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Initial breakout for me started about day 4, and now I am on day 13 and it is only getting worse. The only thing that has gotten better are my blackheads. I'm getting an insane amount of whiteheads though, and it just keeps increasing. sometimes multiple are popping up within an hour. I can say at work last couple weeks I've been extremely stressed, and with the line of work I am in I will be stressed all the way through until after christmas, so I'm sure my stress has also contributed. No matter what I am going to stick through this though, I hated my face before accutane, and now that I've started it my face has gotten twice as bad, so it's really hard to deal with, but knowing that by the end my face could be clear I'm not gonna give up on it. I'll go through this shitty Initial breakout and the shitty side effects if it means getting my life back.
Quick question - did anyone else get an extreme amount of whiteheads when they first started the tane?
my IB started pretty much right away and didn't stop until about 2.5 months in. some people's lasts the entire 5 or 6 months though. it just all depends on the individual
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Great Question! I am on Day 4 and my IB started yesterday on Day 3. When does it end???!!! Someone please say yours ended and when!!
Mine started 3 days after I popped my first pill. It is just cysts (probably at least 10 since starting) and a few pimples which go away within a day or two.....and it is still breaking out, but HOPEFULLY it will soon end.
I'm on day 12 and I'm not sure if I've had an IB. couple of spots have appeared recently, but nothing major.
I am patiently waiting for a breakout though. Just want to get it out of the way so I don't need to worry about it coming.
Im on day 11 and I can feel a few lumps under my skin.. Nothing has broken the skin yet but probably within the next few days..
mines sarted after day 4. im on 60mg/day. Its weird because one day my face will look like it broke out big time then the next it will look like it improved a little. So i have no idea whas going on lol.
The same thing happened to me.. Yesturday it looked like the overall appearance of my skin was looking better.. Then today it seemed like it was the same as always.. i thought I was going 
so I was a bit upset.. Im glad to see someone else had this happen..
Well not glad but you know what i mean..lol
24 yr old female on 40 mg, alternating once daily, twice daily the next day.
Initial breakout began immediately and hasn't begun to ease up yet. Today is the first day that I can even begin to feel my skin tighten ever so slightly - otherwise up until this point it's been an oil slick like never before. If I had mild to very slight moderate acne BEFORE accutane - I'm now at the more severe end of moderate acne with countless actives (combination papules & whiteheads) all over but my cheeks are getting it the worst.. Fun, isn't it?
24 yr old female on 40 mg, alternating once daily, twice daily the next day.
Initial breakout began immediately and hasn't begun to ease up yet. Today is the first day that I can even begin to feel my skin tighten ever so slightly - otherwise up until this point it's been an oil slick like never before. If I had mild to very slight moderate acne BEFORE accutane - I'm now at the more severe end of moderate acne with countless actives (combination papules & whiteheads) all over but my cheeks are getting it the worst.. Fun, isn't it?
Hang in there... I'm in the same boat as you. We can get through this!
This is a wonderful blog! Seriously, I'm so grateful that I can discuss this with people who understand.
I'm on day 6 of accutane and my initial breakout (IB) started either yesterday or today - it's hard to tell what would have happened naturally/hormonally and what's due to the accutane. I started getting dry lips around day 4 though.
I'm also on spironolactone still ( just finishing out this months prescription). Has anyone taken spiro on accutane? and also, should/could you use topical gels on pimples if necessary? e.g. retin A or erythromycin benzyl peroxide gel?
Thanks!!
-Elizabeth
Be sure you are hydrating well if you're on spiro and accutane...spiro is a diuretic.
I'm on day 16 and definitely am having a serious initial breakout. I've given up on worrying about my appearance all the time, maybe cuz I've dealt with acne for the last ten years....however, these cysts are painful! So bad. I continued my usually breakouts until the last 2 days when I've noticed it is getting worse and worse. Starting with three biggies on my back.
Do these monsters come to a head---I just can't imagine since they are so deep!---or do they typical just decrease is size and go away?? I have one on my chin the size of a marble.