At the beginning of any acne regimen your acne will get worse before it gets better, particularly with Accutane. This is because the pores are actually changing. In the long-run, things will improve, but usually the first 30-60 days your acne will be worse because your pores and skin are changing. Hang in there.
"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."