Just started Accutane, will 20 mg/day work?

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.

Accutane daily dosing depends on your weight, acne location, severity of acne, AND the environment in which you live. Since I live in Las Vegas my patients take between 20-40mg daily and no one here could tolerate 120mg because the area is way too dry. So, the daily amount is not as important as the cumulative amount, which is the total mg you take over your course of medication. For proper dosing people need a cumulative dose of between 8000-16000mg total. It will take you longer to get to this amount if you only take 20mg daily, BUT your side effects will be much lower and you will still get a good result as long as you reach the proper cumulative dosage. Daily dosing is not nearly as important as the cumulative amount. "This answer has been solicited without seeing this patient and cannot
be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."