Ultra/low dose Accutane

I am considering an ultra low dose accutane treatment for cystic acne.  I have been unable to find a dermatologist in southern CA that will prescribe (and is experienced in prescribing) the ultra low dose for cystic acne (10mg or less).  
Does anyone know of such a dermatologist in southern California?  Also, if anyone knows of  other forums where posters wrote about success with low dose Accutane?  Any names/screen names of members that you know had experience with low dose Accutane?    I have read that lower doses generally mean less side effects, but am looking for more information.  I am particularly concerned about hair loss and premature aging of the face.  Have you ever heard that either of these side effects are common or even possible at the very low doses (e.g., 10mg/day or less)?

[michellemickey]

My dermatologist Dr. Dana Grenier in Pasadena recommended the low-dose accutane.  I don't know if she's accepting new patients, but you can try her :)  Regular doses of accutane have done WONDERS for me short term, but never last more than 9 months after I stop taking it.  I'm hoping the low-dose will work for me - I go to Dr. Grenier tomorrow to learn more :)  Her number is 626-449-4207

[loiloi]

Hi. You're right, most dermatologists follow the usual guidelines of prescribing Accutane at 0.5 - 1mg/ kg patients bodyweight per day for 16 to 24 weeks. In 80% of cases this results in a long term remission from acne, with 20% of patients needing a second course.
Although side effects are generally dose related, a lower dose than detailed above will result in a longer therapy time and a greater risk of relapse.
As even small amounts of Isotretinoin can harm an unborn baby, dermatologists are unlikely to prescribe a long term low dose course to a woman capable of child-bearing.
Accutane is sometimes prescribed at a low dose for Rosacea, but this is an off-label indication. The makers of Accutane do not recommend using this product for a long time, and it is not licenced to be used in this way.
Eloise.