If you do not have cystic acne then I would suggest you try something natural first before going the ruaccutane or contraceptive route. So the natural medication prescribed is Livotibb, Haemoclear (i prefer the syrup to the tablets. If you can find shaffaf or safi then that would be better. Some spice shops and souks have them), Septoguard, and Femitibb (acne is sometimes due to hormonal imbalance and the femi products regulates hormones. However, I would suggest that you have yourself assessed first before taking this product in particular as it is also used to stimulate menses, for those who skip periods or don't menstruate at all). Try this treatment for 3 months before deciding whether you want to go the synthetic route.
The skin products that I have heard to be recommended is cetaphyl, neutrogena and eucerin
some home remedies that can be used include making a paste with 4 aspirin tablets and a few drops of aloe. apply and leave it on for 10 minutes, then wash it off with warm water.
please see the link below and click on acne to view some simple lifestyle advice that can also help
http://www.tibb.co.za/ailments.html