I have been using a topical gel solution of Clindamycin Phosphate for about a week now and am already noticing drastic improvement. I have a lot of acne under the skin, especially in my T-zones around nose and chin and forehead. The alcohol solution it is in helps because 1st- it dries quickly and doesn't seem to make my skin oily like other medicated lotions or creams I've tried. Yes, the acne gets worse before it gets better- but that is because Cleocin works by inhibiting bacteria reproduction and growth- so as it inhibits, the body has to expel the bacteria somehow- so YES the acne gets worse, but will quickly get better with proper use of 2 times daily after cleansing your face with a soap-free cleanser. My doctor told me all of this and I was skeptical but she was right. Anyway, I recommend this product to anyone with a lot of under the surface acne and also a lot of whiteheads or blackheads- it works wonderfully.