One thing I have learned from this board is that when it comes to Accutane (or just about any acne treatment), every individual is different! Some people clear up immediately on Accutane, some need all five months, some have initial breakouts, some never do, some dry up horribly and have other side effects, some breeze right through the treatment. My only advice to you: unless you have severe problems with Accutane, just stick with it. My daughter had her dosage upped several times. She is now finishing her treatment at 100 mgs per day. She had a horrible initial breakout almost immediately and it lasted four months, and she even needed an extra month on Accutane, but it has been worth it. Her face is almost completely clear. But this was her reaction. Like I said, everyone reacts differently so what happened to her may not necessarily happen to you.