<s>[INST] I suffer from bad acne most often around the time of my period. It is painful and embarrassing. My doctor recently prescribed me dianette for the problem. I have previously been on dianette and it worked wonders however after being on the pill for 4 years I was concerned by pains in my legs and arms, I also had a persistent cough . I came off dianette and these symptoms disappeared however, my acne came back worse than ever before, I had spots on my back and chest which I did not have before dianette. I am concerned if I begin using this pill again it may put my health in danger and that the same problem will arise as soon as I come off the pill again. However as I know it [/INST] hi, Since your acne flares during hormonal changes the doctor would have prescribed Dianette.I would better start you on C.Minoz100mg od for 3weeks along with SaslicDS facewash twice daily and topical DerivaCgel by night.This might have a drying effect over the applied area and to prevent this you can use Acnemoist cream by day and use a sunscreen with highSPF since Minocycline has phototoxic effect and report to me after 3 weeks. </s>