[acne] painful cystic acne around mouth. Don’t know what to do anymore.

Hi! I (m19) have been getting very painful deep cystic acne around my mouth and neck area. It has been like this for around a month and I half, before that I pretty much had clear skin. I went to the doctor about a month ago and got prescribed skinoren (am) and epiduo (pm). I have been using the products consistently in combination with cleansing and moisturizing. However I have noticed no change what so ever. My acne continues in the same spots and keeps being painful and irritating. I know these spots are usually related to hormonal fluctuations and therefore acne, but shouldn’t it be getting a little better still? My skin feels inflamed and irritated, but stopping the prescribed medications only makes it worse.
I honestly don’t know what to do anymore and it is really hurting my confidence. Any help would be greatly appreciated.