I went on Accutane for 9 months, started in spring 2011 and was done around January 2012. I had bad acne and I had it for half my life. I was on 40mg a day, and then the last 3 months we tapered down to 20mg/day. I never experienced the initial breakout phase, I was lucky in that since taking it I only saw improvements, it never got worse before it got better. I am very happy I took it despite some of the small side effects I still have, they are worth it to me for clear skin.
In the past month though I've noticed I started to have isolated breakouts. One just above my eyebrow, then one on my chin. They have gone away, and am now noticing another breakout right on the corner of my lip. When I had acne I used to get breakouts there a lot, it's like I had a beard of acne it was gross.
Anyway, I'm happy with my skin however I'm just wondering when does one think it's time to go back for a second course? Could these just be isolated events like me not washing my face properly or not washing my pillowcase as frequently, or I touched my face with dirty fingers in those spots?
I'm not sure whether this is enough cause for concern to see my derm, but at the same time there's no way I want to put up with acne again. Should I wait and break out even more before 'it's confirmed' that my acne is back, or should I just be more cautious with my hygiene? Would love to know from you all, especially those that decided to go on a second course....what made you decide you gotta go back on it? I understand it is a strong medicine so I don't want to go back on it for a couple of pimples that have gone away, but I also don't want to wait until I can connect the dots on my face again. :S
Any advice appreciated!
PS: My derm said everyone is different, a second course is always an option, some people can break out after their first course of Accutane after one day, one month, or a few years.