Hi, thanks for your query.
The out burst of acne
is not a side effect of doxt but due to hormonal
imbalances.This can occur till forties or even later.
Since this time acne is severe you may have to take different medication.
You need to consult a dermatologist
nearby for examination and start treatment again.
Once acne is under control you need to maintain the result by regular removal of black heads and white heads and use of a salicylic acid
based face wash.
Hope this solves your query.