I am standing on a soap box as I write this blog entry. Having cured myself of cystic nodular acne I have wisdom to impart. First of all, finding a good dermatologist is crucial. Most doctors will prescribe whatever you suggest so do your homework. Ask friends and use this site-but you already know that. Second, take antibiotics. The gain outweighs possible side effects. Third, complain. If you start a regimen and still breakout, make a follow up appointment with your derm. You will be surprised at how likely your derm will be to increase the dose of your antibiotics or add some stronger acne fighters to your arsenal. For myself, I take Amoxicillin, cephalexin, Retin-A, Benzaclin and stand alone clindagel. Be consistent and never stop a medication once your skin is clear. This is a lifelong battle. To remain clear you must remain consistent. PEACE!