Accutane Dose Titration

[Guest guest]

In reference to my previous algorithm approach and the recent post in

which I theorized in response to Marjorie's great point she made of

the difference between Acne Pustules and cea Pustules in which I

theorized that cea Pustules can cause Acne Pustules, I would like

to point out an exhibit of a person's web site who was on Full Dose

Accutane.

here is the link:

http://accutane.topcities.com/week7.htm

Any of us ceans, having been on 80 mg/d for 7 weeks, would have

had a flush from Hell. Seriously, our faces would be burning beyond

all description, even if we religiously applied " Gold Bond from the

Green Bottle " As you can see, this patient's face is hardly

flushed, and certainly not flushed in a cea pattern. The facial

microvasculature of this patient is intact, in contrast to ours,

which is diseased.

In keeping with Dr. Nase's theory that we do nothing to cause a

flush, do not " fight " through flushing or irritation, I have modified

my algorithm. Start at 10 mg qod. It is probably not useful for

rosaceans to start at 10 mg/d, unless they have really good

vasculature, which is not that advanced in the rosacea disease

process. 5mg/d is probably more suited to rosacea treatment. Since

there is a slight chance of flushing with 10mg/d, and this flushing

will in turn cause more comedones (for a rosacean, not an acne

patient), which in turn will prolong the initial accutane flare, it

is better to be on 5mg/d.

Perhaps if one is on antibiotics and they stop working the answer is

to add Accutane at to the tune of 5mg/d. This dose of 5mg/d is

effective or facial rosacea and ocular rosacea, it a more utilitatian

dose, withh less side effects. The 10mg/d dose, while low in side

effects, can still cause ocular problems for some which makes the

5mg/d dose the most attractive.