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When can I start my 2nd course?

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I was on accutane for 6 months and reached my cumulative dose. I was only clear for the last week and now I'm starting to break out again. In short, accutane left me with more scars than I imagined and dry eyes. It did nothing for my acne.

How long do I have to wait to start my second course? Or should I give up with accutane since it obviously doesn't work and try something else?

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