Spiro Day 56, Tretinoin Day 47

I saw my dermatologist last week again. She wasn't too happy with my progress so she approved upping my dose of Spironolactone to 150mg. So now I am taking 50mg in the morning and 100mg at night. Since she approved this, my skin has improved. I can't say for sure that the increased dose is the only reason why, because I am approaching 2 months and I feel like my skin really should be improving by this point. The breakouts on my back have completely gone away. I noticed that about 2 weeks ago. For me, that is enough to tell me that the Spiro is working because I haven't been using any topical treatments on my back for the last few months. 
 
I told my doctor that the Aczone wasn't doing anything for my skin so she gave me some samples of Epiduo (Aldapene + BP). Its okay but it would be really expensive for me to switch. I love my $5 Tretinoin! I also told her that I've been using glycolic acid + salicylic acid face wash in the morning instead of the CeraVe because it seemed like all of the peeling form the retin-A was clogging up my pores. She said it was totally fine as long as my skin wasn't getting too irritated.
 
Does anyone else have issues with figuring out how to moisturize at night? What I've started doing is washing my face as early in the evening as I can, wait about 30 minutes, apply the gel, and then right before bed I rinse it off and apply the CeraVe moisturizer. If the gel and the moisturizer mix it gets really weird and sticky almost like glue. So I've finally realized that I either have to apply the moisturizer first or rinse after the medication has been on for awhile and then put on the moisturizer. Its so confusing and takes a long time. I'm not really sure what to do. If I don't bother moisturizing, my skin will be too flakey the next day.
 
I want to recommend that everyone look into taking Fish Oil or Cod Liver Oil to supplement Omega-3s. It wont likely clear the skin but I notice a significant reduction in inflammation whenever I take them regularly. I've also been taking a Hair+Skin+Nails daily vitamin but I'm going to replace it soon with a Woman's daily vitamin. For a few years now I have been taking various supplements to help my skin (Zinc, vitamin E, vitamin A, Saw Palmetto, Magnesium, Chromium, B Complex...) but few have given me any significant results. I started the Hair+Skin+Nails supplements because they offered a good amount vitamin D but I've read a lot lately that biotin in excess of 1000mg can cause breakouts. Most who take Biotin and see signifiant results take about 5000mg but I don't really want to risk taking any more then 100% d.v. I finally found a multi-vitamin that has respectable amount of the all the supplementation that I want and it only requires taking 1 pill per day. WINNER!!! This is the one:
http://www.amazon.com/gp/product/B0009KNLV6/ref=oh_details_o00_s00_i00 
 
Updated Routine:
 
Morning:
Neutrogena Stress Control Face Wash (glycolic + salicylic acid) OR Glytone
CeraVe moisturizer
Skin79 BB cream and/or Physicians Formula Correcting Powder
50mg Spironolactone
Hair + Skin + Nails Vitamin
 
Evening: 
CeraVe Foaming Face Wash
Tretinoin 0.025%
CeraVe moisturizer 
100mg Spironolactone
Fish Oil Supplements (Omega-3's)