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  1. Hi all, I am a 24 yr old female and I've been struggling with severe cystic acne for 5 years now. Previously I was on topical treatments, years of antibiotics, and spironolactone. I am on month 5 of my first accutane course and have seen amazing results! The first three months were horrible in regards to my acne but I am very happy with my current results. I am on 80mgs a day and have discussed doing at least two more months with my dr. Although I have been super fortunate in