"i&#039;ve had issues with acne since around middle school and have literally tried everything from different topical creams to antibiotics. unfortunately antibiotics were not a safe long term fix so i initially started taking beyaz and was on that bc for about 4 months. my acne did not improve that significantly so my dermo switched me to ortho tricyclen about 3 months ago. i think that you should be aware that your acne will probably get a little worse before it gets better. i had a horrible break out like 2 months in and i got super frustated but now my acne is so much better on my face and chest so i think it&#039;s working! i have also been taking spironolactone as well."