If you're going to go to the Derm, I suggest trying another alternative to Accutane right off. None of those over the counter cures seemed to work with me, so I went to the Derm and was put on Clindamycin Phosphate creme, Benzoyl Peroxide creme, and 500MG of Ampicillin, and antibiotic. This is working great for me, and my face really seems to be clearing up. Accutane has many side effects, plus you have to have regular bloodtests to stay on it, so it can get pretty annoying. It will, on the other hand, clear you up for sure. So take your pick between the two, I still suggest holding on the Accutane and trying alternative means right off though.