I am on day 3 and so far my skin is breaking out like crazy! All of the usual spots where I get acne (checks, jaw line, chin) have huge white heads. My skin is more oily than usual and I feel as though the dead/gross stuff is coming to the surface. I have work tomorrow so hopefullly this will calm down so I don't have to put makeup on over it. I don't have as much as an appetite, my skin is almost itchy but oily and I did have chest pains in the middle of the night last night but other than that I feel totally fine! I almost feel calmer on this medication (I am usually an anxious person). I read a lot about the initial breakout and this one seems different than other initial breakouts. I know it is probably because it is a higher dosage but there are a lot of whiteheads and it is beginning to concern me. Thanksgiving is next week which means I have to see my entire high school. All if this is totally worth it, if i have to stay in next week I will still be so happy if the tradeoff is clear skin! If anyone has had a similar initial breakout let me know!