I have been counting down the days to starting Accutane for weeks now! I go to the derm on Tuesday and I am sooo excited! I have seen some amazing results from some of the other members here and i am hoping that Accutane is the answer I have been searching for! I have had acne on and off for about 5 years. Recently over the past couple years it has worsened. I develop deep painful cysts and end up with scars Not only to mention I have spent a fortune on over the counter acne products that DON'T WORK! Some of the things I have tried: Neutrogena cream, Free & Clear Severe Acne Wash, Clear Pores Treatment , and OF COURSE Proactive so called SOLUTIONS Not one of these products worked for me! The Proactive was a temporary fix and after a few months ended up making everything worse! Since my recent visit to the derm, he has prescribed me a couple of topicals to try before starting the Accutane. I wash with a transparent facial bar of soap twice a day, rinse with cold water. In the AM I apply a Evoclin foam to my face and at night a Metronidazole topical cream. So far I haven't experienced any major breakouts since doing this treatment,but it hasn't helped the red spots or existing pimples either. All in all, I have had it! Some of the side effects with Accutane are disturbing and the IPledge program just seems like a big pain in the ass, not to mention the cost of the prescriptions as well as all those copays However I have weighed the Pros and Cons and in the end, regardless of what may happen, it is worth it. I AM WORTH IT! I really can't wait to get started and see some results! I have seen some unbelievable before & afters here! So many beautiful people!! Wish me luck all! I will keep posting!