Eric and I have both used Accutane in our teens. Eric took two courses of it, I took one. We both had serious, and lasting, side effects which were not revealed to us at the time we initiated treatment. EH wasn’t diabetic at the time.
Both of us feel like we had a decrease in our night vision that has been lasting.
Also there was a substantial issue with dryness - both of us had really dry mouths among other things, which was very painful if you happen to have braces at the time (which I did) (Instructions on using chopstick regularly and hydrating with fluids might’ve helped but no one mentioned it.) And the dryness for me has continued on.
Eric was so exhausted while taking it that he routinely fell asleep right after school/sports practice, woke up for dinner, ate, did homework and went back to sleep. He views it as difficult to continue normal life.
He was exercising 5 days a week back then and he started having a ton of back pain. The doctor he had at the time suggested that due to the Accutane, he wasn’t having his muscles heal properly. So they started him on a course of steroids. He still has substantial back issues on and off.
I found taking it with food is necessary and very unpleasant if you forget. Make sure to eat.
I personally believe Accutane triggered an issue with depression which I have struggled on and off with since taking it.
We both tried antibiotics before Accutane and found them to be ineffective. Although if they worked, that would’ve been nice.
Despite all of these things, we could see how Accutane could be a useful medication. Eric says specifically: I don’t want to scare them off.
I will also throw in that since I stopped eating gluten, my skin improved massively. I didn’t put it together until friends began to ask what I was doing differently for my skin - they thought I was taking a course of Accutane again, but I wasn’t. Just eating fruits, vegetables and meat. It might be worth considering an elimination diet to see if the acne is triggered by food. Cheaper and easier than Accutane in my experience. (I’m sure some people here will say is BS, but again, this is just personal experience.)