Acne treatment for black skin comes with some unique challenges that other ethnicities may not encounter as much like hyperpigmentation. Some medications also are not the best choice for people of color.

You have two methods for treating acne. You may decide to use one or a combination of the methods:

Topical Treatments

This usually includes a regimen with a cleanser, medicated face cream like: benzoyl peroxide, glycolic or salicylic acid) and a moisturizer.

Oral Medications

Some common ones include:

  • Doxycyline
  • Minocycline (which is not good to use in patients of African descent) – “Tetracyclines, particularly minocycline, have been shown to cause rare but serious hypersensitivity reactions, including urticaria, hepatitis, and pneumonitis, which may occur more frequently and have a prolonged course in black patients although further studies are needed. Muller conducted a study on the susceptibility of ethnic groups to Drug Hypersensitivity Syndrome (DHS) in a mostly Afro-Caribbean study population.” (Source)
  • Tetracycline
  • Birth Control; this is very helpful for those who have hormonal imbalance which causes their acne
  • Accutane (this is recommended for those who have severe cases of Acne, it includes having your blood work monitored for 6 months and you must be on two forms of birth control if you are a female because it causes severe birth defects, this treatment is effective in about 66% of people).


NEVER order any of these treatments without the prescription and supervision of your Dermatologist or Physician. If you order these items online you are taking a big risk with your health!

For the treatment of hyperpigmentation and discoloration your dermatologist will most likely prescribe a bleaching cream. You also have the option of fading dark marks by exfoliating your skin, microdermabrasion or using a dermaroller to remove the dead layers of skin and encourage healing.

Many people may be able to treat their acne by simply using over the counter topical solutions. Others who suffer with a persistent Acne will need to seek medical advice for the best route.

If you have already tried medications and they just don’t seem to work, don’t give up! Everyone’s body is unique and it may take time to learn what adjustments you can make and what solutions will work best for you. Once you clear your skin up, you will have a major boost in your confidence and you will have the knowledge for how you can best whip your skin back into shape.

Develop a Regimen

#1 Wash your face 1 – 2x per day with a gentle cleanser

#2 Tone your skin with an astringent to remove dirt and buildup deep down

#3 Treat your skin with a medicated cream (benzoyl peroxide is really good).

#4 Moisturize your skin with a light non greasy moisturizer

#5 Use clay masks weekly to help clear your skin like bentonite clay

#6 Once you clear up your skin exfoliate once per week to remove dark spots and prevent breakouts

#7 Try not to wear makeup too frequently

#8 Use a medicated acne clearing foundation when you do wear makeup

#9 Always clean your makeup brushes

Some tips for battling a relentless Acne problem:

  • Keep a journal
  • Pay attention to how your body responds to certain foods
  • Make a note of what treatments you see the most improvement from
  • Be open to trying new things! It may seem like you have tried everything, but you may find a solution in from an unlikely source.
  • Avoid touching your face too much
  • Drink lots and lots of water
  • Try using gentle cleansers and medicated creams to avoid irritation
  • Moisturize your skin. Although your skin is oily it will get more oily if you avoid moisturizing
  • Be sure to cleanse your face after doing your hair (the oils from the products can cause breakouts)
  • Try homemade remedies, it’s all natural, saves money and you never know it might work

image credit: (CreateherStock)