Dapsone
"I am a 25 y/o African american female and I never had to see a dermatologist up until Nov 2016 because my face had turned for the worst after quitting BC! I had huge PAINFUL cystic acne on my jawline and cheeks(hormonal). My first few visits to the derm I was recommended the normal cetaphil, & topical & oral clindamycin. FAIL. I was prescribed Aczone 5% (once a day) in March 2017 & my skin is on its way to being flawless! It DEFINITELY gets worse between weeks 2-5, like additional acne in places I never had it before worse, but it will get better! DON'T QUIT! I'm on week 8 now. I may get a tiny pimple or 2 here & there but thats it. I will say that I upped my dose to 2x a day & still use the cetaphil prior. I'm happy I didn't have to resort to spiro =)"