This is a very strong drug and you should not use it without a doctor's advice. It can cause severe birth defects in unborn children. There are many side affects and a doctor in the states will not give it out without a thorough check up. You must have regular blood tests (I believe it can affect the liver). If you are married or having sexual relaitons (women) you must use two types of birth control. If you suffer from anxiety or depression you should not take this medication.

Yes, it does work to clear up problem acne but you must be careful. My daughter was on it and it worked beautifully on her. However, we went for monthly check ups and the doctor would only give her a prescription on a month to month basis.

I hope the pharmacies there are not giving this medication out without a doctor's prescription. If they are someone should talk to the doctors there to make them stop. These side affects are extremely dangerous. Please see vignale's post above.