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Doctor insights on: Accutane Cumulative Dose

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Taking Accutane (Definition)

Accutane (Isotretinoin) is a powerful medicine that treats acne. It is known to cause severe birth defects if a woman becomes ...Read more


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How effective are second Accutane courses compared to first courses? Should a higher cumulative dose be used the second time around? 18 y/o, m

Probably less: The response rate is probably a bit less for a second course, but its usually still very worthwhile to try, unless you just didn't do well the first time. I use the same routine for the second course, which for me is 1mg/kg daily dosage, usually divided into bid dosing with a total goal range of 120-150 mg/kg. ...Read more

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Can i double my dose of accutane?

Accutane: The patient should never increase or decrease the dose of their medicine without notifying their doctor and getting her or his permission. This is a hard and fast rule, and you had better follow it! talk to your doctor! ...Read more

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Should i go on a second dose of Accutane if my first one didn't work?

Should i go on a second dose of Accutane if my first one didn't work?

See dermatologist: Some people need a second treatment with Accutane, usually of shorter duration. Blood work also needs to be done periodically in order to be sure there are no significant side effects. You should consult a dermatologist for more advise. ...Read more

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I accidentally took double dose of Accutane (2x 40mg) should I be worried?

No: Do not worry, not uncommon to rx 80 mg/ daily, and if 120 mg will have no issues either, just continue your rx as directed. Noneed to skip a dose. ...Read more

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I accidentally took another dose of accutane, more than i needed, what will happen?

I accidentally took another dose of accutane, more than i needed, what will happen?

Skip the next dose: You may get a bit of a headache and/or upset stomach. If you were planning to stay out in the sun a lot today, change plans. Otherwise you should be okay. ...Read more

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I am on 40 mg Accutane 2X daily. For a month I took 80mg dose only once in night - Will that be an issue ? I did not notice any problems myself

I am on 40 mg Accutane  2X daily. For a month I took 80mg dose only once in night - Will that be an issue ? I did not notice any problems myself

No testing done by: manufacturer to confirm safety, so it cannot be recommended. There are reports of research studies, however, looking at once a day dosing of 80 mg, and it is possible to get a consistent or "steady state" blood level with once a day. Taking the meds with food reportedly increases its absorption and effectiveness. Although recommended top dose is 1 mg/kg/d body wt, but max of 2mg/kg can be given. ...Read more

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Im taking Accutane 10mg 2x/day a total of 20mg. Am a male 120 lbs 5'6 height. Currently on my 27th day. Am just wondering if low a dose effective?

Im taking Accutane 10mg 2x/day a total of 20mg. Am a male 120 lbs 5'6 height. Currently on my 27th day. Am just wondering if low a dose effective?

Low dose: You must be on first month. The low dose is effective. Best chance for permanent cure is a much higher dose for 5 months or continue the small dose for a much longer time. Usually the starting dose is small because it is better tolerated, then increased every month if tolerated. You will improve in 1-3 months. Probably you will be clear by 5 months. Sounds like you have a good dr. ...Read more

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What to take low dose Accutane for?

What to take low dose Accutane for?

Accutane indications: Check out the link below for non-acne indications for Accutane! http://www.ncbi.nlm.nih.gov/pubmed/15943494 ...Read more