Conclusion: Daily doses between 0.1 and 0.3 mg/kg can be recommended for more than 6 months due to the occurrence of fewer side effects and more economical concerns. For greater effectiveness, it could be combined with other medications.
Isotretinoin side effects
Across 37 first-hand reports, people mentioned a side effect 12 times (about 32 per 100 reports). The most common: joint pain, dry skin, liver damage. User reports show what people notice — they can't tell you whether Isotretinoin is safe for you.
Reported side effects
joint pain3
dry skin2
liver damage2
permanent damage1
post accutane1
stomach issues1
hair loss1
microbiome damage1
In their own words
“I have been on low dose accutane for the last month and I can feel my skin is less oily and has been nice and clear. Only slightly chapped lips, no other side effects.”
“I was on axcutane i that shit was the worst thing i every tryed. I sleep all they day and was so exosted i could bearly did a workout. And my bones would hurt.”
“it (most likely) has given me a bunch of side effects like joint/tendon problems and hair loss, but on the other side my cystic acne was severely affecting me mentally”
“Accutane fucked my life... I took accutane for 5 months and my skin has been super clear ever since.”
“about 15 years ago I was put on Accutane (for acne) and was on pain pills for 2 years. After I got done with those, these problems started happening.”
“I took two 6 month rounds of accutane, haven’t seen another zit on my face since, but bacne came back severely after each time.”
Is Isotretinoin safe? What the research covers
AResearch: Strong129 meta-analyses · 192 randomized trials on PubMed
Dermatol Ther · 2021
Systematic review of low-dose isotretinoin for treatment of acne vulgaris: Focus on indication, dosage, regimen, efficacy, safety, satisfaction, and follow up, based on clinical studiesBMJ Clin Evid · 2008
Acne vulgarisConclusion: In this systematic review we present information relating to the effectiveness and safety of the following interventions: topical treatments (adapalene, azelaic acid, benzoyl peroxide, clindamycin, erythromycin (alone or plus zinc), isotretinoin, tetracycline, tretinoin), and oral treatments (doxycycline, isotretinoin, lymecycline, minocycline, oxytetracycline, tetracycline).