Finishing Accutane at ~200 mg/kg but still not clear
25M, around 72 kg. I’ve been on isotretinoin since April 2025 and I’m due to finish on September 8. By the time I finish I’ll be at roughly 200 mg/kg cumulative dose.
The problem is I’m still not completely clear. I’ve had 2 actual pimples in the last month and I still have some closed comedones/clogged bumps. One of them I stupidly squeezed and picked at and it has stayed as a red bump/mark for a month now, which has made the whole situation even more frustrating.
My dermatologist still wants me to finish the course rather than extend it. After being on Accutane for this long and reaching such a high cumulative dose, I expected to have been completely clear for at least a month or two before stopping.
Instead I’m basically finishing while still occasionally breaking out and having closed comedones.
Has anyone else finished Accutane at a high cumulative dose while still getting occasional pimples or having closed comedones? Did your skin continue improving after stopping, or did you end up relapsing? I’m particularly interested in hearing from people who weren’t 100% clear when they took their final dose and what happened to their skin over the following 6–12 months.
Thanks all