"absolutely horrible! my pharmacy switched me over from tri-pravafram, which was working very well for me. i was told this medication was &quot;exactly the same&quot; as the tri-p...lies. within one week, i had had two acne cysts near my mouth. this never happened to me. two weeks later, my entire face was covered in cysts and painful whiteheads..my forehead and chin/jawline took the worst beating. i didn&#039;t really connect the medication to my issue since the pharmacist had assured me this drug was identical to what i was on before until about 3 months later. i switched pharmacies, and got on tri-sprintec and everything cleared up within a month."