In deciding to use a Accuatne, the risks of taking the Accuatnemust be weighed against the good it will do. This is a decision you and your doctor will make. For isotretinoin (the generic name for accutane), the following should be considered:

Allergies:
Tell your doctor if you have ever had any unusual or allergic reaction to isotretinoin, acitretin, etretinate, tretinoin, or vitamin A preparations. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives (such as parabens), or dyes.

Pregnancy:
Isotretinoin must not be taken during pregnancy because it causes birth defects in humans. In addition, isotretinoin must not be taken if there is a chance that you may become pregnant during treatment or within 1 month following treatment .

Breast-feeding:
It is not known whether isotretinoin passes into breast milk. However, isotretinoin should not be used during breast-feeding because it may cause unwanted effects in nursing babies.

Children:
Children may be especially sensitive to the effects of isotretinoin. This may increase the chance of side effects during treatment. Children may have the side effects of back, joint, or muscle pain more often than adults. This medicine should be used with caution in teenagers, especially those with bone problems or diseases.

Older adults:
Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of isotretinoin in the elderly with use in other age groups. However, older people may have a greater risk of problems and adverse effects when taking isotretinoin.

Check for more info, history and legacy of Accutane:
http://www.accutane-info.com/