[Dragonfly]

With all do respect - its between a dermatologist and his/her patient.

No dermatologist would put anyone on Accutane unless it was going to be effective.
Maybe in other countries, doctors get kick backs from dispencing medication. However, in Canada the doctors do not. They have no reason not to put one on a medication, unless they know it will benefit the patient.

The patient ALWAYS has the right to decline - and many do.

Accutane is a dream drug - I've been on it twice and I know how wonderful it is.

Rather than discouraging anyone from going on it - why not encourage them to visit a dermatologist and let the two of them decide what is best for the patient's acne type, severity and duration.