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Accutane Breakouts 4 months in?

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Hello, this is my first post. I've had mild/moderate acne for about 6 years now. After every topical cream and antibiotic could not produce a permanent cure, my derm prescribed Accutane. At first, I was only on 20 mg a day to make sure I had no severe reaction. I have been on 40 mg a day since November (I only weigh 90 pounds). I have the worst acne of my life. It has been this way since upping my doseage. I mean, WAY worse than I have ever, ever had it. I don't know what to do. Is this expected? Has anyone else experienced this and then suddenly, it helped the way it is supposed to? My doctor will not up my dose due to my weight and seems a little baffled himself. Any advice? Similiar reactions?

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