Mild-moderate but persistent acne, should I take Accutane?

I am a 21 yo female, 110 lbs have had acne since I was probably 13, seen a dermatologist since I was probably 15. Have tried topicals and antibiotics and Spironolactone (still on this). Have seen most improvement after takig birth control, almost no acne but I want to get off the pill (personal reasons) and after stopping it once my acne flared up severely. My dermatologist suggests Acutane. I'm worried about the long-term side effects, and slightly relapse. Any advice would be helpful.

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