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Hi Lioness,
I'm a 46 year old who has been taking 10-20mg of Accutane weekly for 6 years now. I have no side effects except when I up my dosage during times of stress (I'll take it 3 days in a row and have drier hair and skin.) I would be a scarred mess by now from cysts if I did not use this medication. I plan on using it until menopause or after if I need it. I would only advocate this long term usage post-ALL pregnancies. I'm assuming you are done with that chapter as well? The blood work is annoying to get a new Rx, but so worth it not to have scars, painful cysts, and embarrassing pimples in our 40s and 50s. Feel free to write if you have questions. There aren't very many of us on this regimen it seems.