I've used dishwashing soap as well. But it seems like you don't have an acne problem, other than when on cycle. In my opinion, I would Just stick to an antibiotic while getting your AI adjusted. Acne, if not a condition off cycle, can typically be controlled with an AI. You may still get some here and there. AIs are important and should have neen used from the start. Now, if you try accutane, 20mgs eod should be plenty to control it. I am on 60mgs ed as prescribed and am going up to 80mgs today. Bloodwork is important while using accutane the way I am.