I have acne vulgaris grade 4 I am 17 yrs

Patient : I have acne vulgaris grade 4. I am 17 yrs old girl. I have started taking medicines orally n also topical. But my acne is increasing instead. I m too worried about it. I just wanted to ask that can this be really treated? Or i will have to live with it for 4-5 years more? Today my doc prescribed tretiva 20 with few other meds! Will it really help.. Ive heard it has many side effects! Please help
Symptoms:  Cystic Acne
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