Is It Safe to Increase Accutane Dosage?

In treating acne patients with Accutane, my approach isery similar to Dr. Chen's. I begin with a relativly small dosage, roughly0.5mg./kg. If a patient is doing well, without side effects and the blood work is coming back as normal, I then increase the dosage to 1 mg/kg or so. If the patient is getting a good response, and there are no problems, I will add an extra month of treatment. Your proposed dosage of 60 mg. is certainly quite acceptable. Most side effects happe in the first... more

When I administer Accutane, I typically start a patient with a lower dose, but then ramp up to approximately 1 mg/kg body weight. So in a person weighing 60 kg, it is not unreasonable to be on a 60 mg daily dose of Accutane. I also would closely monitor for development of Accutane-related side effects which are largely dose-related. Mind you, I am not advising you to do anything. You need to discuss Accutane dosing with your physician. Good luck.