Accutane, 4th Month and Still No Results.. Why?

Question

Like nearly every blog I've read, I've tried everything for my acne, and now have decided on Accutane. I am taking 80mg a day, which is a high dose for my weight of 125lbs. I do not have cystic acne, but stubborn superficial acne on my face and back. I am half way through my 4th month,and have only seen mild results. I saw my derm today, desperate to know why I have not had better results. He decided to extend the drug to 6 months, but I am discouraged that I will not respond. Thoughts? Advice?

Barry Lycka, MD - Account Suspended · Answer

This is a high dose of accutane. If you are not getting results, consider other factors for your acne.

	Dairy products, a high glycemic diet, hormonal imbalances, makeups - all can contribute to acne. Discuss these with your doctor.

F. Victor Rueckl, MD (in memoriam) · Answer

That is a very high dose of Accutane to say you have had mild results. However, I would say that most of my Accutane patients are on 20-40mg a day for a minimum of 6 months, and most, a year. Accutane, by far, is the best acne medication on the market. But you have to be patient and realize that nothing, nothing cures acne overnight and it will take time. I have not ever had a patient not respond to Accutane, but some definitely did take longer and needed to be on the medication for a longer duration than others. Be patient; it will work.

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