Accutane is a serious drug. It can cause kidney failure. Also can cause depression. I had to take it when I was a Junior in Highschool. It cleared up my acne and it never came back. Accutane reduces the skin's ability to produce oil for several years after treatment, that means no more pimples for about 5 years or longer. That's how the doctor put it. It should only be used in the case of cystic acne however. Those are the deep pimples, that hurt like a bitch, bleed, and cause scars. Anyone who is getting a lot of cystic acne while on a cycle should definitely get accutane as soon as possible. Cause not only is cystic acne uncomfortable, it can cause serious scarring in a period of time as short as a few weeks. But if acne is not cystic, otc should always be tried before accutane.