For those struggling with severe scarring acne unresponsive to other treatments, isotretinoin (Accutane) can provide profound clearing. However, this transforming medication does come with risks like birth defects if taken during pregnancy. This article provides a comprehensive overview of all key considerations before starting Accutane - how it works, expected timelines, possible side effects, mandatory contraceptive use, blood testing requirements, and more. Learn what dermatologists want you to understand upfront to decide if tackling stubborn cystic acne with this heavy-hitter drug is right for your situation. Get equipped with the complete details to have an informed discussion with your prescriber.