5 stars for when you're on it and the remission afterwards. My happiest times were actually spent on this drug seeing the changes in my skin sometimes on a rapid basis! The remission afterwards is incredible - no side effects of the drug and clear skin. Unfortunately I've taken it twice and it cleared me for 8 months, and 1 year 2 months respectively. Now I'm about 6 months into the second relapse and I'm devastated. Would award minus stars for what I'm going through now. I used Differin after the first course and Isotrex after the second to try to prolong the remission but the relapse is in full force now. If I can't clear it I would consider a third round. Amazing, life changing drug for me. When I was on it and for the remission afterwards.