Females must be sure they are not pregnant before taking accutane. otherwise it is safe.. the problem is that taking it for a month may not be enough and some people flare when they start.. I generally begin slowly with a lower dose and increase the dose as improvement is seen.. Some docs...
Thanks for your question. I would certainly consider an Accutane course since it seems you have tried just about everything else.
Discuss it with your dermatologist. They will be able to get you started properly, and help you manage the dryness.
Hope this helps! I’d give it a try!