My son used Accutane and it definitely works. He was on it for 6 months and his face went from severe acne to clear and smooth. His skin looks amazing, just like it did before this all started. He has been off the accutane for 1 year now and he has never had another pimple.
Now for taking the Accutane, the doctor must sign them up for the iPledge program through his office. You are also givin a large booklet with all this information and sheets that must be signed. (the child will only be signed into the program with their parents and their signatures on the form) This is the only way that he/she can write a prescription for the medication (or the generic versions) Your child will receive an iPledge card in the mail and you must take this card to the pharmacy to have the prescription filled...they will not fill this prescription without you giving them the card. Also, the girls must have a 2 negative pregnancy tests before they can start the medication and every month before they renew their 30 day prescription and one month after they finishing taking the medication. She must also start using 2 forms of birth control one month before she can get her prescription filled. (regardless if she is sexually active) I don't know which BC is acceptable, but the doctor will advise you. I know that my son had to access the iPledge site to answer questions each month, then he would be allowed to get a new prescription....I think the girls must confirm the BC methods.
Now, as far as the side effects go, my son had the dry lips. He used the Aveeno chap stick and this seemed to help, but he did say that it was uncomfortable for him, but not enough to not take the meds. My doctor did tell us that he has treated several hundred children with this medication and all buy 1 completed the treatment. The 1 child that didn't complete was due to the parents taking him off....they were very nervous about the side effects I was told.
To check out everything you can go to the site....
www.ipledge.com. This pretty much gives you everything. Also, if your friend is not happy with the dermatologist, she should definitely find someone that she trusts and is comfortable with.....this is too serious a treatment to not be under the care of a physician that you trust.
My son is just thrilled with the results and he has told me it was the best thing he ever did.....it took him 6 months to decide he wanted treatment (yes, the side effects had him worried and he wanted to get more information and as much input from other kids that had used it), so he definitely did not enter into this lightly....