Got my 20mg prescription today and was seen by two dermatologists. They said all their patients have improved significantly on acutance but most experience two months of bad break-outs. Acne must be one of the few afflictions whereby the treatments make it worse to make it better. They also told me that their patients rarely complain of side-effects apart from dry skin, which is expected to kick in three days.
More importantly, the senior derm told me the kind of hormonal acne I have would not clear up on its own until I went through menopause. I went through the public system so the dermatologist visits and monthly tests are free but 30 pills cost 37 euro.