Ive recently been prescribed 20mg accutane. I've had Acne on my face, back, chest & shoulders since I was 13. I'm nearly 18 now. I've been taking doxycycline & tretinoin gel for the past couple months and I've been looking a lot better lately. I've already went through a "It gets worse before it gets better" phase with the doxycycline. So I was wondering how possible it is for my skin to really flare up and get a lot worse when I start accutane like it seems to for other people? I was thinking that because the doxy already put me through a bad break out that maybe it also cleared out a lot of the bacteria? It's important to me because acne has always made me self conscious. I dropped out of high school because of it. But recently I've started college to get my ged and have been having interviews for jobs too. If my face was to flare up really noticably bad while on this drug. I feel i'd be to embarrassed to keep going to school or still try to get a job.. Any advice or info is appreciated. Thanks