Both mine ended up on roaccutane having tried lymecicline unsuccessfully.
It was a resounding success. Side effects are very worrying, but the overwhelming success it achieved gave hugely positive mental boost and improved confidence no end.
The only side effect has been dry lips, and ds had a few nose bleeds.
Ds is younger, he started on low dose roaccutane just before he was 14. At this point his hair and skin would be dripping in grease and when the spots started on his back I asked him if he wanted us to see what else the doctor could offer.
I was vvv worried due to the side effects, but thought as it was winter and yr9 so a good time to start as no real exam pressure and could hibernate over winter and come out fresh faced for summer.
Dd was more worried, but saw the huge success ds was having, so she started at the beginning of L6th. Again, timed to be less over winter and a less stressful time of her life compared with exam period of Yr 11 or u6.
Clear skin has given them the confidence boost they needed.
Please chat through with a Derm for the options available. We went private for both ours as this was the quickest option.