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Hi, i should be starting accutane in a couple of weeks, im just wondering about the 2 week 'break-out' period. Does this happen to everyone? and if you have had it how bad has your acne gone? Also realisticly when should i start to see any sort of improvement in my acne? thanks. xxx

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I can't really tell when my last breakout will be. I've had about 4 and i'm in month two. Of course, it works differently for everyone, but if i were you i would probably expect an IB around week 3. For some it can take up to 4 months before they see any real improvement. Either way you will eventually get better.

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my initial breakout started on day 3 and lasted till about day 18, the acne was worse than it had ever been before. good news is there has been improvement all the way since.

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The IB could last for months.... like more than 3 months where you are getting lots and lots of big active acne.

Mine hasn't gone away and I've had it for about a month now.....

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It really varies and I don't think you can predict the IB. Mine started on day 2 and lasted for the first three weeks. After that, it was clear sailing! Everyone is different, though. Some derms prescribe an antibiotic (like erythromycin) or prednisone to help avoid the IB. Others start with a lower dose to help minimize the IB.

P&W

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