I wouldn’t say that either is particularly superior in terms of treatment for acne per se. Everyone has their own practices pertaining to the use of isotretinoin or spironolactone.
For instance, I have a lower threshold for using isotretinoin for cystic acne. My patient had suffered very severe acne and was kept on 6 months of doxycyline by her dermatologist, and finally plucked up the courage to visit me on a friend’s recommendation. Isotretinoin has solved her issue, and she can finally reduce the thick makeup and walk out with her confidence.
It boils down to the doctor you are seeing really, so I would suggest for you to look around for someone you have heard good reviews about. I would also like to entreat you to be compliant to medications to get the maximal effect, as well as for you to use the right products to augment the medications.
PS it’s not true that private clinics use only branded drugs, as I have found that the generic Isotretinoin had less complaints from my patients.
Wishing you the best!
