hi..Thanks for your query I would like to mention here that Acne can present in several forms. This includes whiteheads, blackheads, and red, inflammed patches of skin (such as cysts).In the course of evolution, you may have any or all of these.This is based on the various internal hormonal stimuli as well, which can change several times in a month or year. Although you have been compliant with the proactive product, I feel that only this agent might not suffice now.there may be a need of addition in oral /topical therapies. Eg: Oral antibiotics such as tetracycline, doxycycline, minocycline. Topical antibiotics such as clindamycin, erythromycin. Other needs may be benzoyl peroxide ,salicylic acid,topical azelaic acid. Salicylic acid peels help in reducing the extent of acne /recurrance of acne either as mono therapy or in combination with other agents. These can only be suggested when a dermatologist has actually seen the type of lesions you have. U definitely do not need to stop anything now, however please visits the doctor early so that there are no delays in the onset of more efficacious therapies. Hope this helps..Take care