Any treatment your derm prescribes is either going to be topical or oral, ig you have struggled with it for a long time and it's severe enough and you meet the conditions, Accutane may be a possibility but you certainly do not have to take that if your feeling nervous. Remember, you derm will take into account problems such as antibiotic resistance or any other drawbacks of a treatment and make an informed choice based on what they believe is best, the are not going to just throw a medication at you and ask you to leave. There are not many Acne treatments that are permanent, so if your Acne does clear and your stressed it will come back, you need to make sure your doing what you can to prevent that and quite likely you will be able to stay clear for a long time, Acne is managed not cured, I don't know if your a teen or not but if you are you may only have to manage it till you reach a certain age and then it will already have stopped.

I'm on Minocyline, an antibiotic, and while it has definitely helped a lot, I still breakout a little but the pimples are not big anymore and they seem to heal faster. I think everyone reacts to antibiotics differently. Some people love it, and it completely clears them. For me it has helped but it hasn't stopped it from coming back. So i'm going on Accutane next month. If you are desperate like I was, you will try anything, cause you have nothing to lose.

Now let me tell you what is crap. Retin-A. I know some people love it, but I don't see how people can have the patience for that crap. If you don't know anything about retins, it's that they make you break out for weeks in order for it to work. My doctor prescribed me a retin-a and it said on the pamphlet that you will break out for 8-12 weeks before you'll see improvements. I used it for about a week because I was getting huge painful nodules that took weeks to get rid of. Who would want to use that, we are tired of looking like this and this stuff just makes it worse for at least 3 months, I don't think so!