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This is me now ... almost 3 years post accutane.. I've been on and off of the drug... for about two full courses and 1 or 2 mini courses. It is not an easy medication to stick through, but if u can... it might be worth it.. i think just if you have tried everything else. Personally I had good results but I know everyone is very different. I still get acne sometimes, especially around my menstraul cycle but it is not as bad as it use to be.