I always get a really bad case of acne with fina so I asked my dermatologist for a fresh script of Accutane. I've been on Accutane for 25 days now and bad headaches from it. She told me I could take tylenol to relieve my headaches but not exceed 1000mg. Told her about my worries about me liver and she said I will be fine. I guess you can use "orals" with accutane. I'll get bloodwork done to monitor any changes.