Recommended Accutane Dosage for Male?

Question

I'm wondering, how many milligrams of Accutane should I take per day? I am 23 years old, male and I weigh 60 kg. Thanks.

Raffy Karamanoukian, MD, FACS · Answer

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Bryan K. Chen, MD · Answer

Generally speaking, I put my patients on 1 mg/kg/day, as tolerated for about 4-6 months to achieve a target cumulative dose of at least 120 mg/kg.  In your case, that would be a 60 mg daily dose (30 mg twice daily).  For someone who is just starting, I frequently will start at a lower dose (either 20 mg or 40 mg) and increase from there if no significant side effects develop.
Good luck.

Mary P. Lupo, MD · Answer

I will make this general recommendation, but I do not recommend asking for advice without having the dermatologist know your complete history. There could be reasons to go higher or lower. The higher the dose, the longer the remission in most cases. Be sure you fully understand all side effects before proceding.

Don Mehrabi, MD · Answer

Thanks for your question.
You should start around 30mg daily and then increase to 60mg daily in months 2-6. If your acne does not respond, you could go even higher. However, this is a good standard dosing regimen.
Hope this helps!

Recommended Accutane Dosage for Male?

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