2 years of tretinoin for me and I’m sick of getting acne all the time

It’s two years now, I got prescribed tretinoin at 19, went from .25 cream now on .5 cream. I wash my face with an oil cleanser and avoid foundation and use moisturizer Am and PM. That’s my skincare routine. Plus SPF in morning. No matter what I still get acne all the time and it always leaves really bad dark spots when it goes, that take months to heal. Really what are my options now? I love tretinoin because I got the ‘tretinoin glow’ and my face always looks super glowy but still with acne.