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Alternative to accutane

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Good morning, first time here, pulling my hair out and need some help! My 19 year old son has severe cystic acne which is absolutely ruining his life-he has just turned down Uni as he can't face it. We have taken him to many specialists to try to treat his face, chest and back, but as he has a severe peanut allergy, he cannot take Roaccutane. He is currently taking isitretinoin, a derivative of acitretinoin, but it's not making any difference. His skin is so sore and red, he is struggling to live a normal life. Any suggestions?

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