I used accutane 20 mg for 3 months for wt 48 kg 2 yrs ago. Now I have acne again. Do I need another course of accutane? (Photo)

Question

I asked my question 2 days before but without supmiting photos .. i used 20 mg once per day for 3 months my wt 48 kg and my face was clear for 2 yrs now acne came again not too much but this one on the right cheek was very big and discharging pus so i am very disappointed from this now it dried and approximately healed .. please help me do i need another course of accutaine? and if the answer is yes for how long? and the breakout could be as severe as in the first course or less severe?Thanks

Melanie Hecker, MD · Answer

I think you should have been on Accutane for at least 20 weeks to get the maximum benefit.  You were also on a very low dose, and maximum efficacy of Accutane is 20 weeks of 0.5 - 1 mg/kg per day.

F. Victor Rueckl, MD (in memoriam) · Answer

3 months of Accutane at 20mg daily is only 1800mg total. Usually a typical regimen is between 8000-16000mg total. So, quite simply, I don't think you got enough the first time around for a long-term cure. "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."

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I used accutane 20 mg for 3 months for wt 48 kg 2 yrs ago. Now I have acne again. Do I need another course of accutane? (Photo)

Answers (2)

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