Yep. 4,000mg per day (split morning/night).Did you add in fish oil? The omega 3 is supposed to help here too.
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Yep. 4,000mg per day (split morning/night).Did you add in fish oil? The omega 3 is supposed to help here too.
To be fair, 160mg is pretty brutal... What is your weight?I had to drop down from 160mg/day to 120mg due to joint pain in knees, elbows, and shoulders. Hoping to bump up to 140mg once the pain settles and finish out my high-dose run there.
Anyone see joint pain improvement from a similar decrease?
I started tretinoin along side dapsone gel - and doxepine- and had decent results before I started the accutane run. Domestic cost for the daspone is stupid, and part of what started me looking harder at accutane. Indian pharma has it (usually at 5% instead of 7.5%) for much less though. It's essentially an antibacterial so may or may not be useful depending on your situation.Have some goodies coming in from India to further benefit the skin:
- Azelaic Acid 20% and Hydroquinone 4% (for issues with hyperpigmentation from old acne)
— Tretinoin .025% (for a myriad of reasons)
225 lbs.To be fair, 160mg is pretty brutal... What is your weight?

You really screwed your self on this one. They're all about the same size, so now you'll need to take more pills at once to reach your desired dosage.Just got my india order.
Using doxy/tetracycline currently to try to control acne a bit.
Hoping accutane will do better.
Im needing to go back thru and re-educate myself on this thread.
I ordered 5mg capsules because I dont swallow meds well, was hoping these would be the smallest size...
Thinking about doing 5 or 10mg per day to minimize sides (which ive heard are often overblown.
But that seems like a truly microscopic dose compared to the above.
View attachment 381661
Time to place another india order, I guess.You really screwed your self on this one. They're all about the same size, so now you'll need to take more pills at once to reach your desired dosage.
Definitely order a decent amount of 40’s, 20’s, and 10’s so you can play around with your dosing a fair bit. The variation in dosages comes in pretty handy.Time to place another india order, I guess.
But hey, maybe this will actually force me to learn how to swallow pills better.
Super helpful thank you.Definitely order a decent amount of 40’s, 20’s, and 10’s so you can play around with your dosing a fair bit. The variation in dosages comes in pretty handy.
At least with 5mgs you can get a start and assess your tolerance. I wouldn’t expect anything crazy from 5mg or 10mg, but it’s not a bad idea to start low. The standards for longer term low dosing seem to keep most people around 20-40mg per day.
Also, give some time for the doxycycline to leave your body. Doxy and Accutane can have a rare drug interaction called Pseudotumor cerebri that you definitely want to avoid.
No problem! So many different approaches to take — I did almost 3 months of high dose (120-140mg) and then hopped on cycle and I’m down to taking 10mg and 20mg on alternating days.Super helpful thank you.
I like this approach
Question because Im a little bitch: are the 20s and 40s generally a larger size capsule?
If you want full, permanent clearance of chest and back acne, you're going to need up to 220mg/kg of body weight. If we assume you weigh 220 pounds (100kg) that is 22,000mg total. At 5mg per day that's 12 years (and you probably won't reach the saturation you need at that rate anyway). Read the beginning of this thread for Ghoul's journey. (RIP Ghoul)Just got my india order.
Using doxy/tetracycline currently to try to control acne a bit.
Hoping accutane will do better.
Im needing to go back thru and re-educate myself on this thread.
I ordered 5mg capsules because I dont swallow meds well, was hoping these would be the smallest size...
Thinking about doing 5 or 10mg per day to minimize sides (which ive heard are often overblown.
But that seems like a truly microscopic dose compared to the above.
View attachment 381661
If we assume you weigh 220 pounds (100kg) that is 22,000mg total
I'll just swallow 10 of the 10mg bastards every day...This is the course I'm on right now. Been on for 3 months at ~80-120 mg/day and only 7,000 mg down so far. It's gonna be a long year haha. I can't imagine 5/10 mg a day is going to do anything in terms of clearance. You might see some improvements but you won't ever get full clearance at that rate. The cumulative does expire at a certain point it seems (based Ghoul's writings).
I guess that works if you're stuck with that many but I wouldn't just jump right into 100mg a day. Titrate up in 10 or 20 mg increments to see how sides affect you.I'll just swallow 10 of the 10mg bastards every day...
