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This is my second course and I was prescribed 30 mg mistakenly for my first month and was less oily and dry for the whole day, BUT I was bumped to 60 mg (my original planned dosage) then I had to wait 2 weeks without accutane because of the blood test. I started to notice my skin to get oily again and the effects wearing off and I'm now about a week into my second month of 60 mg off accutane but my skin is progressively getting oilier and oilier and now I am a ball of grease again. I am worried someone please explain to me 
I too was on Accutane and I was clear for a year, but then the acne came back. It was a bit less than before, but still cystic and bothersome. I was at a crossroad- get on a 2nd course or do something else.... I believe that some people's acne is very stubborn and they may need a 2nd course, unlike others who get healed with 1 course. I decided to go the natural route, which is a lot more time and money consuming, as well as less effective and more frustrating, but I didn't really enjoy the side effects of Accutane.