I finally went to the derm in early Dec for the really terrible acne all over my back and neck, jawline. I was pretty sure it was hormonal. She started me on 100mg spironolactone and amoxicillin twice a day, as well as tazorac .05% at night. I was hopeful i was just going through an initial breakout and it would subside, I was on an antibiotic after all. It had been 45 days and I broke down and called, honestly just hoping to get some reassurance/ to be told to be patient... but she actually agreed that it didn't seem to be doing what it was supposed to. She went through some options (and actually mentioned Accutane, yikes) and finally upped my Spiro to 100mg one day, 200mg the next, switched me to doxycycline 200mg, and added Benzaclin in the morning. Still using Taz at night. 

I was so frustrated this morning, but someone wise reminded me that all these drugs, especially when they are affecting hormones, are taking a toll on my body and no wonder I'm emotional about it.  The important thing is that I'm in the solution and following directions of an expert. I will get to the bottom of this! Trying to keep my head high and hopefully I can learn valuable lessons from this struggle that I can carry on to someone else eventually. They say it's the journey, not the destination, but this fucking sucks.