My derm said that the amnesteen is the same as active....and will work the same. It is produced by a reputable company and has the same active ingredients. Only some of the inactive ingredients are different. Ask at the pharmacy or call your derm. It may just be that you aren't showing any improvement yet. I went through accutane dryness and then periods of my skin seeming ok again. Also, you may want to (if you already haven't ) to increase your liquid intake to minimize the drying effects. You will eventually reap the "benefits" of dry lips and dry skin from this...the water will help.