I have had moderate acne since I was 13 and I am now 21. I get swollen, pussy ones on my cheeks and jawline and I have countless tiny flesh-colored bumps all over my forehead. I also have fairly large pores.
I've been using this stuff on and off for about three years. I've used essentially every other prescription topical they can give you for acne. Benzol peroxide in particular wouldn't work, no matter how persistent I was with it, so I was extremely frustrated and having this work for me was a huge relief.
There was no intitial break-out. It worked as well for me on day 1 as it did on any other day. The only real issue I have with it is it takes your skin a long time to adjust to it, and until then it will be intensely drying. Flaking, peeling, stinging dry. Once you persists for about 1 - 2 months, it will stop making you dry and it will just destroy your pimples.
This is the ONLY one that worked for me, and it works really well. If I put it on a big, swollen, inflamed pimple at night, it will often be completely gone the next morning with just the red mark that goes away gradually. It makes them stop hurting overnight, unless they're really big.
No other product actually makes the pus go away from within. Other products bring the gross stuff to the surface, while this actually gets rid of it. And if I don't pop, there's no scarring. This is MAGIC cream. I love it.
I sometimes get my friends to spot-treat with it when they complain about having a really bad pimple, and all of them have been blown away.
It is absolutely 100% worth dealing with the dryness to get the satisfaction of obliterating painful pimples in a night. If you really slather on moisturizer on top of the medicine, it can often prevent the dryness and it still works just as well. It's absolutely worth a try, if it means it might work as well for you as it did for me.
Note: If you're a girl, I highly recommend spironolactone pills as well.