I upped my dosage over the past month and things have gone really well, my face is clear of any old or new acne, which is a relief. Here's what I'm taking now for my acne:
40mg isotretinoin 2/day (80mg/day)
Topical Triamcinolone Acetonide Cream 1% -- This is for dry/scaly areas on my hands and forearms only
Topical Zinc Oxide 40% -- can be found in diaper rash cream or special sunscreens, for spot pimples
I couldn't be happier with the isotretinoin, my face is smooth after being on the stuff for only two months. After having moderate/severe nodular acne, this is the best decision I have made in my life! The only side effects I have had problems with are dry lips and skin. My hands and forearms are so dry, my dermatologist started me on a prescription steroid cream yesterday to help with that.
I will say that I had a second breakout while on isotretinoin when my dermatologist double my dose that lasted a week, so be wary of that if you increase your dose or are thinking about taking the stuff.
Almost halfway through!