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It is only with the help of a dermatologist you can remove the cystic acne and prevent it from scaring your face. The usual medications that are used by the patients suffering from cystic acne are benzoyl peroxide, taking birth control pills having less oestrogen content, using salicylic acid and steroid injection. Isotretinoin is the most effective antibiotic for removing the cystic acne but it has a lot of side effects. Other topical antibiotics for treating cystic acne which is of the retinoid group like the tretinoin, adapalene and tazarotene help fight acne. One such topical antibiotic cream is azelaic acid or azelex.