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I have been taking Roaccutane for the last 4 months, I have been told that I would be on them for 5 months. Apart from slightly dry lips I have not sufferd any other side-effects (not that I'm complaining) apart from feeling slightly low from time to time. I was told by my dermatologist that it works differently for every patient however after 4 months on the tablets my spots have not improved at all. My back is still covered and if anything it is slightly worse than when I began. Has anyone else experienced this or that miraculously the spots have dissapered in the last month after having no improvement before that.
Any information would be great. Thank you.
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"Dosage and success rate
In 60 – 80 percent of people, the treatment can lead to a permanent cure at a dose between 0,5 – 1 mg/kg body weight per day for 16 – 20 weeks. New evidence suggest that a cumulative dose of 120 mg /kg body weight during the course at a daily dose of at least 0.75 mg/kg body weight may be more important than the duration of the treatment.
If acne persists or recurs a second full course may be considered any time after a two month gap following treatment.
Please note that some people – those with multiple macrocomedones and polycystic ovarian syndrome may take a while to respond to the treatment. In about 30 percent of patients, the acne becomes infected with the bacterium Staphylococcus aureus. Bacterial infections should be treated with the appropriate antibiotics. Note that tetracyclines should not be taken with isotretinoin.
With an expected 60 – 80 percent cure rate, 20 – 40 percent of people may need an extra oral antibiotics, hormonal treatment (Diane) or repeat isotretinoin.
People who might need a second course, include:
Those with severe acne
Those who have worsening acne before the age of 15
Women older than 25 years at the onset of treatment
Those with a prolonged history of acne
Those with loads of acne on the back or trunk
The presence of macrocomedones
Polycystic Ovarian Syndrome
An acne flare can be anticipated in 6 percent of patients early in the course."
This is really something you need to discuss with your dermatologist, they are there to help and as roaccutane is a last-resort drug they should be keen to help you.
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I leave for New Zealand on a working visa in October so I was hoping that everything would be clear by then.
I can only hope that my last month on the tablets have better results than the previous 4.
Thanks again for your post.
It's not uncommon for your acne to worsen before getting better. That is one of the side effects that can happen, I think you should be patient, I know it's difficult but get to the 5 month mark and see what happens.
Your acne may vanish completely closer to the end of your treatment.
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