okay im teenage african american and have been a victim of acne for the last 3 years it started when i was 15 i think it was due to normal puberty hormones but any way sadly i picked at my acne till i was 17 wich caused it to get worse and now i have hyperpigmentation on my cheeks forhead and sides of my face...for a period i thought it was due to smoking but i recently i found out which is only half true. when i smoke it causes my face to get oily and the oil sits and cause a pimple. but now my faced is dried out and tired due to long term use of topicals and antibodies that didnt work!!!! but i notice when i soke a square it cause my dried skin to feel better and look better because it more mosturized but anyway I tried all the over the counter meds and nothing worked i been to the derm mutiple times. my first time i recieved bp which clearded it right up when i was 16.....then 6 moths later it came right back! so i went again and got doxycycline and finacea. it worked for the first week and a half but then my hyperpigmentation came back so i went back to the derm and recieved minocycline and benzamycin which also worked for the first week then made my acne and hyperpigmentation the worse its ever been. i have dark spots all over my face my skin is dry and irratated and broken out in fine pimples along with black heads and inflammed acne. i also notice little tiny craters in my skin too it looked like the benzamycin was eating away at my skin so i stoped using it 8 days ago!!! so i decied to try somethin new!!! when i was using finacea i noticed my dark spots get better due to the azelaic acid and when i was on bp my pimple were under control but i had dark spots!!! so i decided im going to use finacea in the am and bp at night!!! i havent tryed it yet but during my break with out meds i have been taking vitamin c, e and zinc plus drinkin lots of water and i feel a difference in my skin already!!! plus i changed my diet to a lot of veggies and fruit (derms say diet has nothing to do with ance but come to find out its lies) so i start my new treatment tonight but before i do i wanted to kno would there be a reaction between the bp and finacea if u have any info please let me kno!!! but i will start my new treatment tonight and will keep a blog to see how it helps!!!!!