"i never broke out my teenage years but once i hit mid 20&#039;s.. i constantly battled adult acne. no matter how well i took care of my face and washed it, i couldn&#039;t get rid of stubborn acne. decided to go to the dermatologist &amp; at first he tried to prescribe me a separate antibiotic &amp; retin-a cream until i told him i didn&#039;t have insurance and if there was an one product that would be similar in one. i&#039;m so glad he mentioned ziana. it was pricey out of pocket but he gave me a coupon type card for the pharmacy to drop it down to $65 rather than $300! (good for 6 refills) i didn&#039;t have the side affects that others mentioned rather my acne cleared up within a month! side note: use a  sparingly amount! a little goes a long way."