"i have been using tactuo for about two months to treat severe cystic acne. so far so good! i do still have scarring and dark spots but they are fading with time. the first couple of weeks were really terrible- more acne than i had ever had, dry burning skin. but it gets better! i usually take one night off of the gel per week to give my face a break, but still use the cetaphil foam wash every morning and evening. my oily skin has been significantly balanced out and i am hoping it keeps up. it should be noted that i started diane 35 the same time as the epiduo. whether it&#039;s the gel or the combination of birth control and gel, i&#039;m not sure. all i know is i am not crying myself to sleep every night and my confidence is returning!"