I'm on month 4 of my second course of Accutane in 2 years, I was on a low dose for 9 months previously (which as research tells us, increases the chance of recurrance but minimises the side effects), that was in the UK - where my derm seemed quite cautious. I'm doing my second course in the USA, where medicine is a business My first course was plain sailing, no initial breakout - my skin just got progressively clearer - and I thought it would go the same way this time round (I have mild/moderate persistent acne) but the doses are much higher (which I prefer if there is more chance it's going to work this time). Months 1 and 2 (40mg, 60mg respectively) went fine, then come month 3 (80mg) it's breakout central, and I don't think I was so prepared for the world of psychological pain that ensues with acne that's much worse than I've ever had before. So my derm says that month 3 is when people tend to turn a corner, although it's month 4 now and it looks like I turned 2 corners and never left breakout alley.

Could this still be 'purging' even though it started after 2 months? Did anyone else start to break out this late?

Does anyone know an alternative to Cetaphil moisturizer? This has been my tried and trusted choice for a long time, but I'm starting to suspect it's contributing to my breakouts.