Would a low dose of Accutane eliminate the risk of purging?

Thank you for the great question! There are actually studies that show at the very low doses, meaning 10mg every 1 to 3 times a week, has such reduced side effects while still getting the same benefits of Accutane at the high doses long term. In some countries, such as Brazil, women and men often take Accutane at low doses long term just for beautification purposes too! That being said, it does not guarantee that you won't purge, but just that it may not be as intense as it would be if you took a high dose. I would recommend that you speak with your dermatologist to see what they can do to help you.

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