I am sorry to hear that you are still having such trouble with severe acne
. I suggest that you go to see your primary care doctor
or a dermatologist
, as they will be able to help you develop a plan for bringing your acne under control.
The key when trying to bring acne under control is consistency. As you have observed yourself, the acutane has worked well for you, but the symptoms of the acne have always come back when you stopped taking the acutane. This highlights that you are probably someone who needs to use a regularly, daily acne control regimen and continue it indefinitely, without stopping every few months.
If you are not interested in going back on acutane, there are still many other medications that you could use effectively, including topical retinoid creams and topical antibiotic creams, as well as daily oral antibiotics. Talk to your primary care doctor or dermatologist about these options. They can review the benefits of each approach as well as the anticipated side effects, and together you can decide which approach you are going to take.
Please set up a visit with your doctor at your earliest convenience, and I hope this problem is taken care of soon.