I had to get a script for accutane. Lips crack, face peels, monthly blood tests, and if you're a chick you have a 150% chance of a seriously fucked up baby if you get pregnant while on it. I think it would be pretyy hard to get it with no script in the US. I had to try retin-A, cleocin-T, tetracycline, and orithromyacyn before they'd write me a script. After tane' I have had almost no acne to speak of, even when on a gram of test!! Having shrunken oil glands is nice!