Talk to Dermatologist on Red Bumps, Puss Filled Pimples

Assalamualaikum, Doctor.

I've been suffering from acne for over 2 years. Initially, I had significant acne on my cheeks, but it has improved considerably with treatment.

I previously took doxycycline, which helped a lot, but my acne returned after I stopped taking it.

I've been using adapalene 0.1% gel every other night consistently for around 3–4 months. Despite this, I still get around 3–5 new red, pus-filled pimples per week, mainly on my cheeks. I also have some blackheads, whiteheads, dark spots, and uneven skin tone.

I've previously tried benzoyl peroxide, but it caused irritation and itching. I also experienced irritation with azelaic acid.

I'd like your advice on how to control my recurring acne and prevent new pimples and marks. Should I continue adapalene, switch to tretinoin, or consider another treatment?

Thank you.