25 Year Old Female, Round Two of Accutane - Grand Rapids, MI

I went on 40 mgs of accutane for six months for the first time around the age of 21-22. At the time both my sister and brother had used accutane and since I struggled with acne since the age of 12 and tried antibiotics, birth controls, and every topical knownto man, I thought it was my turn. My skin was great for a couple years. Recently my acne is back and most doctors tell you your second round of accutane means your acne will not be as severe as the first time but my acne is truly worse than ever before. That being said, I had a hysterectomy since then, I bought my own home, and my dad passed away. These are a couple big changes and stresses that might contribute to the acne. Now a days my face is entirely covered in tiny bumps. My forehead. Chin, cheeks. I experience cystic acne on my cheeks which is painful and humiliating. I didn't want to leave the house, and when I did, I was angry and had outbursts. Since I knew accutane worked well in the past for me, when I saw a new dermatologist (change of insurance) I told her I did not want to try anything else. She told me based on my weight I would be on 60 mgs for five months.
The side effects last time I took accutane were limited to dry skin and bloody noses. I didn't not have an initial break out.

I am on day 3 of Claravis at this point and have had two bloody noses.
I travel a couple hours to see a doctor that accepts my blue care network insurance
My only issue so far was using Meijer pharmacy. But I'll save that for my next post ;)

I used Meijer pharmacy because they are the ony pharmacy in my very small city that will get accutane for me. When I first went to pick up my prescription they were very confused about the fact that I wasn't using ipledge. I told two employees there, I don't need to use ipledge, I cannot get pregnant. I repeated this three times. The woman working there told the man next to her, "they must have changed it". At this point, I again stated, "it's only for women of childbearing potential." She looked at me and said "yeah, YOU" and I said " I HAD A HYSTERECTOMY" and that finally got it through her head. Which is annoying because up until that point they were assuming I didn't know what I was talking about. I asked the male pharmacist how much the script would be and he said three dollars and told me it would be in tomorrow.
I went in the next day and I was told "do you know this is going to cost you eighty dollars?" They also informed me they only ordered one box of the medication instead of two. I spoke with two other pharmacists this time. They made a couple phone calls and said they ordered the wrong generic and again, it would be in the next day. For four days after that I was told the same thing. "We don't have the three dollar generic, it'll be here tomorrow" then I was told they would be calling around to nearby pharmacies to see if they had it. At this point I was irate. I spoke with a manager who told me he wasn't sure their company could get the cheap generic and he would have to call corporate. During this, no one would return my phone calls. After two weeks, they said they recieved the Claravis and they didn't know what the issue was in the first place, because it was available to their company.

Another update, today I had my third nosebleed. This concerns my boyfriend, but since he didn't go to my derm appointment to comment or voice his concerns, even though I asked him to, I don't think his worry is valid.

I posted this picture once before when I negatively reviewed proactiv. I thought I woud post it again here so you can get a better idea of how disfiguring my acne has become