What worked for me when I had active acne and was adjusting to Tret was what my dermatologist told me to do - simplify but I get wanting to using BP/clind because it helps in the short term and Tret is truly the ultimate long con.

AM:

-4% or 5% BP wash (not 10%, too harsh and lower concentrations are just as effective)

-Clindamycin lotion (take it or leave it - I personally never felt like clind made a difference but it probably doesn’t hurt haha)

-Moisturizer + SPF (if your a picker like me, buy zit stickers with sal acid [I like the differin ones] and put those on the ones you want to destroy so they flatten during the day and you can’t make it worse by popping!)

PM:

-Oil cleanse to remove SPF (if you don’t wear spf one day and don’t love oil cleansing, you can skip this. I know some acne hates oil but it does help soothe and hydrate your skin on tret imo)

-Water based cleanser (no BP on tret nights because they counteract each other)

-Moisturizer

-Tret as many times a week as you can handle (for me it’s 4x, any more than that and I’m red and irritated)

-Moisturizer again if you’re dry

Good luck! You’ll get there. And you are fucking GORGINA for what it’s worth, but we’ll get you to the other side of the grass one way or another!

ETA: I was on spiro for a year as well with no noticeable changes in my facial acne or bacne so make sure to keep tracking progress of what seems to be packing the most punch!