Should I start taking accutane?

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Accutane is generally a great treatment option for stubborn severe acne that has not responded to alternative treatments. If you are still getting breakouts and they are not getting better with other medicines, it may potentially be a good option. In a young person there are extra things to consider such as your pubertal status, whether you are still growing, and your whole medical history etc. Your parents will have to give consent. 

The brand name "Accutane" is no longer available.   However, the active ingredient isotretinoin is available under several different names.  From your description it sounds like you may be a candidate for isotretinoin.  Your best bet is to seek the consultation of a respected board certified dermatologist in your area who can fully evaluate your acne and review the risks and benefits of the medication.

Accutane is appropriate for your case as it's for moderate to severe acne, or acne that doesn't respond to other medications, like yours. You will need to find a dermatologist in your area who prescribes Accutane and works with the iPledge program. "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."