Qazzz, I suppose it all depends on your dermatologist. My roommate’s dermatologist prescribed it to her on her first visit to him. She has nice skin to begin with, and she bailed halfway thru the 6 month course. My skin has always been oily and acne-prone, but my dermatologist prescribed me two other meds before going on Accutane. It is serious stuff, as others have stated. It worked, and three years later, I would like to try a shorter course.