It sounds like you have not been on oral isotreinoin (Accutane, old name no longer used) for an adequate treatment period. I usually treat patients for at least 6-9 months at 40mg daily on average. The time period and dose may increase or decrease depending on patient tolerability to the medicine and response to treatment. You may need to speak with your dermatologist about longer treatment times with higher doses so that your chances of relapse will be lower.
