When I use the cleanser, do I use it in the shower or out of the shower when my pores are open?

Both are OK. It is absolutely OK to use your cleanser in the shower. Once you are out of the shower juts pat dry your skin and apply your MDacne treatment cream. It is also OK to use your cleanser after you shower, wash it off over your sink and then apply your treatment cream or moisturizer according to the time of day.

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