Im on test p, tren a, and mast p. Ive been taking accutane for sometime now and im breaking out like crazy. There are times where it dies down but then it flares up badly. I have it bad on shoulders but im more concered for my face. Should i ask the derm to bump from 40 to 60 mg? My lips are very dry all the time but i can counter that but i mentioned that to state i know its working. I ran accutance 2 years ago for a year and it cleared up completely. Why isnt it doing its job this time around?