Posted 01 June 2012 - 01:13 AM
Hi, I had a pretty bad breakout earlier this year (around October/November) and was prescribed Monodox (doxycycline) and Epiduo by my derm in January. I had moderate acne, not cystic but a good amount of pimples and hyperpigmentation on my cheeks/forehead.
My experience with this medication has honestly been wonderful. It took some time to work - I'd say about a month before I started seeing visible improvement. After about two and a half months was when I saw significant improvement - all my pimples were gone and I wasn't getting any new ones. Now my skin has been acne free ever since. I got two pimples last month, but they went away quickly. My hyperpigmentation is also fading at a good pace too, probably because of the Epiduo.
Basically my advice is:
-Don't ever skip your medication! You'll pay for it with a pimple later.
-Only use a pea sized amount of Epiduo for the whole face; any more than that will cause your face to be extra dry
-Expect dryness within the first month or so. Find a good moisturizer (I used CeraVe AM for day and CeraVe PM for night; worked very well)
-ALWAYS use SPF if you're gonna go out during the day, this medication makes your skin more sensitive
-Exfoliate in the shower and then moisturize immediately afterward; I found this really helped my skin be less flaky and dry
-Don't give up if you don't see much results in the first month, it takes time!
-Take doxy with a full glass of water or with food. I, personally, have to take it with food or else I'll feel nauseous.
Good luck! I hope this combination works well for you like it did for me.
Wash with La Roche-Posay Effaclar Foaming Gel (European version) + Clarisonic Mia
Apply CeraVe AM Moisturizer w/ SPF 30
Apply Aczone (dapsone)
Wash with La Roche-Posay Effaclar Foaming Gel + Clarisonic Mia
Apply CeraVe PM Moisturizer
Apply Epiduo (adapalene + benzoyl peroxide)
50 mg of Spironolactone