1. Marks fade more quickly (compared to not treating them at all)
2. Large quantity in one tube 1. Purging period can last 1-2 months, if not longer
2. Not affordable unless you have the right insurance
3. does NOT help hormonal acne A few things:
-do NOT review this item until you have used it for at least 3 months!
-If you have any reason to believe that your acne is hormonal, do NOT use this. Topical medications such as Ziana will only bring blemishes to the surface faster; it does not treat hormonal acne.
I was prescribed Ziana in the beginning of August 2012. I used it religiously for about 3 months (at bedtime) along with Clindamycin Pledgets and Erythromycin 500mg every day.
I did experience a purging period. A few cysts around the chin/jawline area along with numerous, small zits. After about 7-8 weeks, I saw improvement, and my hopes were up. Yet out of no where, my acne returned to a state similar to the original purging period.
3 months into treatment, I had a follow-up visit with my derm. She kept me on it, but upped my antibiotic intake (which I'm not fond of). I was also given a chemical peel. From experience, I knew I would break out from it, but I was hopeful this was the last push I needed...it wasn't.
My forehead broke out tremendously (which it hasn't done in 7 years) and it seemed like I was about to experience a third purging period! Three (3) weeks after the peel, I switched forms of birth control from Mirena (a progestin-only method) to NuvaRing (a combination hormonal method).
After one week of the switch, I can already see a difference in my skin! I still use Ziana, however, it is ironic because Ziana is at least partly responsible for them being there.
Long story short: If you believe your acne is a result of some sort of hormonal imbalance, or you use a progestin-only method of hormonal birth control. do NOT use this!