"i have been using the otc differin since maybe feb. it&#039;s been so long. maybe about 3-4 months. some spots like around my nose and forehead would get clear for like a day but then i keep having these massive breakouts. really huge cystic acne on my forehead and the worse around my chin and jawline. it is much worse than when i started using this medication. i have always had hormonal acne. i&#039;m 34 now. in teen/college years you name it i used it, except accutane. i had clear skin for about 8 months of my life. i was seeing a dermatologist and was on spiro and a retinoid. i moved states and trying to avoid the costly dr visits but i give up, nothing otc seems to help. after 3-4 months and now tons of scarring from it, this is back like college"