I know it is well documented that drinking alcohol when on accutane isn't a great idea. one derm said recreational party drugs, whilst a bad idea in general for your health, are probably not much extra worse when on roaccutane? true?

Re-word your question however you like. If you want to avoid the consequences of drug interactions and potential damage to your system you avoid those that use the same pathway. Do as you wish. The risk is yours to take.

Alcohol is a poison that never did anybody any good, ever, so stay away from it. It is bad enough for a healthy person to drink, let alone one on medication. For healthy diet: http://www.choosemyplate.gov/., exercise 30 minutes/day, drink enough water daily so your urine is mostly colorless, have safe sex, no tobacco alcohol weed or street drugs. Get HPV and Covid vaccines. Wish you good health!