If you cannot commit to being on Accutane and showing up for your appointments, don't do it. Especially for females: you have to do a negative pregnancy test, and then wait 30 days for a prescription again. Every single time you miss a window or don't follow the iPledge protocol. If you cannot commit to being in the program, don't do it. While I would say it would be the best option for treating your acne, it's not going to work at all if you don't show up for your appointments and don't take the medication daily. At this point, you are basically starting over and wasted that month of taking the medication in November. You need daily medication and monthly appointments. If you cannot do this, don't waste your time or your doctor's time.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."