I just started accutane 16 days ago! I am also on 40mg per day. so far I've had really dry skin, really bad around my nostrils and up my nose (I know, gross), but the nose is the worst for me. Also my eyes are reeeealllly dry when I wake up in the morning, I would maybe get some eye drops just in case:) make sure to drink lots of water, and try and stay away from the fast foods, it doesn't make you feel well at all! But I broke out this morning with egzema like all over my face, which I'm hoping is just the initial breakout. But it's pretty painful, hard to put makeup on. Just push through!

I'm on my 23rd day on Accutane and it's going pretty well. I did get an initial breakout in the 7th day that was horrible and unfortunately you can't see the pictures of how bad it was right now but when the admins fix that issue you can check my log out, I have a few pictures there. Fortunately those breakouts have disappeared and I'm not getting many breakouts at all, not enough to be concerned about actually. The part you want to brace yourself for is the initial breakout because it's not going to be pretty, "if"  you experience the initial breakout though. good luck 

Keep in mind that you can get the opinion of 100 people and not have a similar experience with any one of them. It is perfectly normal to be apprehensive about accutane as it is not a walk in the park but i found that for me, taking it one day at a time really helped. Keep moisturizing even if you don't feel dry. Also prepare for worse acne up to 3 months at least. The first month is usually the scariest until you get to know how your body reacts on this drug.

Good Luck

I feel like I am all ready experiencing an initial break out to be honest. Every single medication I have ever taken for acne, I always get the initial break out pretty immediately. This is kinda sucking LOL