"i struggled with acne since the age of 12 around the time i went into puberty, but found it worsened in my early to mid 20&#039;s. i am light to medium skin tones and would usually get breakouts that would fluctuate weekly causing dark blemished after break outs on my face, shoulders and back. i started the treatment in mid june, taking 20mg every day. during this first month i broke out in a rash, and was advised by nurse that this was common. the second month my dosage increased to 40mg daily, which remained the dosage throughout my treatment. my course was for 6 months and finished in december. i have been off isotretinoin for 6 months and have had zero break outs, my entire skin has also completely cleared of spots."