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Severe acne is highly distressing as it often becomes painful and inflamed. Treatment is difficult, but with consistent care and medication, you will see a drastic improvement. The first thing you should do is avoid over-the-counter acne products. They have no effect on severe acne, and you end up wasting your money. A dermatologist is best suited to treating severe acne. Prescription topical medication may be recommended to bring the condition under control. Depending on your condition, opt for topical retinoids and antibiotics. Sometimes, topical treatment fails and you require oral medication, like isotretinoin, to control the breakouts. Adult women can use Spironolactone and oral contraceptives.