Hey there I think I can help you .. See , i've done an accutane 3 month course twice already. It works to some extent but my acne are back probably because of my sleeping and eating habits . I've almost given up now. Well what I wanted to tell you is its true that accutane does have some noticeable side effects. BUT there are two things you can do to keep a check on the side effects . 1) use the lowest concentration or whatever its called .. i mean to say go for a 30 mg instead of 60.