A member asked:

4 very small pimples on one side of face after two months of no pimples. have 9 accutane pills left. will be 5 months total. should i do a 6th?

A doctor has provided 1 answer
Dr. Dimitri Novitzky answered

Specializes in Thoracic Surgery

Pimples 9 Accutane pills: Although acne may get worse within the first month of Accutane use for about 30% of patients, the ultimate results are usually dramatic.11 Accutane works to achieve partial or complete clearance of acne in about 95% of people who complete a cycle, regardless of whether they have inflammatory or non-inflammatory acne.12 The majority of people who take it see their acne effectively cured, experiencing long-term remission of acne symptoms. Studies show an average relapse rate of around 33%, and in these cases sometimes a second course is given.7,9,12-17 This relapse rate is dose-dependent.13 Patients who receive a cumulative dose of 100-120 mg/kg see the best results and lowest relapse rates. Patients who receive a lower dose relapse more frequently. Daily dosage depends on how much the patient weighs; 0.5 mg - 2 mg/kg is typical.15

Answered 5/29/2016

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