Hi, I am new to this board...but not new to acne. I have struggled with acne for most of my teen and twenty years (just turned 28). Although my acne is not normally horiffic, I am not satisfied unless I have completely clear skin. I have completed 4 courses of Accutane (I think, I've kind of lost track), but...enevitablly, my acne ALWAYS comes back. I am also on Ortho-Tri-Cyclen (regular, not low), and have been taking Spironolactone for about a month. Thing is, I am in the middle of my worst breakout yet. I have about 16 zits, primarily around my mouth. I have high hopes for Spiro and "hope to be clear," but geese...I am fed up with acne. I just want clear skin darnit! Essentailly, I need some advice, help, support from Spiro users. Does it really work? How long until my skin is totally clear? Basically, is it the miracle cure we're all looking for?