###Human: I get painful acne with discharge and scars. Please suggest solution. ###Assistant: Hello,  Welcome to icliniq.com. Are you a diabetic? Are you using any hormonal supplements? Since when your taking tablet Lamictal or Effexor? Lamictal in few cases may cause drug-induced eruption and acne. Effexor also cause rash. I saw your images not clear (attachment removed to protect patient identity), but it shows the pustular and nodular type of leisons followed by healing with pigmentation. You may use Clindamycin gel local application twice a day after face wash. Apply only the area that pustular acne are. Do not apply near the eye. You may take capsule Doxycycline 100 mg twice a day for one week. Check your hormonal status like serum estrogen and testosterone levels. Check your blood sugar levels. Avoid chemicals (new soap or creams) application on the face. If you developed any allergy to the above drugs please stop it immediately and consult with your physician.