Thank you for your question. It is not uncommon to have breakouts when starting any acne treatment, especially Accutane. Usually the flare-up lasts a couple of weeks, but in some individuals, the flare-up can be very severe and occur for several months. On the other hand, there are some individuals that have mild or minimal breakouts when starting therapy. Please be patient with the treatment because acne tends to get worse before it gets better. I recommend you consult with your dermatologist regarding your concerns and to discuss any further questions you may have with therapy. Take care and good luck.