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Ive never had an initial break-out from 2.5 benzoyl peroxide.(you may get redness/irritation if you use too much bp or any topical so you may want to apply less). Ive also taken oral minocyclen with no initial break-out.
I can see how certain meds like accutane cause increased acne before it gets better but to be honest, if youre getting worse instead of better with topicals/meds they probably wont work. Antibiotics work well for a temporary fix, just not a long-term solution.