I'm 160 lbs, 18 years old. I have moderate, but persistent acne that hasn't responded to other medications.
Month 1 - 40 mg ✓
Month 2 - 60 mg ✓
Month 3 - 60 mg ✓
Month 4 - 80 mg ✓
Month 5 - 80 mg (where I'm at right now)
Month 6 - 80 mg
Month 7 (possibly - I would taper) - 80 mg
This is my first course of Accutane. My dermatologist feels that I am not metabolizing the medication as well as a normal person would. Therefore, I still have active pimples/whiteheads (I just had 3 or 4 on my face). They are much smaller and do not last as long, but I feel that I should not be developing new acne at this point. I am 8 days into my 5th month and am worried because I keep going through these 5 day phases every once in a while where I have no pimples, and I think to myself that I'm finally done with getting new ones, but then I'll develop more. It's very frustrating and I am worried that by the end of my 6th month, the medication will not have worked to the extent that it should. I also go through phases where my skin isn't that dry, as if the medication isn't drying out my pores enough. My course was going to be 5 months, but my results are showing very gradually.
Should I clear up by the end of this month? My dermatologist says that results in patients are split-up into thirds: 33% clear in month 3, 33% clear in month 4, and 33% clear in month 5. Hopefully, I'm in that last 33%, but it's already 8 days into month 5 and I just got some new whiteheads. If necessary, my derm will have me taper into month 7 to finalize the course.
Any suggestions? Is anyone else in this position? Who has experience with a 6th month course and has anyone tapered into the 7th month?
Edited by amt, 08 June 2014 - 03:36 PM.