"i began taking this medicine primarily to not get pregnant and a little for the acne part. i have not gotten pregnant and it really didn&#039;t do much for my skin. you definitely need to have food in your system when you take it, i figured that out the hard way. my only complaint on this is i have terrible mood swings with this medicine and it has worsened my already present anxiety and depression. i thought it was just me but other women i know taking this have said the same thing. going to talk to my doctor about switiching during my next appointment because the moods are unbearable &amp; affecting my relationships."