Just left the derm. We are stopping the Aczone- didnt do anything for me. I am now still using the Benzoil Cleanser and will spot treat with Benzoil Peroxide Gel. I am also going to stay on the 25 mg of Spiro for 2 more weeks and then bump it up to 50mg. I can go up 25 mg every 3 weeks, but probably won't exceed more than 150mg (I am a small person). In 3 months, if I see no difference (oh please, please I hope so!) then we will talk about Accutane. I am not comfy taking that just yet. My prayer is the the Spiro will work for me like it has so many others with hormonal acne. Will post periodically, how my trial with Spiro is working. I hope to log in only positive things!