Low dose 10mg/day

Hello, I am 21 years old 6’1″ and 165 pounds and am on my 6th day of Accutane. I have mild acne and my brother is 26 and has moderate to severe acne. My derm has prescribed me with a 6 month package at 10mg of Accutane Roche 10 a day. I have been searching online and been reading alot of diary’s and fourum posts. I have noticed that everyone is taking either 40mg a day or 40mg and 20mg a day and beyond that. At the end of the term their skin is perfect they say. My concern is did my doctor prescribe me with enough mg/day. I just want to know if the next 6 months are going to be a waste of time or should I go back to my derm and ask for a higher dose. In canada you can only get 10mg or 40mg pills. If anyone has a story about them taking only 10mg a day please tell me or even give me a link to a post on this site or another. Thanks for your help.

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9 thoughts on “Low dose 10mg/day

  1. How long are you going to be on Accutane? Your doctor is giving you low dose Accutane, which just means you don’t take as much but you may take it for longer periods. I’ve read that some people have been taking low dose Accutane for years. Most people think it’s safer than taking high doses of Accutane too. You also mentioned you had mild acne, this may be another reason why you’re on low dose so you can gradually knock it out instead of if you had a more severe acne, you would need a higher dose to knock it out.

    I wouldn’t be too worried. You’re just starting too! Have you experienced any side effects yet? Good luck with it!!!

  2. I don’t have any answers for you, but I am curious as to how things go for you.

    I have severe cystic acne, mostly on my back and shoulders, but have been hesitant to start accutane. I simply want to avoid the side effects.

    I am, however, one more month away from starting accutane. I’ve been mega-dosing on vitamin B5, but to little success.

    I have a loose plan to take a low-dose of accutane for a slightly longer period of time: perhaps 20mg daily for a month or two, then increasing to 40mg or more in the later months. From what I understand this would be an effective treatment, but a lower dose treatment has a higher chance of relapse. One advantage is that a lower dose helps avoid side-effects.

    I wish you the best. And please keep us posted. You will be about six weeks ahead of me in treatment, so I hope to see good news.

    You said your brother had severe acne. How severe was it and how effective was his treatment? How bad were his side-effects?

  3. Most people who do low dose take it for a long time, thereby decreasing the chance of relapse. But I see where you’re coming from.

    You’re going to be monitored by a doctor CysticSufferer ???

  4. Accutane is not available here in Japan, so if I am to start accutane it would have to be ordered through the internet. I’ve called and spoken with several dermatologists about this, and they’ve said that they do, in fact, order accutane over the internet for their patients. I could go through a derm to be safe, but I’ve checked into the prices and they are extraordinary. Tokyo indeed is the most expensive city in the world.

    I’m not plugging them, but Freedom Pharmacy out of New Zealand sells 100 pills of 20mg accutane for about US$200. Dermatologists here would charge three times that amount, not including the office charge and other testing. None of that would be covered by Japanese National Health Insurance, which I have.

    I will most likely order accutane over the internet and go to a general practicioner for blood tests, both before starting accutance and at the two week mark. It’s not perhaps ideal, but someone in general practice surely would notice if any dramatic changes occur. It would also be covered by insurance. I don’t mind paying more to be safe, but I’m not about to pay near US$4,000 out of pocket for a derm to order accutane for me.

  5. Gotcha! I didn’t think you would go after it without some supervision and I’m glad that you are! Good luck with it!

    If Accutane is so expensive in the Japanese market, what do they use for acne over there???

  6. I would assume the same antibiotics that are used in the west are what are generally prescribed.
    I wouldn’t be surprised if accutane did become available here at some point. Until then, it’s only available through derms who order it for their “personal” supply.
    Birth control pills only became legal here in recent years, so some things do drag a bit; interestingly, viagra was made available within months of its release. You can credit that to an overwhelmingly male government.

    I don’t know if this is a side effect of the B5 or not, but for the past two weeks I’ve had small cuts on the knuckles of my right hand which will not heal, no matter how much lotion I apply. For the past week, I’ve woken several times a night with an incredibly dry throat, almost gasping for water. The feeling is not unlike having gone to bed drunk without rehydrating before bed, then waking to the worst cotton-mouth imaginable.

    It is winter and the air is dry, so those are possible causes. But I’ve never had either problem, so I do have to suspect the B5.

  7. Hi JasonL,

    I’m actually in the pro-low dosage Accutane camp myself. I think your physician is extremely wise in prescribing a lower dosage of 10 mg per day. There have been lots of clinical studies recently indicating the effectiveness of low dosage Accutane for common variety acne vulgaris. And, the nice thing about the low dosage is you’ll most likely not experience any of the extreme side effects of high dosages.

    Best of luck.

  8. Hey Ian, Thanks for the post. I was wondering if you would mind telling me about yourself. How long have you been on the ultra low dose of accutane and what have been the positive effects. And do you know anyone else that had success on the low dose and how long it takes. How long are you supposed to take it and what did your derm tell you about taking low dose. Thanks again

  9. hey cystin im verry interested in your conditions realizing your from china im wonderin if you hade success with alternative meds. like eating healthy drinking lemon water drinking green tea doing liver flushes taking milk tistle, probiotics?
    has that helped?
    accutane is a serious drugs ive seen friends lose their hair on their upper right and left temples, but it still looks natural, nothing like full head balding

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