"i am a 45 year old female with hormonal cystic acne which i&#039;ve had for around 10 years. i&#039;ve tried various oral antibiotics, prescription topical creams, face washes, etc... when my dermatologist first put me on aczone i thought it was a miracle cream. i would have given it 10 stars the first few months because the first 3 months were awesome. the next 6 months were okay. over the last 3 months i have had a tube in the drawer but the over the counter acne creams work just as well now. it is expensive if you don&#039;t have insurance. it is worth a try but for me it isn&#039;t working like it did at first. i didn&#039;t notice any side effects other than dry skin."