Week 5: I have been upped to 30 mg. I took one pill yesterday and already notice a small improvement, however, I think this is due to a couple other things. My face got pretty bad. I had 9 cysts and when they healed the skin was raw and inflamed, peeling, scabby, and it just wasn't getting better. I literally felt like I wanted to die. I wouldnt let my husband see me without makeup on, and with makeup, still felt like crawling in a hole. This has been torment for so many years, I need this to be my miracle drug. I was waking with areas that were cysts trying to heal with scales (peeling skin), and due to my skin picking disorder, I would just pull of the skin and then it would never heal. PIcking went back to 2 hours a day. It is crazy because I have healed myself of a lot of problems over the years, and this picking one wont shake, so I need the acne to just go away. I prayed so hard as my job is actually to help others, and how can I when I feel so bad all the time? It was like God asks me to be a helper in the world, but then I suffer all the time. I truly just felt what is the point of living this week, and believe me, it is not because of accutane. It is how I have felt many times before because of acne. So, I went to the derm, and thank GOD she gave me cindamycin gel to put on the areas. Within one day, the inflammation is down, and the red areas are not bright red but pale pink. Also, my husband went and got me vitamin E gelcaps, and I rubbed vit E all over my raw, scaling areas, and all of the areas peeled off. AND, I put all the products that I used out of desperation that were burning my face including Retin A away. The derm told me to get Cetaphil acne wash until I get more dry, and Cetaphil Acne Prone moisturizer. Just simplifying and using these things has made a difference in 24 hours. We have family coming to visit soon and I believe I will be able to face them. A sigh of relief. So far, no side effects but dry lips. I am so happy to be on the higher dose now. I was scared to, but honestly, any side effects will be better than how I have lived for all these years with so much pain and hatred of my face.