Did 20 days break from Accutane because of vacation. Will have initial breakout when I start again?

Thanks for your question. This is a question that we
get asked often by our patients. The accutane will take a few weeks to leave your system and the effect will still last for a while so you will not likely break out again. It is best to finish the course regardless. The course of accutane is usually 4-6 months in dose ranges
from 20-60 mg/day. The goal is to reach a 120-150 mg/kg dosage over the single
4-6 month course. The typical dose ranges from 0.5-1 mg/kg/day. This gives you
a 90-95% success rate of clearing acne for lifetime. When starting accutane,
you can get a flare of symptoms and you will start seeing results usually after
6-8 weeks. There is a 5-10% recurrence rate of  acne on accutane and courses can be repeated 2-3 times if
needed after a 4-6 weeks break on the medication.















Overall, in the right hands, it is a great medication and if
used properly, it will clear acne for life in 90-95% of cases. For the best
results, please consult a board certified dermatologist with experience with
severe acne.

It's no problem to take a few weeks or even a month break during Accutane treatment.  In my experience of over thirty years, the results come out the same.I would definitely finish the course prescribed by your physician.   Even if you appear clear, the additional time will help insure that your beautiful face will stay clear!