Ok, so I have definatly had a small breakout due to my upped dosage. My skin is alot drier and flakier. Something I have noticed - Accutane is trying to fill in my earring holes!!!! My hands are quite bad at times, I get the rash and so many small cuts. I'm feeling over all quite well. My joints really only hurt when I am physically active but my mood continues to be just plain mean. Another thing that has been really cool - for girls - is that I used to get the oil crease in my eyshadow by early morning but I haven't had that since beginning Accutane! I hope it never comes back!! Other than that not too much to report. Accutane has been a blessing thus far.