Went to the dermatologist and he prescribed me Accutane 40 mg. He said I should only take one pill a week (my acne is quite mild, yet persistent, compared to most) but told me I could "jump start" the process by taking two pills a week. I only weigh about 85 lbs so it is not as low a dose as it would be for others. First week I have definitely noticed an initial breakout, although my doc said I probably wouldn't get one considered the other treatments I have already done. My skin is also MUCH more oily than usual. Derma said I would start seeing results in 6 weeks! Skin is looking REALLY bad right now.