Should I be careful massaging on Accutane?

You can use Mederma, but please have realistic expectations. I've never seen anything great from Mederma, particularly with old acne scarring. So it's fine to use, but just don't expect much.

40mg is a pretty standard, lower dosage, so you shouldn't have any extreme side effects. Heart fluttering or palpitations should be checked by a cardiologist, but would be unrelated to the Accutane.

You don't want to take Vitamin A because Accutane is a derivative of Vitamin A. A regular multivitamin is fine. You also don't want to take anything else that will make you sun sensitive, like niacin. Regular multivitamins are fine and what I recommend. You can absolutely do Botox and fillers;...

You can stop the medication. But I would tell you that you need to make sure you are eating a big meal when you take isotretinoin. If you aren't doing that, it's not being absorbed properly.

You need to consult your dermatologist and possibly a neurologist. Seizures are noted as a side effect of Accutane, but they are also noted as a side effect of things like Advil and Tylenol. So, it's hard to say if it was the Accutane, or maybe the heat, drinking, other substances?, weird...

The magic of Accutane is that research chemists were able to take a normally fat soluble vitamin, Vitamin A, and manipulate it into being a water soluble vitamin, Accutane. Normally, fat soluble vitamins are stored in the liver, and can reach toxic levels. The Vitamin A product you are taking...