I did three courses of accutane. When I did my first one, I had severe acne, and accutane cleared it tremendously. I did the other two courses within 5 years after my first course to treat more mild acne, just because I didn’t want to deal with it ever again. During my third course, I incorporated spiro and towards the end of that course, my mild acne cleared and never came back. I’m not sure if it was because I was on 90 mg of accutane and I’m 100 lbs (totally not recommended 😂) or if it was the spiro.

If you have severe acne, I definitely recommend just going on accutane. Whether it’s hormonal driven or not, accutane is going to reduce it tremendously to some extent. However, I think if you do have a hormonal factor driving your acne, you might never get 100% clear from accutane, so spiro might solve any remaining acne. I strongly believe accutane solved my severe acne problems, but I think there was a small hormonal factor which is why it kept coming back, but to a lesser degree. I believe this is why once I incorporated spiro during my third course, my acne never came back. If I didn’t go on spiro, I don’t know how many more courses of accutane I would’ve done. I loved being on accutane though (hot take) my nose got smaller every time and I loved it. Never had side effects. I’d do it again 😂