My main memory of Accutane is having a killer lower back ache constantly. That and the excruciating dryness. That's when I really became a chapstick addict. The sides of my lips cracked so bad!
It really got rid of the acne, that's for sure. And I'm not experiencing any lingering side effects, to my knowledge. It does wear off, though. I certainly wouldn't call my skin clear anymore. It's not teenage-level embarrassing, but is a constant battle.