium, -Malassezia yeast, -hormonal fluctuations, -Abnormal Keratinization etc to name a few. In my practice i start my patients on oral retinoids (Isotretinoin) if they present me similar to you. Oral retinoids are Sebostatic(decreases oil production), normalises keratinization, are anti-inflammatory and decreases proliferation/population of Propionibacterium acnes as well as yeast(which feeds on your oil) in hair follicles. You should visit a dermatologist to get a prescription for oral anti-acne medications(Antibiotics and Retinoids). Can continue with sulfamethoxazole/trimethoprim along with for 2 weeks but it has serious side effects to its name like bone marrow suppression, severe drug reaction like SJS/TEN so cant be used for long. Topical treatment is a valuable adjunct to any form of acne treatment. Dermatologists around the world prescribe topical gels/creams containing topical antibiotics like either clindamycin 1%/ benzoyl peroxide 2.5%/ Nadifloxacin. take care.