Just joined today after viewing for last several weeks to try and get as much info as possible for our 14 yr old daughter who is on a 5 month course of accutane. Wish we would have discovered this website for our first daughter who had amazing results from acutane 6 years ago. That was a trial and error experience!
We are better prepared today because of this website (Thanks Dan) , but has anyone had any experience with upping the dosage of accutane after the first 3 months?
Our daughter weighs 110 lbs (50kg) and is taking 40mg of accutane and is scheduled for a 5 month course of treatment. From what we have read, this is a good plan for her. She has moderate facial and back acne. Started in Dec but continues to have mild breakouts; some days good/bad. Her first month, the derm said to take the accutane w/o food. We have read this would probably result in about 50% absorption. We think our derm did this taking into account the physical activity of volleyball 2x per week given we know accutane can cause joint pain. Well, it did cause the joint pain but she has been able to work thru it by am/pm stretching everyday; 15 minute bike warm up before practice, motrin, omega 3 fish oil and ice-packs after practice; it has worked.
For months 2&3 she has been on 40mg taking with meals with high fat food content and apart from the sore knees (manageable); dry lips; intermittent hand/elbow rash and problems staying focused, these have been the only side effects. however, she continues with the off/on again breakouts and we are considering upping months 4&5 to 60mgs, which we estimate puts her about 600mgs over her projected cumulative total given her weight.
Has anyone increased their intake over the last months of treatment? if so, did the increase impact/increase any side effects you were having? Did this stop the breakouts? We meet with the derm this Week and are unsure whether to increase the dosage to take into account the 1st month may have only been 50%; she has gained a little weight and she is physically very active (btw the derm has suggested this but the comments & experiences from the people on this website are invaluable so we want to consider this along with what her derm recommends!).