Do I Need a Second Round of Accutane for Cystic Acne?

I'm allergic to oral antibiotics and 4-5 mos. of Accutane was unsuccessful. Cystic acne back in full force. Tried Perricone MD Skin Clear products and think they made it worse. Have moderate melasma on forehead, nose & cheeks from birth control. Enlarged pores, blackheads & whiteheads. What do I do? I know some people need to take Accutane a couple times to be effective & some have no success. It's such a hassle w/ iPledge & expensive even w/ ins.! It worked while I took it, but is it likely to cure me?

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2 Doctor Answers | Asked by ehunt7 in Michigan

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Accutane works, but you need to take enough!

For most people, one course of Accutane puts their acne into remission. However, a certain percentage of people do require a second course. Make sure you are taking an appropriate amount for your body weight. I find that under-dosing often leads to recurrence of the acne.

Sometimes "Two Rounds" of Accutane are Needed

In some patients, a repeat course of Accutane is needed to achieve the desired results. It is recommended that one wait a period of at least two months before repeating Accutane therapy. Accutane is unquestionably the most effective treatment for nodulocystic acne.