How many lesions are you getting? Are you sure it’s not folliculitis? If so you’d want to avoid shit that’ll irritate the skin/follicles. Depending on how bad it is I’d recommend going with topical antibiotics like Clindamycin and or Bactroban/Mupirocin, works great for me but I don’t get a whole lot. I’d recommend getting benzoyl peroxide 10% wash and using an antibacterial soap like hibiclens twice a week, and use topical retinoids in place of oral accutane. But yea the derm can be helpful. I got a box full of shit from my derms lol.
Also nizoral if it actually makes a difference re hormones when used topically it will be limited to the surface. Ketoconazole when taken orally will suppress and lower testosterone but will not reach circulation topically. But it is an antifungal, acne or folliculitis can be caused by yeast but most of the time it’ll be bacterial if it’s caused by a germ. Head n shoulders might help because it’s antifungal and antibacterial, maybe antiviral not sure.