I am a 20 year old male and I have taken Accutane 3 times already. Once when I was 16, then 18, and I finished my third round a couple of months ago. I won't be able to remember how much I took per kg, but I know that I took slightly more than the suggested dose during the third round.
Side effects: I have only suffered from side effects such as dry skin/lips. Annoying, but tolerable. My blood work was always very good during my last three rounds.
Current situation: I started using 0.5% topical Tretinoin gel soon after my last round ended. My doctor told me that considering my past experiences that I would probably still get small zits soon after I stopped taking Accutane, which I did indeed and the Tretinoin really did help. I have taken it on and off since I was 14 and it has always worked well for small superficial pimples. But now I am getting big, deep, painful pimples. I'm not sure if it is cystic, but I don't think it is (from photos I've seen/past experiences).
This is exactly what has happened every other time I've taken Accutane. It works wonders for me for a very short period of time. I don't experience bad side effects and I have an insurance plan that covers the cost entirely. I was wondering if I should give it one more shot, but take a much larger dose per kg this time.
Has any had, or know of, bad experiences with taking Accutane this many times? Should I even bother, considering it hasn't given me long term improvements before? Has anyone taken a 4+ rounds was finally successful?