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Patients who are good candidates for isotretinoin include those who meet some combination of the following criteria: Have moderate to severe, chronic, or persistent acne breakouts Have large acne cysts, nodules, or other blemishes that are likely to cause scarring Have failed other acne treatments such as topical retinoids and oral antibiotics While dermatologists have a significantly better understanding of how isotretinoin works and can use it safely with appropriate professional guidance throughout the process, Accutane may not be the right option for every patient, including: Women who are pregnant/nursing or plan to become pregnant during the treatment period Anyone under the age of 12 Those who have allergies to isotretinoin or any of its ingredients Those who have an individual or family history of mental health conditions that may increase the risk for depression or suicidal ideation Those with a history of migraines Individuals with high levels of fat and cholesterol in the blood Patients who are taking contraindicated medications like tetracycline antibiotics, vitamin A supplements, and certain additional acne medications People with certain chronic and systemic illnesses, including diabetes, liver disease, kidney disease, Chrons Disease, or ulcerative colitis may be able to utilize Accutane with additional monitoring What Are the Side Effects of Accutane