I'm on my 11th week of treatment @40mg/day of Claravis (generic Isotretinoin) for moderate acne (a couple of cystic lesions per week, very oily skin). I am a 31 year old male, 190 lbs. I don't seem to be getting "new" inflamed lesions but have tons of closed comedones around my jawline and cheeks. These were not there prior to starting the Claravis and started showing up about 4 weeks into treatment. If I taut my skin I can see the white comedone under the skin. They are not terribly large but they eventually become inflamed and turn into whiteheads with pus. When I see the white head I eventually end up popping the comedone and the issue is resolved. Some of them don't become inflamed and the hard plug can be gently pricked off the skin. I'll take pictures and post them when I get home tonight.
I assume the Claravis is pushing these comedones out and that they will eventually resolve but I've taken Isotretinoin before and don't recall this issue happening in the past. My skin would always clear up within 8 weeks of treatment. However in prior treatments I would always be on a topical retinoid prior to the Isotretinoin for many months but this time I was not, maybe that has something to do with it? Also this time I'm taking a lower dose so I don't know if that has something to do with it (I usually took 60mg/day).
Should I still be getting these and should I expect them to go away by end of treatment? I have a dermatologist appointment in one week so I will talk to doctor then about maybe manually removing them. Like I said I'm not getting "new" lesions just these closed comedones that get inflamed.
I'm pulling my skin taut on the pictures.