I’ve been on accutane for 6 months. I took 20mg for 2 months and then 40mg for 4 months to finish the course. After a week of being off of accutane, my acne is coming back. When I approached my doctor about accutane the first time he had no idea how it worked whatsoever to the point where I was guiding him through the whole course and explaining to him how it works. I want to go on a second cycle and I really want someone to guide me through it. What should I tell my doctor?