I don't actually take accutane because I chose to go on the pill to clear up my skin. HOWEVER, my doctor told me I would clear on 10mg and would not have to go over 20 mg. She said severe cases of hers take about 40+ because she has noticed through her practice and study that it is not necessary to give the 1mg/kg dose that is the normal in the USA, but she has seen clearance on low doses without the nasty side effects which are usually observed only at the higher doses. Someone at the same clinic with the same weight and height as me was given 40mg and her eyes and lips were all cracked/red at week 3, i saw her in the waiting room and was so shocked, the doctor said she was coming in from another doctor at another clinic, and she couldn't get an appt with him so she came to the clinic where my doctors practice and they told her it was way too high.
I was told i would need to start on 10 mg and could stay on it till i see improvement an if necessary to work my way up to 20mg. I was told i would need a minimum of 4 months but i guess i would need to be on it 5-6 months.
I wouldn't rule accutane out, but i'm trying not to take it because of a lot of reasons and i am starting to see clearance from the pill. It's supposed to reduce the oil and all and balance out your hormones and my doctor told me i had no guarantee of acne clearance without hormonal balance because i have an underlying condition and it may come back so to try it out.
my acne is not very bad, as in all over your face kind of acne. I get the nasty ones from hell on my chin, the cyst and nodular type of acne. In my opinion it makes my decision to take accutane even more difficult to make because i dont have it all over, i just have 1-2 of these at a time, but they hurt and they leave red marks:(.
That sounds almost exactly like my kind of acne! except I also have oily skin on the T-zone and blackheads all over my forehead, nose and chin.
The decision for me to go on accutane was also a difficult one, that's why I'm 39 and taking accutane for the first time. I waited and waited for it to go away.
I got tired of waiting I guess. I had tried the pill in the past but It gave me a begnign tumour in the pituitary gland (the one that controls hormones) I got it 3 months into diane 35, for this reason I decided never to take the pill again.
My derm wants to bump me to 40 next month. Now I don't know what to do, should I stay on 20 mgs? I had read somewhere else that people with mild acne can be clear on 6 months taking 20 mgs.
I met a girl on facebook who cleared up her nasty cysts, (mild-moderate) with only 10 mgs 3 times a week for six months! and she's been clear for 2 years.
I will definitely discuss this with my doctor next time!