there are way too many side effects to list. the first time I did accutane it was very cheap, it’s based off your insurance. I was going to go on it again, but my insurances co-pay went up and it would’ve been too expensive. prices can vary a lot. if you’re a female you will have to go in monthly for a pregnancy test as well as most likely take and pay for birth control. I’ve seen some say they had to do blood tests and stuff like that, but I never had to. so it depends on your dermatologist and insurance if you may have to do more or pay more. personally i believe only people with severe cystic acne should use it. it didn’t clear my acne, but it got rid of my cystic acne. and now I’m using a combination of medications that have cleared my skin with way less side effects and for s lot cheaper.