I am having the best success in years with clearing my hormonal acne with Rx from my docs.
I am now on Spirinolactone 50mg/day and the Nuvaring for birth control.
So far (3-4 months in), everything is great, skin not perfect, but getting there fast. Birth control working great too, no negatives there.
I also have an Rx for Clindamycin pledgets (individual packets antibiotic wipes),
which I mostly use if I'm having a breakout, or after workouts, etc on my back, neck and jawline.
Just wanted to share.