just expect to breakout. i thought i would be immune but here i am on a low dose on day 13 and breaking out! its not too bad hopefully it will subside.

I really don't know. I braced myself for an initial breakout but I have been incredibly lucky so far and my skin has only improved since I started it. I'm on about day 17 of 40mg.

It's simply the way your body and skin react to the medicine. Plus it takes around four days for any noticeable effects, so any 4-day IB can be attributed to placebo side effects!