Just a quick note to all those readers who may be contemplating Accutane usage. I am 40 years old and had three courses of this drug 18 years ago. During each course I suffered all the side effects, the worst being blurry vision, cracking and aching joints and a feeling of living in a fog. Acne eventually returned (controlled with Vitamin B10) but the cracking joints remained and vision floaters remained. At 34 I was diagnosed with shortening of the spine, osteoarthritis and herniated disks. I also have deteriorating knees. My 92 year old grandfather is in better shape. I also am experiencing severe stomach problems, acid reflux... it could be worse but I am trying to ignore that one. All symptoms experienced by other users several years after treatment. I eat very healthy food, do not drink and do (did) low impact exercise. In summary do not trust your dermatologist. They merely read the drug company (Roche) propaganda, the side effects that the court have made them list. You will note the word ''reversible''. The side effects are not reversible. Google user feedback from people like me who are 5, 10, 15 etc years past the use of this drug. This was a chemeotherapy therapy drug initially. It has no place in giving people vitamin A poisoning. The worst is that it closes over growth plates hence stunts the growth of teenagers. Please, use anything and everything else, before you try this drug.