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Accutane isn't working

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I've been taking accutane for 1year and 3 months now and was just wondering if anyone elses course has been this long? 

Initially I was on 20mg for around a month, then 40mg for around 4months before moving up to 60mg. I weigh 60kg and so 60mg was the highest I was supposed to have, however it still wasn't working and so my dermatologist put me on 70mg. I was then recommended by another dermatologist to start taking spironolactone as well and drop my accutane dose back to 60 which I have done for the past 3 months. 

I always take accutane with a high in fat meal and don't know why it isn't working. Any suggestions?
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