Wanted to update...
I switched to Amneal manufacturer of Spiro backin October and almost immediatly my skin cleared up. I even dropped down to only 50mg a day and my skin is still clear. Not as clear as 100mg but I deal with it becuase at 100mg I get side effects.
Walgreens sells Amneal.
My sister also switched from Qualitest to Amneal with the same amazing results.
Qualitest sucks! lol