Okay.... accutane or aldactone? Which would you choose and why? Went to the derm earlier today and these are my main two options, or continue to juggle oral antibiotics and hope we find something that works... current oral antibiotics are no longer cutting it, topicals never touched acne. My acne is on my face, neck and back (the worse area is my back). I'm 31 and just soooo tired of acne!! He's open to letting me try whatever treatment I would like. Accutane is appealing to me now because he said 80% of those who do it never get acne again after 1 course. Otherwise he said I'd have to be on the aldactone long term. On my way to the Endo in a week and a half, so I'll definitely talk to her as well about the options before choosing.