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Oral contraceptives are available since 1960s Jul 27, 2017 · Yes, birth control pills (oral contraceptives) can improve acne in women. Belonging to the class of drugs known as retinoids, isotretinoin is prescribed for patients suffering from severe recalcitrant nodular acne who haven’t responded to other treatments I'm not sure why you need to start birth control pills or use a back up method a month before starting accutane. Birth Control Disrupts the Microbiome However I have very bad side effects taking birth control pills. 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