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Thank you for your question. Being that this is your last month of Accutane it may not be beneficial to increase the dosage since you are at the end of your treatment course (discuss with dermatologist). There is a goal dosage that should be met based on your weight to ensure proper treatment and efficacy. Be certain to be under the supervision of a board certified dermatologist with expertise in acne for the most effective and safe treatment options. I hope this helps.
Only under the advisement of your prescribing physician would I say this is ok. There are specific reasons we don't inundate someone with lots of medication at once, and no it doesn't necessarily "speed things up". Consult your physician if you would like to increase your dosage but don't try self-prescribing, it can be very dangerous.
You will definitely see results on 40mg/day, most likely by the end of the first month or so. However, those results might not last on a long term basis if the course of the low dose treatment isn't long enough. Therefore it is not whether the 40mg/day will help but if it will be...
Nearly all of the rashes seen with Accutane have a dry skin component to them, therefore keeping your skin moisturized while on this medication is a MUST! Not only can this prevent rashes from coming, the severity of the rash is much less when it does occur if you have kept your skin...
With the low dose Isotretinoin protocols, it is safe to use topical anti acne agents. With higher doses, the skin tends to be more sensitive. But if you are on a low dose regimen, then it should be fine.
