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I wouldn't advise putting it under make up, as it can be like a film on your skin, and peel away a bit like glue.
I use mine after washing my face every night, just before bed. Then lightly pat some moisturiser on top when it's dry.
It's basically just a benzoyl peroxide cream. I have to say that I do definitely notice a difference when I forget to use it for a few days.
Don't use too much (less than a pea sized blob will do the whole face easily), and definitely don't use a lot at once if you aren't used to it. Avoid the skin around your eyes (seriously) and your nostrils.
When I first started using it my skin felt a bit like it needed more, because it was so used to being stripped and then using a richer moisturiser, but within a couple of weeks my skin settled right down. It doesn't over produce oil now, and the painful cystic spots only happen every couple of months rather than weekly. It's a great product - I now use the cleanser too.
I think GoodnessGracious above must be thinking of a different product, as there's no benzoyl peroxide in the duo (I just checked), and it's not at all harsh.
Have you got the 3-step trio or just the duo+? I bought the 3 step kit and have found it excellent for my oily, spot prone skin. Now I've been using it a while and my skin has settled (I don't mean that it reacted from using the product, I mean it's stopped producing as much oil and I don't get spots like I used to) I use the cleansing gel every morning and that's it. If I get a spot, I use the duo + sparingly, like other people have said- not over my whole face and only at night. I haven't used the toner again since I don't feel I need that step as I have a wider skincare routine
I've been using mine for years as an all over face moisuriser and it's not at all like a film and definitely doesn't peel, it just sinks into my skin and my make up sits lovely when I've moisturised using it as it's not too creamy or thick so it doesn't make my make up slide off. If I use any other moisturiser I break out.
Sorry, yes rock is totally right - I just checked and what I am writing about is papulex - a benzoyl peroxide gel! I'm based in France, and so always get it with an effaclar moisturiser. Apparently with my pregnancy brain, the two have blended into one product!