I agree with Joanne about the use of accutane. I was desperate and sad about my skin in college and took it. You go through a snake-shedding experience that is almost unbearable. Sure, I was thrilled and relieved after the 3 or 4 month taking of it, but i'm here to tell ya, it wasn't permanent. Acne seems to be caused by so many things, all which seem to lead to liver. I still have breakouts from time to time and in hindsight, i wish i'd never taken accutane, or retin-A, or tetracycline. I've had to deal with other problems since then. Who are these skin pharmacy nut balls anyways? Cut down on your drinking, drink lemon water everyday, breath fresh air, and take it from those a little older than you and try some of these cleanses!