Personally, my 1st line treatment for an acne outbreak would be:
- Topicals (Isotretinoin, antibiotics etc)
- Oral antibiotics
- Supplemented with machine driven treatments such as lasers (carbon lasers as mentioned)
I would advise to hold off your remaining Acnexel treatments for now in view of your worsening condition. It would be best to consult a medical professional in the future in such instances so as to obtain appropriate and evidence-based medical advise. Hope that helps. All the best!