The best thing I found for over the counter was quinoderm (sp?), but they said during pregnancy use sparingly, but it was safe to use. Although, I would def recommend visiting doctor and getting a script for zineryt. It's a topical solution, anti-biotic lotion you put on skin. Clears skin within days, have used it since my early 20s coz my skin got so bad. During both my 2nd 1/2 of pregnancies my skin has cleared though, but then after my son it got bad again and am assuming it will after this LO too with all the hormone craziness and then BFing!