Accutane is the most popular cystic acne medication; however it doesn't work foreveryone. I assume that before taking another course of Accutane:

You'd make sure to reduce the number of prescription drugs you're taking during the course.

If a woman, you're not planning to become pregnant.

You're aware that at least for some adolescents there's been a suggested linkage between depression and Accutane.

You're planning on living in a generally healthy manner, eating well, exercising, not smoking, and not drinking to excess. You should be trying to do that whether or not you're taking Accutane. especially if you're no longer a kid.

If you can say yes in response to all of the following statements and have been diligently following the doctor's instructions I think you're well with your rights to press the doctor for something more effective or to move on to a doctor who would be willing to give you a second course of Accutane or some other similar cystic acne treatment if that's the only thing that will work. No, Accutane is not an ideal medication to cure cystic acne, but in my experience it does work like no other, at least for a time, and one has to look at the overall picture and consider how strongly the individual feels about his / her condition.

You also should get your health checked out in general; there's probably no connection to your skin condition, but you never know. But don't feel guilty about being frustrated and angry with your current doctor, if that's how you feel. And anyone who thinks that acne is merely a superficial cosmetic condition obviously has never had a serious case.

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