Is same dose of second course of accutane good for long term remission?
Doctor Answers 1
Hello there and thank you for your question. Isotretinoin is a great drug and when used appropriately can lead to long term remission or significant improvement in many. I would, however, never guarantee 100% remission in anyone. To better the likelihood of getting long term remission, a patient should receive the appropriate cumulative dose (120-150 mg/kg), which is usually spread out over the course of 4-6 months. According to your weight, you should have received 5400-6750 mg of isotretinoin. Your prescribed dose of 20 mg/day x 3 months falls short of this cumulative dose by a lot. For the best results, it is recommended that the full course of isotretinoin be received. Please see a board certified dermatologist for recommendations and good luck!
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