I'm about to embark on my third month of accutane, and I've seen little to no improvement, and even my dermatologist is concerned about how little has changed and I now have additional topical medication. How was it until you noticed that accutane was making a difference?
What is your weight and daily dose?
Accutane takes months to work, during which time your skin's condition may fluctuate markedly and regularly, especially with dose increases.
Only be slightly concerned if you still have significant acne 4-5 months after your first pill. Before then, pimples are not uncommon.
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I personally stopped getting new pimples about 4-5 months into treatment. I took enough Accutane in total to reach the ideal cumulative dose of 125-150mg/kg. I have been 99% clear for 2 years now.
Good luck.