I'm planning my wedding and the stress of acne is really getting to me. The doctor prescribed me Deriva CMS gel for my acne, but I'm really worried it might make things worse before they get better, especially with my big day coming up. Does this gel really cause acne to increase at the start? Im just so confused about whether I should start using it now. Any advice would be massively helpful.

Answered by 1 Apollo Doctors

Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

Consult Now

Deriva CMS gel is a topical retinoid treatment that contains adapalene, which can help reduce acne.

Initial Breakout or Purge:

Yes, it's common for Deriva CMS gel to cause an initial breakout or "purge" phase, especially during the first 2-4 weeks of treatment. This can manifest as:

Increased redness and inflammation

More noticeable acne lesions

Skin sensitivity or irritation

This initial breakout is usually a sign that the treatment is working, as it pushes underlying blockages and bacteria to the surface.

Pre-Wedding Concerns:

Given your upcoming wedding, it's understandable that you're concerned about the potential initial breakout. However, it's essential to remember that:

The initial breakout is usually temporary and subsides within a few weeks.

Deriva CMS gel can help improve your skin's appearance and reduce acne in the long run.

Dr. Dr Khaleel Suggests...

Consult a Dermatologist

Find a Dermatologist

Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.