So yesterday I forgot to take my pills and I didn't even realize until this morning when my dad mentioned something about them. I already got a few new pimples, two which are cysts. I'm not sure if its from not taking the Accutane yesterday or I just happened to have a breakout. I also started using my sodium sulfacetamide 10% sulfur 5% face wash that my dermatologist prescribed me before I was on Accutane. I know your really not suppose to use anything like that while on Accutane but my face has been breaking out pretty bad and I haven't noticed any extra dryness. My next dermatologist appointment is on Monday so I will be coming to the end of my 4th month. I'm not sure if he will increase my dose because last time I was there he really didn't even want to put me on 60mg but my face is still breaking out pretty badly. It seems every time I go to the dermatologist my skin clears up! So he never really gets to see how bad my skin really is.