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    Increasing accutane dosage reddit. I just finished my first month at 40mg.

    Increasing accutane dosage reddit 5 months into 20mg per day and I guess he’s not increasing your dose because he doesn’t consider your acne severe. I just finished my first month at 40mg. Is it normal? My list of accutane side effects I’ve been on accutane for about a month now at 30mg . I did a higher dose for 6 months and would recommend the low and slow course. Now during my second month I’m taking 60mg/day (30mg twice per day). Either that or something to do with your blood work and cholesterol. Members Online. i’ve been on the verge of panic attacks, nauseous, etc. 74K subscribers in the Accutane community. My derm told me today she wanted to increase my dose to 160mg, which is the highest dose I can take. I don't regret accutane in the slightest either, but it's definitely concerning Apologies for using the internet for this but I got these prescribed privately and it’d rather same myself several hundred pounds of a consultation This subreddit is meant for discussions about progress, side-effects, and the like. My acne cleared up a lot but im Posted by u/Klutzy-Series-4583 - 1 vote and 1 comment This subreddit is meant for discussions about progress, side-effects, and the like. I recently increased my dose to 60mg and I'm purging alot. Last Month of Accutane the higher the dose the more side effects you'll likely to experience. PLEASE READ RULES BEFORE POSTING! For those who are on the road to curing their acne once and for all currently on 10mg per day of accutane and its been almost 1 month since starting. PLEASE READ RULES BEFORE POSTING! This subreddit is meant for discussions about progress, side-effects, and the like. Or check it out in the app stores Currently in 4 weeks and want to increase mg dosage from 30mg to 60mg (bw 64kg M) should i increase my dosage or should i just stay because j heard great things about low dosages but don’t want to experience purging but don’t want my Posted by u/ionnny - 1 vote and 11 comments Hey guys, so I just started my 2nd month of accutane and my derm increased my dosage from 40mg to 80mg for this 2nd month. If I were you, I'd just be patient. PLEASE READ RULES BEFORE POSTING! For those who are on the road to curing their acne once and for all 70K subscribers in the Accutane community. Go to Accutane r/Accutane • by Emotional-Bother1782. Posted by u/4dams_reddit - 5 votes and 12 comments. Routine Help I’ve been on tret . Reply reply Top 2% Rank by size . This is a lesson in patience and trust. So I eventually pushed to 40mg in the last month. This subreddit is meant for 288 votes, 74 comments. After i switched to 40mg i noticed my skin breaking out a bit more at the start of the dose increase. Or check it out in the app stores I increased my dose from 40mg to 60mg about a week ago and the past 3ish days i’ve been extremely anxious (not normal). My list of accutane side effects This subreddit is meant for discussions about progress, side-effects, and the like. The wounds are healing a lot slower. My skin has been pretty clear for a month now except for the occasional pimple so I don’t really see a reason to increase the dose. To manage potential side effects during my trip, I’ve packed the following: Typically, it seems like people get a higher dosage after their first month on Accutane. My skin is great - no new breakouts since I stopped. 1 month off and all my side effects vanished, 30mg and I began having chapped lips and dry hands I’m suppose to have a 6 month treatment as well and also started at 40mg/day my first month. Did you feel prettier or more attractive after accutane Get the Reddit app Scan this QR code to download the app now. Before this, I was initially put on 40 mg and then upped to 60, but I had a TERRIBLE purge which made them decide to put me off accutane for 2 weeks to flush it out and calm my skin down, before starting me up again with 20 mg. I've noticed my skin looking much worse in the few days after increasing the dose. The goal is to achieve a total dose of approximately 150 mg per kg body weight. . The past month I’ve been on 40 a day (and we’ve been seeing progress! Except for 2 or 3 cysts that healed pretty quickly). Skip to main content. More and more dermatologist are prescribing low dose accutane, since allot of new studies have show that it is effective in dealing with mild, to moderate acne without any severe side Get the Reddit app Scan this QR code to download the app now. I haven’t purged at all since I’ve started treatment and I haven’t noticed a big difference in more pimples forming since doubling my dose. 0mg/kg of accutane. Is it possible that it's because of increase in dosage? Is it possible to purge every time I increase the dosage? Accutane will stay in your system for some time and it will have medium-long term effects on oil production. PLEASE READ RULES BEFORE POSTING! Report Accutane low dose (20mg) - My course Honestly my side effects varied depending on my dose. About 3 years ago, I remained at 20mg throughout the entire duration for about 9 months. (so 40mg on every second day). I'm really I’ve been on 10mg of accutane for about 8 weeks and my dermo has just increased the dose to 20mg. I took one 20 milligram pill, once per week. Or check it out in the app stores It’s completely normal. Likewise, you can start on the lower dose and gradually increase your dosage. For me, my derm wanted to reach my cumulative dose a but luckily I was also clear for a month and a half before I stopped takimg accutane. Is this something your dermatologist did? I’m a bit scared to go from 30 to 60 a day . Im on 30mg right now and i used to have really bad side effects ( couldnt see well, eyes always watering, runny nose, intense back pain and ribcage pain, my knees feel like they re about to pop out, and obviously rashes and dryness) and ever since i started taking claritin with accutane my side Posted by u/[Deleted Account] - 1 vote and 5 comments I'm already 5 full months into the therapy and experienced very few side effects, increased fatigue being the harshest one. Progress - Been on Accutane since 27th Dec 2023 - put on 20mg, 10mg and 5mg - finishing on 10mg end of june! 6. PLEASE READ RULES BEFORE POSTING! How long after increasing dose (double) did you notice change in symptoms . Or check it out in the app stores adapalene, differin, tazarotene, and trifarotene (NOT retiNOLs or Accutane). Also, strictly based off your photos, you seem on the slimmer side, so 60 mg may be a bit high, but it might also be what's needed to deal with stubborn acne. Posted by u/motherofkaats - 2 votes and 8 comments I’m 6. Members Online Amazed by the difference after just 1 month on 20mg accutane By reaching my cumulative dose or whatever? I'm not really getting any side effects from the 'tane and I'd like to just get it over with so I'm wondering can I just double the dose and get it done twice as fast? Edit#1: Let me clarify that I will not just take double the dose until my derm approves and actually prescribes twice as much. Or check it out in the app stores My doctor wants to increase the dosage 20mg-40mg-20mg-40mg. My derm said he would up my dose if my results came back normal or slightly higher, but I'm just paranoid. My d*** is dryer than the Sahara desert. However it is 3 days into taking 60mg and I noticed im getting active acne again. Been on 20 mg for month 1 & 2 and so far its been going pretty well. However, I have noticed more closed comedones surfacing and my skin feels more fragile. Expand user menu Open settings menu. I've talked about this with my doctors, but they all said this dosage was fine, and, after a few months on it, I do feel like it is. I have not noticed a major increase in severity of side effects (it's been 1 week since I went up to 60mg). granted i was taking 60 mg and was quickly upped to 80 mg for almost the rest of my entire course lol This subreddit is meant for discussions about progress, side-effects, and the like. my accutane journal and the side effects 3. Low doses work just as well as higher doses and decreases the chances of Previously I saw a different dermatologist. 75K subscribers in the Accutane community. Just wondering, did you guys experience a breakout when raising your dose or any severe Standard Accutane dosing is 1 mg per kg per day for 5 - 6 months. I didn’t have a huge purge on the 10mg but As a parent, try to monitor his fatigue and mood, but if given the option between 50 and 60 mg, you may want to opt for 60 as a higher dose will make the purge go by faster as long as his side effects aren't too bad. My dermatologist has recommended to increase my dose from 30mg/day to 60mg/day. Should I just take 40mg/day or alternate between 40mg and 80mg every other day? I started off 1 month on 20mg and then got increased to 40mg for 2 month. Also a lot of doctors will increase dosage from month to month as long as u don’t have serious side effects because ur thinking about increasing my dosage to 40mg from 20mg for quicker results but scared of purging again and of potential hair loss. Side Effects I just left my 2nd month appointment and my doc moved me up 70mg a day. For redditors who are on the road to curing their acne once and for all. Unless there’s something hang in there!!! my purge lasted relentlessly my entire first 4 months, especially when my dosage was upped, and then during month 5 its like my skin had a come-to-jesus moment and all my cysts went away without any new ones in the last 30 days. 2 months and 5 days🥹 8 mg and 16 mg daily. In my first round, I only experienced an initial purge. I’m 6’1” and 215 pounds and my dermatologist actually tried to INCREASE the dosage to 120mg per day to speed up the process (it’s been VERY slow). Water is your best friend, up your water intake and make for damn sure you are getting close to 50g of fat with each accutane meal. I have been dealing with the purging almost the whole time on accutane but it finally started easing up a couple weeks ago and now I’m struggling to keep my faith and patience in the process :( I know I just have to wait it out, I just thought my skin would I will have my derm appointment in 3 days, and im scared they will rase my dosage. Hello all, I am on month 3 of Accutane treatment. View community ranking In the Top 5% of largest communities on Reddit. Or check it out in the app stores side-effects, and the like. Members Online Reaching my cumulative does in two weeks, pretty disappointed with the results Get the Reddit app Scan this QR code to download the app now. I thought all my closed comedones were cleared, but apparently not. Just started 3rd month of Accutane, dosage increased from 40mg (month 1-2 was 40mg) to 60mg. More posts you may like r/Accutane. Members Online People who claim they have bad acne when they only have like one pimple Get the Reddit app Scan this QR code to download the app now. Closed • total votes This subreddit is meant for discussions about progress, side-effects, and the like. side-effects, and the like. Members Online 5 months on Accutane: current ultimate routine *Skincare, body care, self tan, haircare* I’m 175lbs/ 79kg. Dose increase . Did anyone notice a huge increase in symptoms when their dosage was increased? A place to discuss retinoids including tretinoin / retin-a, adapalene, differin, tazarotene, and trifarotene (NOT retiNOLs or Accutane). I started accutane for mild/moderate persistent hormonal acne and just completed my first month at 80mg. Also, we not all respond to topicals. My dermatologist wants to double my dose from 40mg to 80mg a day for my second month but I’m concerned since I’m only a few weeks from starting college. r/Accutane A chip A close button A chip A close button Posted by u/RadiatePositivity1 - 2 votes and 1 comment Anyone have a bad flare up in acne when the dose got increased? I just went from 30 mg to 60mg and holy cow I have cysts all over my jaw and some on Skip to main content. Today I woke up with the largest cyst i’ve had in over a month. 2. I don’t really mind going up to 80mg though because I haven’t really had any side effects luckily other than chapped lips. theres hope out there guys 😭 Hi! I've been on 40mg for the past month, I was on 10mg for 3 months before going up. Not at all, In all of my studies, 80mg is pretty reasonable, generally you get up to 1mg/kg (with branded Accutane, we have access to 40mg and 10mg pills exclusively so the range of dosage amounts are less than generic brands) The biggest determinant in my experience is how long your course is and figuring out a way to ramp up the dose, its not This subreddit is meant for discussions about progress, side-effects, and the like. Everything looks fine apart from my serum ALT levels which I've been told have increased slightly to 82 (I'm in the UK). Get app Get the Reddit app Log In Log in to Reddit. I am increasing from 30mg to 60mg. I started off at 40mg for two months, 80mg for two months, Hey guys just finishing up my 40mg of Accutane for the first month. You’ll likely be on it for a minimum of 6+ months regardless so if you can minimize the side I'm increasing my dosage from 20 mg to 40 mg tomorrow and I'm pretty nervous. Remember Reddit is a bunch of strangers on the internet. upvotes · comments r/Accutane I am a month in on Accutane and have seen pretty decent results. 5 months on low dose accutane (20mg) Share how your dose increase went im interested to know and sorry for the late reply but I don't use reddit that much Reply reply More replies Top 2% Rank by size I have been on isotretinoin for 4 months on 20mg a day, but today my dermatologist increased my dosage up to 40 mg. r/Accutane A chip A close button A chip A close button Posted by u/Horticultural_Guild - 1 vote and 1 comment Dose Increase Purge Depression . At my last appointment my dermatologist suggested he might increase to 60mg. 03% gel since mid October. Throughout my treatment, closed comedones have been surfacing. Most people DO NOT replase when Accutane is taken until cumulative dosage is reached. I have just completed the 2 months on 40g and have been moved up to 60mg for 2 months. Members Online Accutane save me and my life. You acne is stubborn, so a higher dosage does sound reasonable. So in my derms philosophy, if you were seeing results on a low dose, she would not have increased the dosage. I wouldn’t worry too much. Today I had my derm appointment and they are increasing me to 60 mg daily. I've heard ppl purge multiple times when increasing dosage, but I've also read alot that don't. Should I expect a purge? Thanks!!! My list of accutane side effects But something I wish I knew earlier was that purging can also happen every time you increase your dosage. Increased to 20 for the next 2 months and was still breaking out. L Just don't stop your treatment; accutane is so worth it! Thought I’d post an update for the first time in a while: 10 months on accutane! This drug has truly changed my life. Both doses will reach the cumulative dose. When did you stop purging after increasing the dose. Members Online start, month 1, month 2, month 3! feeling pretty hopeful not much improvement Posted by u/randomperson996 - 1 vote and 6 comments Wow it’s been almost 2 years off of Accutane, all I will say is trust the process 🙌🏻 I’m just now feeling a little more confident about myself, still insecure about the scarring but microneedling has been such a huge help 🥺 before and after pictures, with and without makeup Does increasing dose speed up purging? Accutane made me realize how amazing it is to have normal/dry skin. Posted by u/jinglelex - 1 vote and 1 comment This subreddit is meant for discussions about progress, side-effects, and the like. My derm bumped me up to 70mg for the second month. I’ve heard a lot of anecdotes about people saying increasing dosage has caused them to purge more. The purge lasted for a few weeks before it went away completely (leaving heinous acne marks but went away nonetheless) soon after that I increased the dose and started 20mg and broke out almost immediately. Were these side effects already Get the Reddit app Scan this QR code to download the app now. Did anyone notice big changes after each dosage increase? So far I haven't had any bad side effects and You usually start with a low introductory dose, and if you feel okay, you can increase it to around 1 mg/kg per day — the recommended maximum dose for most people. Have any of you had experience with your skin reacting from increasing your dose? Get the Reddit app Scan this QR code to download the app now. Or check it out in the app stores   This subreddit is meant for discussions about progress, side-effects, and the like. 2 years off roaccutane 4. if you're at 80mg rn and you feel your side effects are tolerable, if your derm determines your tests are in reasonable numbers, i don't see why not. But just as my dosage was increased from 10 to 20 mg daily, my acne started getting worse again. this is my Did anyone find that an increase in cleared you up faster? I ha e been on 30 mg the whole time! In the middle of my third month and still getting new Some people are able to be at a high dose with minimal side effects on their overall health. Report Accutane low dose (20mg) - My course & unexpected side effects Posted by u/herbeydean - 1 vote and no comments Accutane cured my acne in my teenage years like no tret and differin did. In a few days to a week I started having painful active breakouts again. currently the results are minimal to me, i still have cystic acne emerging Get the Reddit app Scan this QR code to download the app now. About 40 days later (now), my skin has continued to purge but I’m seeing gradual improvement right now. Log In / Sign Up; Advertise on Reddit Most Dermatologist and their employees are on a What are some tips you guys have for someone starting a low-dosage treatment and what products can you recommend (if possible ones that are available in Europe)? I am really Get the Reddit app Scan this QR code to download the app now No side effects - should I increase to 80mg? Hi guys I have been on Accutane for three and a half months now, 40mg/80kg, I have absolutely no side effects, no dry lips, no pain, my stats are all good, I even exercise intensely 6 times a week, I don't even use moisturizer Hi guys, I am 27(F) with moderate hormonal acne. Or check it out in the app stores   I just started my second month and my doctor increased my dose from 20mg twice daily to 30mg twice daily. I don’t think increasing % would be wise here either Posted by u/DisastrousSafe3207 - 1 vote and 1 comment The thing is, you can always adjust your dose, so if you started on the higher dose and were experiencing too many side effects, there is really nothing to stop you from talking to your derm and adjusting the dose to your needs. He never increased my dosage and as a result, the acne returned. I'm taking accutane a second time (20mg) for mild but persistent acne. Avocado and peanut butter are not enough, I usually do an egg and cheese omelette cooked in butter with some avocado and some sausage and a Increase in dosage . please note tho that derms would go by the ear when it comes to dosage increase too, so on your next appointment make sure to Posted by u/JakeSAfrica - 1 vote and no comments 72K subscribers in the Accutane community. I saw the seem yesterday and she has upped my dose to 120 mg. Started at 10 mg for the first 2 months but saw no difference. I’m a 160lb male , and today I went to the dermatologist and she increased my dosage to two pills a day which would be 60mg a day . This subreddit is meant for It's true. Good luck with your run. Just 6 days ago, my doctor increased my dosage to 60 mg to shorten the treatment duration. 5-1. The reason I am hesitating to up my dose is bc I have seen drastic changes in terms of my facial skin clearing up and no new Just back from my Derm nurse appointment. I’m getting my first round of microneedling on Wednesday Posted by u/jckaska3 - 1 vote and 8 comments Should I increase my accutane dosage as my dermatologist recommended (20mg/d -> 30mg/d) if I can already see good results? Side effects are fine currently and I can see the results. HOWEVER, cumulative dosage is a guideline. Really really really make sure you know what you’re getting into. That said, not all side effects are recognizable without blood work. I still have a little ways to go and my derm and I are considering a possible round 2, but I’ve never felt better about my skin it’s amazing. The side effects are there 66K subscribers in the Accutane community. Get the Reddit app Scan this QR code to download the app now. Should I expect to see better results throughout this month or will it take a lot longer? Just kinda lost at this point So I was just wondering why they prescribed high dosage but again back acne or chest acne, etc will affect the dosage. Members Online • This could be because of the dose increase or just how bad my skin was initially. I have almost five months until the end. If 40 mg of Accutane has been working for you for the past 5 months then stick with it. Stay moisturized!! Increasing dosage . I feel like this is a really big jump, did anyone else have a big dose increase like this? 77K subscribers in the Accutane community. It sounds like your skin is not handling increased frequency of tazarotene, scale back until you aren’t producing so much oil. I tolerated it well with dryness and mild joint aches as my only side effects. I will say my joint pain and muscle cramping was more noticeable while working out, but I started taking Turmeric capsules to see if that helps. hope this helps! 45 votes, 83 comments. I weigh about 70kg and am currently on 40mg per day, but from next week will be on a new dosage of Hey guys! I'm on 40mg Zenatane (120lb/54kg) and starting 60mg tomorrow for my second month. 40 works for me too and going up to 60 didn’t do much besides a host of more intense side I went up from 40mg after a month to 60mg. I actually just took my last pill I’m on my second month of accutane and my derm is increasing me from 20 to 40mg. I had my IB about week So reducing your dose only means a longer treatment, and there's nothing wrong with that. Posted by u/yvettelany - 1 vote and no comments Usually you increase your dose at your monthly check in if your liver enzyme levels are stable and you’re tolerating the side effects! I started on 40mg, bumped to 60 for month two, and now I’m starting 80 for month three. r/Accutane A chip A close button. People who claim they have bad acne when they only have like one pimple Hi, well I started to purge about a 15 days into my increased dosage. My current dermatologist claims that the daily dosage never increased which is one of the reasons it never fully eradicated. 11 days of small dosage accutane 2. Each person will also deal with the side effects differently, some have very few and are manageable so can therefore have a higher dose but some really struggle so need a smaller dose for a longer period of time to reduce the side effects. I have had very similar side effects to yours. The nurse told me that increasing dosage doesn't tend to worsen side I've had my second blood test done which will determine if my derm will increase my dose the next time I see him. Just trust the process, it's out of your control. Reply reply The guidelines here are 0. Stay moisturized!! Members Online Male 16 y/o 80kg 30mg-60mg-60mg-80mg One week ago I increased dosage from 60-80mg. What was your experience from month 1 to month 2 (or just increasing dosage in general)? I didn’t purge on month 1, should I expect to purge with a higher dosage? I am on 30mg right now (I’m 120 pounds), and going to the derm this week. As long as you tolerate the higher dosage, I recommend taking 60 mg per day Low dose regimen: After being totally fed up with my acne, I started a low dose (really, micro dose) regimen on my own at age 25. Posted by u/Downtown-Jicama2334 - 2 votes and 2 comments Posted by u/The_ice-cream_man - 7 votes and 10 comments Weighing the pros and cons of the drug really not giving me any bad side effects at all, acknowledging it is early days and my side effects will likely worsen over time, and facing a possible purge when jumping to 60 mg, as opposed to Hey everybody, I have been taking 30mg daily for my first month on Accutane and I am a 121 lb female. However, singular severe cases of adult acne can We are better prepared today because of this website (Thanks Dan) , but has anyone had any experience with upping the dosage of accutane after the first 3 months? Our I had persistent mild acne on my face for years, and 4 1/2 months ago I decided to go on accutane because nothing else was working. My skin had gotten worse anyway, but it was very mild. Originally on 40mg I had 2 nose bleeds, and chapped lips, 60mg I had chapped lips with dry hands with little bumps, 80mg I had horrible dry eyes so bad eye drops stopped working, chapped lips and the dry hands continued. increased dosage causing breakouts . Also, Accutane it’s a solid safe FDA approved medication that thousands took with great success. So will i have purging or breakouts ? Share Add a Comment. I have an appointment next week to increase dose if all is well on my labs but I’m a bit nervous to go up. PLEASE READ RULES BEFORE POSTING! For those who are on the road to curing their acne once and for all. i am also using 20% azelaic acid every night. Make sure he stays hydrated, and best of luck to your son for the rest of his regimen! Get the Reddit app Scan this QR code to download the app now Increasing dosage . This subreddit is meant for discussions about progress, side-effects, and the like. However, in my second, I purged when I went from 10 mg to 20 mg to 40 mg, which Side effects usually get more severe on the higher end doses but usually the initial “hit” of side effects that may come will usually subside (doesnt’t last) only side effects that is constant is dry lips. Your doctor should be increasing / decreasing your dose each month based on your severity, treatment duration, and blood results. Be the first to comment First day on accutane vs three and a half months in 2. Dosage Hey everyone, currently been taking accutane for more than 4 months and have been on 60 mg for 2 months now. My skin has improved significantly and I only have light scars. While my older pimples are clearing, I'm breaking out into one or two new ones every other day. I don't plan on upping my dosage anytime soon. My acne progress after 6 months off accutane. Posted by u/profpessimist - 1 vote and 10 comments This sub has a habit of burying its head in the sand when it comes to long term side effects, and I understand it, I do. i don’t wanna increase my dosage😩 sooo i’m about to start month 3 on 40mg, and she wants to increase my dosage next month but im scared that i’ll purge, bc a nurse and ppl on here have said that increasing the dose can cause purging. By this time, my skin had started breaking out everywhere and my skin was very inflamed. 60kg = 60mg max. Members Online 1 year post accutane, didn't reach cumulative dose, decided to end it earlier (read below) Welp, you said it yourself. Ive been on 40mg of accutane per day and experienced no sides, i only get dry lips and achey joints when i increased the dosage from 20mg to 40mg but it went away in a few days. You have to take into account if the side effects are worth it; 80 might be pushing it. I'm worried increasing dosage 1,5x will only make things worse. I purged every time my dosage was increased, but each time it cleared up faster Reply reply Wise_Serve2494 When I increased from 40mg to 80mg, my joint pain and dryness both increased. NSFW. Tomorrow, I will increase my dosage to 60mg, and I plan to travel to the EU five days later. Open menu Open navigation Go to Reddit Home. You’re told that long term side effects occur in a minuscule amount of people but that just isn’t the case. my derm has given me 3 months of 10mg, scheduled a bloodwork for after that, and based on the results will adjust the course length or dose after that. They start you off with a lower dose to monitor your response to the I've been on accutane for 5 months now. I’ve been on accutane for over 2 month on 40mg. r/Accutane. 7 months, relatively low dose. I’ve worked up to daily use and stopped having any irritation 75K subscribers in the Accutane community. sensitivity to sun and fatigue / extreme tiredness Get the Reddit app Scan this QR code to download the app now You can go higher, but it would increase side effects without necessarily increasing efficacy or speed of results. /days. upvotes I’m in month 4 and my dosage went from 60mg to 70mg. Has anyone increased their dose and not purged but seen quicker clearance? Increase in month 5, I’m hoping that I’m so far in now I won’t have a All the hair I've grown out on Accutane and after has been wavy/curly unlike my pin-straight hair my entire life before Accutane. I was on 30 mg for a month and I increased my dose to 60 mg two weeks ago and I’ve had no increased side effects besides my lips are drier than they were before. Currently, my only side effects are frizzy, dry hair, and cracked skin on my feet and palms. My side effects have been minimal so far - a bit of joint pain, dry lips, and small purge Increase in dosage, what to expect? Hi! 21m here who started Accutane 6 weeks ago. He said it makes sense given what accutane does to mucous membranes, but he'd just never encountered it. Everybody reacts differently, so just pay attention to your body- and if the side effects get really bad, take a day or two off from the medication :) Hi everyone, My derm upped my dose from 20 to 40 mg this last month, and my skin is doing terrible. dovhmrvs eovgu ytzkp grzav cym wzrtx fxcvk jkihi ajef hqupj qhfn wcsre uto uxnd wau