My son is about the same age and I was so worried about the initial break out for the same reason as you. I feared accutane so much for many reasons. We got to the point where we feared acne more and what it was doing to him. We did have an initial break out for the first 2 and 1/2 months. We started him low and are still on a low dose because we don’t want to risk more breaking out and are just on a 9 month plan instead of 5. He’s doing great now and is clear now at 5 1/2 months. Still has pih and scarring to fade and fill in. Nosebleeds are minimal.
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