Can you take accutane if you don't have the cysts but just have chronically clogged pores, black heads and occasional white heads? I have had that kind of acne for 35 years. It never seemed "bad" enough for accutane, but it has never gone away despite constant over-the-counter treatment and periodic antibiotics. It gets better or worse cyclically with hormonal fluctuations, lack of sleep, etc... but it is never "clear" and the texture of my skin is rough. It's just bad skin. Now my 10 year old daughter has started her battle with it, and I really don't want her to live with it her whole life like I have.