no they are not the same thing, retin-a is a vit. A derivative...it works but certainly not as well as accutane..and actually they do not even work in the same way...if im not mistaken, accutane dries up oil pockets in the face, which prevents oily skin and hence stops the acne...retin-a speeds up the shedding of dead cells.when this process is not happening at a rate thats normal, you start having clogged pores..so retin-a speeds this up, and helps clear out your pores...its also good for dark spots on the face...ive never used accutane, but have used retin-a many times....it has its down sides, your face peels, it burns, makes your skin super sensitive, and takes a while to work..and actually makes your skin worse before better....but its much safer then accutane, which im sure is why your DR. gave it to you instead of the accutane...hope this helps some.....LP