HELP!!!

i picked up my prescription for accutane and now i am second guessing if i should get on it!! my skin is very clear now (just scarring). i have been taking SMZ/TMP and birth control the last few months and have tried every other medication for acne and none have worked!! my skin didn’t clear up until i started birth control 2 months ago. do i take the accutane??? or do i stop taking everything besides the birth control?? please please please help. first and second pic is my skin the last year … third and fourth pics were taken today!