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Accutane comes as a capsule to take by mouth with or without food. The hardest to treat and can leave permanent scars. Severe acne that is resistant to more conservative treatments such as creams, drying agents, and topical or oral antibiotics. Bad acne may be associated with increased risk of either depression or suicide. If you have an Accutane review or know of others that would like to share their Accutane reviews, drop us an email. Treatment and acne control.