"i recommend a lower dose of 40 mg if your acne is not that bad.  i started out at 20 mg the first month, then 30 mg the second month, and 40 mg for months 3-6.  i never had any nose bleeds.  i was tired some times, joint pain, stiffness of hips, forgetfulness (for example forgetting that i just took a shower and realizing my hair was wet and i didn&#039;t need to take one), possible depression although i was bit irate at times before the taking the med.   i did have a couple bad nightmares. i had chapped lips through like the whole time taking it.  i had the bad habit of biting the skin off my lips..
the positive was no acne not too long after taking it.. although it did flare up a bit about a couple weeks in after taking it.  hair not oily. :)"