I am going to jump right in here since I am sure that some well-meaning person is going to suggest that such a dangerous drug shouldn't even be on the market. (Obviously, that would *not* be a libertarian making that remark!) And what I have to say is that Accutane literally changed my life. I went through all of high school and college as a "pizza face," even though I saw a dermatologist, took scrupulous care of my skin, and took antibiotics for years at a time. Then I took Accutane, and in a few months, I had decent skin. It literally changed my life.
My dermatologist did sit me down and make VERY sure I understood the risks and that it was imperative I not get pregnant. My guess is that most dermatologists still do the same thing. I don't see how a registry is going to improve on that, unless they send a nanny to every registrant's home to follow them around 24/7.
I'll second that. Some types of acne just aren't caused by a benzoyl peroxide deficiency. My doc also took great care to explain the risks - not just to an unborn baby, but to me, too. It is a dangerous drug and not to be undertaken lightly. The registry website appears to underscore that fact.
Congrats on the help you found in Accutane. The class action law suit that follows will improve the lives of the litigation bar and remove another effective medication from the market.