Accutane is a pretty heavy oral medicine. I would only use it as a last effort experiment. Soolanta is much heathier, especially if you succeed in using it only temporary.
Antibiotics also aren't healthy, especially when used orally. It destroys your microbiota (heatlhy bacteria). Modern research shows that the importance of microbiota is underestimated a lot. Also, there aren't much reports that antibiotics are a good solution for our problem. Usually the problems comes back, or it doesn't even work at all.
Also it's unclear whether diet is a contributer. Some users do think it is, other don't.
In my case, Soolantra removed/reduced like 90% of the problem, even after stopping with it for some time. Then I used Sudocreme, after which I'm 100% clean, although I'm not fully sure if Sudocreme is the cause, because it's hard to belief. Now I'm only using skin hydratation because I belief it's important for keeping the skin healthy and protected.