There are many patients whom I put on a low dosage like this for long-term maintenance, but usually after they've already undergone a regular course. It's important to understand that the purpose of taking Accutane is to get a minimum mg of the medication into your system to combat your weight...
When my patients do not feel they are improving on Accutane, they are almost always referring to the left-over red color in every spot where they had previous lesions. From a distance, it looks like a continuing break-out, but the skin is soft and lesion-free. This is left over color after...
This is a rare side effect from Accutane. You can always move back down to the 20mg a day, but you'll be on the medication longer. Or you can just take Advil or Motrin or Aleve daily too with the 40mg. But if you find you're taking a lot of that for muscle pains, it's probably best...