Durante julio comence un tratamiento contra el acné (leve a moderado), la dermatologa me recetó 100mg de doxicilina por día, y un tratamiento tópico de adapleno 0,1%, 3 veces por semanas.  Al principio sentía que si me estaba funcionando, de hecho redujo la inflamación de mis lesiones.  el primer mes me llene de granos gigantes, eran muy dolorosos y mi piel estaba muy sensible, pensé que estaba en la fase de purga, de la que la mayoría de las personas hablaban. sin importar seguí con el tratamiento y mi piel se puso aun peor. Ya en el segundo mes comence a tener dolores de estomago y se hicieron mas frecuentes, mi piel seguia igual, se supone que el tratamiento era por 3 meses, ya cumpli los tres meses pero no veo ninguna mejora, de hecho siento que me dejo peor mi piel en comparación a como estaba en el inicio. 

Es verdad que ya casi a los 3 meses mi rostro estaba mejor en comparación al mes 1 o el mes 2, pero siguen saliendome granos y tengo un montón de hiperpigmentación, de verdad solo usenlo si su acne ya es moderado a severo, porque a mi que tenía acné leve me empeoró el estado de mi piel. Ahora creo que empezaré el tratamiento con isotretionina, asi que espero que eso sea mucho mejor que este antiguo tratamiento 

One of my worst IB on this product when I first tried it. I remember seeing nodules pop up not knowing about IB and was thinking what is going on. It's a really slow burner. I think you are best getting the one with benzoyl peroxide which will be more beneficial for your initial break out and if you clear then go back to the retinoid alone. Epiduo did clear my skins for around 6 months but it came back as it always does. After long use it will probably reduce acne as it keeps your skin turning over preventing blocked pores but depending on how sever your acne is it probably won't be a solution on its own. Retinoids are also great long term products to use as it promotes collagen growth and helps pigmentation etc so I would really like to re introduce but I am really scared of IB.

To get the main points out of the way, this product is best suited for light to moderate acne, and it takes many weeks to see improvement. This is kind of the "first defense" a derm will suggest if you're starting out seeking treatments, as it is generally well-tolerated and not too harsh (although there are some side effects). 

Time. Time is a huge factor. This is not like benzoyl peroxide as this product needs to be used consistently, preferably on a daily basis (at least for 6 weeks, then you can adjust). During that time, yes your skin MAY purge (see an increase in legions), but really it depends on your skin (my skin has always tolerated the product well enough to not go haywire when its being used but again, everybody is different) 

Another possible side effect, one that even my skin still battles with is the dryness. I think if you have thicker or non-dry skin you will probably be fine. But for those with a bit more on the sensitive brittle side you absolutely need a good sturdy moisturizer that goes on at night and during the day (in addition to hydrating from the inside). 

Ultimately, this product DOES help, and even if the acne itself doesnt go down 100% you will notice things like glowing skin and smoother skin (this product makes the dull layers shed). 

But alas, know that if youre going to give this a shot, you have to look at it in the long run, because things may get a bit worse in the beginning. And again, this is not a miracle treatment and it really is best for those with some light superficial acne types. 

I have clear skin during in my teens; however,  things fucked up when I reached my 20s. I have cyclic acne. When I say cyclic,  I get acne every one or 2 years and they seem to be getting stronger averytime they hit my face.  They are in the form of open and closed comodones,  but they appear in my entire face which is kinda bothering.  And I pick,  that's the main problem.  Can't help it. I'm currently hating myself right now.  After nine years of constant battle with acne,  here I am again, covered with blackheads and hyperpigmentations. I recently went to my dermatologist and she prescribed me with Klenzit-CMS.  Its .1 adapalene and 1% clindamycin.  This worked for me before; however,  I stopped using it thinking that I have finally outgrown my acne.  I was wrong. Anyway,  she also prescribed me with a toner called dermskin which is a salycilic acid toner and a soap which I prefer not to use because it contains coconut oil.  Coconut oil has a very bad reputation in clogging pores, so I'm very much afraid to use it.  

This is my routine:

AM

 Papaya soap

Dermskin toner

PM

Papaya Soap

Dermskin toner

Klenzit

Development so far:

Day 1: This is also the day after extraction so my face has a lot of scars which will eventually fade. I have a lot of blackheads and whiteheads,  and one under the skin pimple.  Hyperpigmentations due to picking are still very prominent. General feeling: very frustrated. 

Week 1: I noticed that my open and closed comodones increased,  maybe due to purging.  I popped two pimples which resulted to PIH. I know,  I hate my self for doing that.  I still have a lot of hyperpigmentation,  and there are 3 underthe skin pimples. One in my forehead and two in my left cheek.  Ican say that there is zero to little improvement but I'm optimistic because I believe that my skin is in the purging process. General feeling: still very frustrated. 

I'll be posting my weekly update. My second week will be on Jan 2. I'm hoping for the best.