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[Me_23]

I've been on two previous courses of accutane and only once did I remain consistently clear but it lasted only 6 weeks.

Right now I'm taking two 40mg pills daily and although I haven't checked in over a year, I'm guessing I weigh approx. 150 lbs.

I've been on this current accutane course for 3 months already and while my skin has certainly improved, I still get new pimples often and they tend to appear in the same places, which lead me to believe that there must still be lots of oil and stuff underneath.

Last week for instance, I was 100% clear and perfect skin and it lasted about 8 days before a few minor things popped up. Today I've got quite a few large pimples and feel a couple more under the skin. So I know that the accutane isn't yet doing it's job.

Given that the accutane hasn't really worked for me on my past course and that I'm still getting pimples in the same places and my skin is very inconsistent... doesn't it seem likely that I should try increasing my dosage for accutane intake?

My skin is dry but not excessively so that it causes a problem. My lips are dry but very much under control as I apply lots of vaseline daily so they never crack or anything. I have never once had any side effects that are common to this medication. Nor have I really felt any different on it or off it (other than having much oilier skin).

So does this not sound like perhaps my skin is not reacting strongly enough to the accutane and I should try a slightly increased dose?

If it didn't work on my second course and is only slightly improved and generally inconsistent now and responding in the same way it always had with previous courses... I don't really think anything will change unless perhaps I try a higher daily intake or something.

My first course two years ago saw the best results (perfectly clear for six weeks) but maybe that's because my body was completely new to the medication. I clearly saw the strongest signs of it working (dry skin, lips, etc). On my follow-up course a couple months later, it felt a lot more natural and my system had probably adapted somewhat to the intake of the medication. I think these are all signs that maybe my dose wasn't high enough and I wasn't getting enough of the accutane...

What do you think?