Try Accutane. It works very well. It is somewhat harsh on the liver and I believe the recommendation is for it to be cycled. I'm not sure about the lengths of time, I haven't tried it. I know some with acne problems and this has always helped them clear up.
No Accutane.
Accutane is isotretinoin, which inhibits sebaceous gland function and keritinization.
Biggest side effect is to females of child-bearing age--it is a MAJOR inducer of serious birth defects. This should give you some idea of it's level of toxicity.
For our (gear-headed) purposes, major side effects can include depression, psychosis and, rarely, suicidal ideation. NOT a good thing for those on AAS who can experience this anyway. I am particularly concerned about those who take accutane post cycle, when (as many of you have noticed) acne can become particularly bad, even when you made it through the cycle without any eruptions. Many of us are prone to post-cycle depression, and this combination could prove to be particularly harmful.
Other side effects include intracranial hypertension (also known as pseudotumor cerebri), pancreatitis, elevated triglycerides, hepatoxicity and vision impairment (sound like good things for someone taking AAS?? or taking nolva post-cycle which can also lead to visual changes), as well as hearing impairment and decreased bone mineral density.
I think it would be reasonable to suggest avoiding accutane at all costs.