Azelaic acid
"I'm 22 years old and have some hormonal acne thats often cystic and painful. I went to the dermatologist and she recommended Finacea and doxycycline (for the first two months until Finacea became more effective) I didn't have horrible acne to begin with but it was just annoying huge ones that would spur up from time to time maybe two or three at a time. Once I started Finacea I got little pimples along with cystic ones on my jaw line and chin area (where I had them before) but now I was also getting pimples on my cheeks and forehead. I am wondering if Finacea makes acne worse before it gets better or if anyone else has found a solution for this/had this experience"