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How to complete my Roaccutane treatment safely for severe acne while managing side effects?
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Gynecology & Pregnancy Care
Question #30429
46 days ago
149

How to complete my Roaccutane treatment safely for severe acne while managing side effects?

Client_44d15b

Postovani, na terapiji sam roakutanom od 10.11.2025. Doktorka je juce rekla da je dovoljno bilo i da zavrsavamo. Pila sam 40mg na mojih 73kg. Danas sam otisla kod druge doktorke koja je predlozila da se postigne 150mg/kg jer sam ja trenutno(danas je 29.05.2026) na oko 110mg/kg. Ona je predlozila da nastavim sa 40mg u junu, u julu 30mg(jedan dan 40mg a drugi dan 20mg jer nemam tablete od 10mg), avgust 20mg I septembar20mg svaki drugi dan. Prema mojim proracunina, zadnju tabletu bih popila 29. septembra. Sta vi mislite? Da li je ovo pravo rjesenje za moj slucaj jer sam imala jako masnu kozu I teske akne i imam veliki strahod recidiva. Bitno mi je da se terapija sprovede kako treba, ali i da ocuvam svoje zdravlje i kozu od sunca koje dolazi. Da napomenem, nalazi su mi uvijek bili uredni i nisam imala subjektivnih tegoba.

How long have you been experiencing severe acne?:

- More than 2 years

Have you experienced any side effects from Roaccutane so far?:

- Dry skin or lips

What is your current skincare routine?:

- Basic cleansing and moisturizing

How often do you experience breakouts?:

- Rarely

Have you had any previous treatments for acne?:

- Oral antibiotics

Are you currently taking any other medications or supplements?:

- Vitamins or minerals

How do you protect your skin from the sun?:

- Always use sunscreen
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Doctors' responses

Prema dostupnim informacijama, završna kumulativna doza Roaccutana često se vodi kao između 120-150 mg/kg, što može pomoći smanjiti rizik od povratka akni. Oba predloga vaših doktorki uklapaju se u opće preporuke, ali sukladno vašim osobnim potrebama i eventualnom strahu od recidiva, produženje tretmana moglo bi biti korisno. Važno je imati na umu da produžavanje terapije povećava ukupnu izloženost lijeku, što može povećati mogućnost nuspojava. Ključ je pažljivo pratiti sve upute i bilo kakve nuspojave o kojima trebate odmah obavijestiti svog lekara, poput promjena u raspoloženju, vidu ili teških kožnih reakcija. Takođe, zbog osjetljivosti na sunce dok ste na Roaccutanu, koristite svakodnevno efikasan zaštitni faktor i izbjegavajte direktno izlaganje suncu kad god je moguće. Ako je vaša koža osjetljiva ili imate neki drugi zdravstveni problem, konzultacije s dermatologom koji poznaje vašu kliničku istoriju bit će neophodne za donošenjem ispravne odluke. Gledajući širu sliku, važno je povjerenje u zdravstveni tim i vaša vlastita zdravstvena sigurnost, pa stoga redovne provjere vrednosti krvi i vaša komunikacija s doktorom ostaju prioritet. Ako su vaši laboratorijski nalazi stalno uredni — i to bi se trebalo redovno proveravati — i dalje pratite savete da osigurate sigurnu primjenu terapije i izbegavanje komplikacija.

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