I was put on it about 7 or 8 years ago. At the time it was unpleasant (mostly with how dry it left my skin) but, it cleared up my face quite a bit. That said, to this day I do still have some acne, so it's not all gone.
Also (to slightly rehash what OldDutch said), about 4 years ago I started showing some IBS type symptoms, and I've heard a lot of rumours about accutane being linked to screwing with people's colon and such. My cousin who was on it way before I was recently had a huge chunk of his colon removed, and we suspect it's all linked to the accutane.
So, while I can't say it won't help or be worth it depending on how bad your acne is, I definitely wish I hadn't taken it.
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