What happens when accutane doesn't work

I am suppose to be finishing accutane at the end of february '09. I just came from my monthly check up because I still have cyst and acne. I have seen no improvement what so ever and the doctor said she wants to keep me on accutane a little longer. My question is what do I do if accutane does not work, what would be my next step?  

[loiloi]

Hi. 80% of Accutane patients achieve a long term remission from acne after just one course lasting 16 to 24 weeks. 20% of patients, including myself, need a second or third course.
Further use of Accutane remains your best hope of a long term remission from acne. It has been proven to be more effective than other standard treatments.
Be patient and follow your doctors advice.
Eloise.

[Lynsy333]

Stick with and don't give up yet!  I finished my Accutane course in May '09.  I had breakouts almost up to the very end.  As soon as I stopped taking the Accutane my skin had a chance to heal and now it's completely clear.  I haven't had a breakout since.  

I know it's frustrating but it will pay off!  :)

[tanvipatil]

i have mild to moderate acne.. that did nots tart until i was 20..as a teenager i never had breakouts.. and my skin was very clear and nice..but now i do have a lot of breakouts..that hampers my self confidence terribly.. i did have a huge weight fluctuations... around that age.. i went from 43 kgs to 60 kgs in less than 1 year... now i reduced my weight to 47.. but acne problem is still there.. my periods are irregular... adn therefore have been recommened to go through bloods tests for harmonal analysis.... i wasnte to speak to my physician about isotrtinoin.. butso you think taking a concomitant oral contraceptives therapy would be useful as well.. i also have inceased hair growth ..a mild hirsutism case..however i am concerned that as soon as i stop taking OCs my body will retaliate in a negative feedback mode and it will result in worse acne.. at the same tie i  was hoping to find a little more information on does the body self adapt even if you were to stop the birhtcontrol pills...since you cant be on them indefinitely?..being a pharmacist myself...i do trust drugs but the scare me espcially thinking about what happens when i stop taking them?