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6 week break in low dose roaccutane - issues

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Hi I am in the UK so I don’t get to see my dermatologist that often! 

I saw saw him in August and I had done 8 weeks with great skin results except I could not tolerate any stronger than 20mg. I was very ill when I stepped up to 40mg with the most severe migraine of my life -  was even hospitalised with it, it lasted 4 days. I could not stop vomiting. The A&E doctor told me to stop taking it. 

Derm said to continue with 20mg as it was safer but would now take about a year to complete. 

I then then had a pretty bad IBS flare up and that is when I stopped all medication, to help see if accutane was causing that too.
I have now had a very bad breakout on my face so I have resumed my 20mg. IBS currently ok. 

i see my derm in 4 weeks - is he going to make me start again? I can’t find much info on long breaks on accutane 


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