Objective: To assess the effectiveness of omeprazole and erythromycin topical solution with 4% doxycycline in the treatment of acne vulgaris lesions. Design: This study is a randomized clinical trial (Randomized Clinical Trial) and studied, patients with moderate acne lesion will.Setting & control: Patients were randomly assigned to two groups, one group treated with omeprazole plus 4% solution of topical erythromycin and doxycycline second group treated with topical 4% erythromycin solution, were treated for three months Before treatment, all patients will be tested for H. pylori.Participation including:The diagnosis of acne average = Score EGGS 3; lack of sensitivity to macrolides and proton pump inhibitors; lack of active liver disease or kidney; Not taking warfarin; Phenytoin, diazepam; Older than 12 years; 17 to 40 inflammatory lesions (papules, nodules, pustules) and 20 to 100 comedone closed or open Bashnd.Intervention:omeprazole 20 mg tablet daily with 4% Erytrvmasyn 4% solution Pak Daru 2-doxycycline capsules 100 mg daily with 4% Erythromycin solution Pak Daru.Main outcome measures: Demographic characteristics of patients, skin and non-skin side effects, location withdrawals, the number of inflammatory lesions (papules, pustules and comedone), inflammatory lesions responded to treatment and the level of satisfaction (questionnaire).Patients at weeks 2, 4, 6, 8, 10 and 12 be evaluated.