My colleague here has made a wonderful point that Isotretinoin is a great choice if you are not planning any pregnancy in the near future.
Spironolactone is prescribed by me to patients when they are fearful of Isotretinoin (blaming the fear-mongers for this), and have acne which is associated with their menstrual cycles.
It’s generally safe in all the patients I have given it to.
I would suggest you sit down and discuss with your doctor, instead of merely relying on Dr Google. We can drown from drinking 16 litres of water in 24 hours, and an overdose of Panadol can also cause liver failure.
So I’d say, don’t scare ourselves, as long as what we do is measured and cautious. Good luck!