Hi ive had acne for a long time and have just started accutane around two and a half months ago ,since starting ive seen some noticible effect with very little side effects , but my skin still has breakouts and ive asked to increase the dosage.

i started accutane 27th march 2015 and have been taking a daily dose of 20mg up untill today ( june 15 2015)

total 80! days on a low dose of 20mg .

i weigh 80kg and the minimum dose for my bodyweight is 0.5mg per kg? = 40mg

my first blood test was only roughly two weeks ago due to missing a blood test due 4 weeks in. The derm is always hard to get hold of and even through phonecalls she maintained i should stay on 20mg till my blood test , she concluded through the last blood test that i should stay on 20mg , which is fair that my liver values are high but i really dont want to be on this drug long term.

i would have expected to see completley clear skin 2and a half months in but i know the drug takes time to work.

my question is how long will the duration of the course be if i continue to take a tiny doseage of accutane.

and is there a higher risk of remission with a lower dose?

im getting little feedback from the dermatoligist and i dont think she understands how frustrating it is to want to get it over with (the accutane ) and hasnt really acknowledged ive been taking such a low dosage for so long.

anyone guess what the derms thinking? for example 20 mg first two months 40 the next two ... etc?>

when does treatment stop? when it reaches some number?

sorry for the wall of text and if you did read it hope you respond ,

thankyou .