Bro - I completely understand where you are coming from. You are so hell bent on Accutane being the miracle you have been hoping for that when the instant results do not come - you're bummed out to the point of quitting. You have made the decision to tackle this problem, embrace it my friend. You will not be disappointed, I swear to the flying spaghetti monster. You will not be disappointed one bit; that day will come when you start to wake up without thinking about your face, you wont touch it to see if any new guys popped up over night...you won't be socially awkward...you won't be a hermit...but you must commit fully.
It is much easier said than done, holding your chin up and facing the world when that's the last thing on your mind. I am sure someone has mentioned this to you, but it is absolutely the truth...sometimes when life is making it rain in the worst possible way you gotta just put on a raincoat and say fuck it. After so many tumultuous years of suffering, being so close to the end. Just embrace it, embrace the gradual healing process, know you are doing the best possible thing available. It is not the miraculous instant cure you were hoping for, but dude hang in there. There will come a time when then only thing you can say about the entire experience is I wish I had started this sooner.
I am on my second course. First go round I had moderate nodule/pustules. I was 19 at the time, sophomore at UGA. It really sucked, partly because I wasn't prepared for the emotional roller coaster. Partly because I had never ever really had to deal with acne before. It was just kinda a wtf onset. Tried antibios...lots of stuff, just like everyone else, nothing worked. I demanded tane - got it - powered through it - despite feeling like you are now so many days. Just staring in the mirror, so unbelievably pissed. Anyways, perfect skin for two years...post grad stress and life re started the bumps. Just one a week/one every two weeks, nothing major at all. I just made the decision to go for round two. I did not need it at all. Just decided as a full fledged adult, I wasn't going to get another bump. Obviously, I learned from my past experience and embraced from day 1. It has gone almost exactly like it did last time. I mean exactly. Due to my attitude, however, it has not gotten me down. I know you don't have these past experiences to build on, but my story is far from the minority. You must have perused these boards extensively. There is no reason for you to think for one second you are any different and should not expect the results. They will come, scouts honor.
As for your side effects.
Moisturize, moisturize, moisturize. You cannot moisturize enough... That is why you have eczema on your arm. I get it too. Use a great moisturizer throughout the day, I do a full body rub down at least twice a day and periodically pat down my face and other dry prone areas. Such as your elbow area up to your tricep. Put a solid petroleum jelly based something on your eczema (vaseline, carmex) before bed. Or during the day. Whatever. Will clear that shit right up. Might take 5 or so days. But just like you will have clear skin, this will work.
Can't stress enough drinking water. Drink water so you have to pee at least once every hour. Maybe even more.
If you have any questions at all. Hit me up. I will answer ANY question you've got.
Always remember you are one step closer and the only easy day was yesterday.
Also..the nose, I get this issue as well. I don't get the full on bleeds - just the dry crusty bloody boogers. Doc gave me some great samples. It is called Vaniply. Next visit. Ask for some samples, they will give you more than you bargained for.