Accutane is a miracle for me
Ok, I know there will lots of differing opinions on this, but here's my experience.
I had tried tons of stuff- antibiotics, washes/scrubs, mega b-5, but nothing would get rid of big cystic acne on my back/shoulders when I got near test. I took 40 mg of accutane a day for 7 months and it cleared up completely (while on test- many people say don't do that but it worked). I also took lots of LIV52 and some of the Sythetek liver protectant.
I was off 'tane for a half year, started another test cycle, and acne came back. So I went on 20mg a day and all was well again. I did have a blood test during my first cycle and liver was fine- attribute that to liver protectants.
It takes awhile (3 months?) to really work, and 6+ months to approach permanant cure- acne may get worse for first few weeks. If you can take it off-cycle, I'm sure your results will be more permantant than mine. But only use it if you have the really nasty cystic acne- not just for little whiteheads- other things can help that.
I used to use the "real" roaccutane but now it's hard to come by and the liquid stuff from chemone works just as good for me.
Oh, yes, the side effects of dry, cracking lips and nose bleeds will happen, and sun sensitivity was harsh, but better than acne.
Best of luck if you try it... just be careful with your liver.