Low Dose Accutane for Seborrhea

Dosages for Accutane depend on several factors, like you suggested. My assumption is that your prescribing physician may be starting you on a relatively high dose and then will lower it over the course of a few months to a year for more of a maintenance regimen. This is what I normally do too to treat what you have. I start patients on 20mg a day (40mg is too high to start with in Vegas climate) for usually 3-4 months, then I lower it to 20mg a day for about 3 days per week, and then lower... more

Lo dose isotretinoin works very well for seborrhea and desultory acne breakouts. A 40mg/d dosing is more along the lines of the Full Court Press, where we are looking at a 5-7m course of treatment as a definitive therapy. Lo dose is adjusted by the patient as needed. I usually dose at 10mg Mondays and Thursdays.