it really depends on the derm, but chances are if accutane is really what you want to take then your derm will prescribe it. im taking it now (im at the end of the 2nd month and clear
), and have not had any serious side effects. most people only experience the dry/cracked lips and dry skin, and some experience a little hair thinning. there are serious risks with accutane, but with a lower occurence rate then people make it seem like.