"jnto my second month of roaccutane. i started on 40mg for the first month. my side effects were low to being with. my lower back ached for about 5 days and then went away, i have mild dry skin throughout the whole first month. the things that i found hard in the first month was the 4/5 nose bleeds a day, extremely dry eyes and the worst breakout i have ever experienced. i went to see my derm two days ago and she increased my dose to 60mg perday. i am now on the second day of 60mg and i haven&#039;t really noticed any difference yet, but i&#039;m not expecting to for about a week. i woke up today with probably less new spots than i have been, but the worst part for me is the rally bad clusters of acne right next to either side of my mouth"