Ongoing Accutane. I finished my 4th course of Accutane at the beginning of Dec & this week a couple of whiteheads have appeared

When considering a maintenance dose of isotretinoin (Accutane) after completing a full course, it's important to discuss your options with your dermatologist. Here are some insights regarding your questions:

Starting 20mg After a Break: Beginning a 20mg maintenance dose a month after finishing your full course can still be effective in managing acne. The timing of starting the maintenance dose may vary among individuals, and your dermatologist can provide personalized advice based on your skin's response and your overall health.

Long-term Use of 20mg: Using a low-dose isotretinoin on an ongoing basis can be a strategy to control persistent acne. Since your liver function tests have consistently been normal, this approach might be safe for you. However, regular monitoring is essential to ensure your liver function and lipid levels remain within normal ranges. Your dermatologist will help weigh the benefits against any potential risks based on your individual health profile.

It is crucial to follow your dermatologist’s recommendations and have regular follow-ups to monitor your skin condition and overall health while on isotretinoin.