First course 20mg for 1 year 3 months. Low dose gave me perfect skin but didn't seal up the pores properly. So break again.

I don't have much sides, just tired cause my liver is being strained 24-7.
Training also causes liver enzymes to increase to I don't want stress it more. If it fails I die.

Acne was bad even after 4 months on isotretinoin face was still inflamed with boils.
Doctor also like wtf "this shouldn't happen??" and gave me injections on my face to bring them down.

Now after 5months+ on isotretinoin still breaking out, so doctor prescribed amoxicillin for 1 month. Just finished it yesterday.
Really helped eliminate most of the remaining boils and bring down inflammation.

I'll finish my course on November.
After discussing with my doctor we agreed to put me on maintenance dose isotetrinoin (30mg / week) and use topical retinoid for the rest of my life due to the persistence of my acne.

So my advice to you, if your acne is bad, after your 10mg course clear you up, get on a maintenance plan.
10mg will clear u up, but I doubt it will seal those pores permanently. Don't wanna collect permanent scarring.