"i am a 25 y/o african american female and i never had to see a dermatologist up until nov 2016 because my face had turned for the worst after quitting bc! i had huge painful cystic acne on my jawline and cheeks(hormonal). my first few visits to the derm i was recommended the normal cetaphil, &amp; topical &amp; oral clindamycin. fail. i was prescribed aczone 5% (once a day) in march 2017 &amp; my skin is on its way to being flawless! it definitely gets worse between weeks 2-5, like additional acne in places i never had it before worse, but it will get better! don&#039;t quit! i&#039;m on week 8 now. i may get a tiny pimple or 2 here &amp; there but thats it. i will say that i upped my dose to 2x a day &amp; still use the cetaphil prior. i&#039;m happy i didn&#039;t have to resort to spiro =)"