So I just started an accutane treatment and I wanted to post my experiences and results to this site. I am taking 60 mg (30 mg twice daily) of absorbica. I have what some consider to be mild acne, but it is very, very, very persistent. I have tried literally everything on the market-topicals like Epiduo and retin-a and antibiotics such as minocycline and ampicillin. Nothing seemed to be working! I have had persistent, large bumps develop between my eyebrows around a year and a half now and have had bumps develop on my chin within the past four months. The bumps between my eyebrows are leaving open pores.
So... for the first week, accutane really appeared to be working! The bumps appeared to be drying up and I was really excited. I did notice the dryness on my face start to kick in almost right away. Dry lips came around day 6, when I noticed the first crack in the side of my lip. In short, week 1 was nearly perfect.
As of right now I am about to finish week 2 and it has been reallyyy rough. Toward the beginning of my second week, I noticed I had blisters/lesions developing on my lips. I also noticed irritated skin (sort of looks like a rash) beginning to form around my mouth and lower cheeks, which are areas where I've never had a problem with acne before. Also, I have noticed that the bumps between my eyebrows and on my chin are getting worse. Every morning when I wake up now, I notice one of my bumps oozing with puss. =3 I guess starting around week 2 begins the "purge," which is when the medicine is getting all of the bacteria out of the skin. At this point my face definitely looks worse compared to when I started. I went to the dermatologist because I nearly had a breakdown concerning my lips. I was really worried. He wrote me a prescription and gave me a sample of hydrocortisone cream to apply to my lips and around the area with the irritated skin. This cream has helped tremendously with my lips! My lips are back to normal again, thank goodness, although I can still tell they are a bit dry. It's hard to tell if it's helped the irritated skin around my mouth very much. I'm going to monitor it closely for the next few days. Also, I'll add that my skin has sort of a slight wind-burnt look to it. I don't mind all that much though because I have really fair skin, so it gives me a little bit of color.
In terms of dry lips, I recommend using blistex and aquaphor. I really lather on the aquaphor before I go to bed and it really helps.
For a face moisturizer/cleanser, I love the brand CeraVe. It works really well for me. It's oil free, very mild, and good for sensitive skin. Lots of people using accutane use Cetaphil, however, which I hear works really well.
I'll post for week 3 next week! I'll try my best to answer any questions that you may have.