"at 19 i started experiencing severe cystic acne-constant dime, penny, and nickel sized cysts, usually 3-5+ in various spots on my face at a time. they were embarassing &amp; extremely painful to the point of having limited facial movement/expression. after 2 years of trying everything possible (including painful cortisone shots!) i went to a new derm who finally let me try zenatane (generic brand accutane). my acne did get worse at first, then i began to see real results at ~ month 5. after 9 months of treatment i was completely clear &amp; have been clear ever since. i did experience many side effects such as extreme dryness, insane mood swings, bad body aches, hemorrhoids, tirediness, &amp; more, but it was all worth it. don&#039;t give up on the process!"