Question: Hey dr,
I've been on a minocycline/retin a combo for about 3 months now and I was on doxycycline a month prior to that so it's been on this for about 4 months in total so far. My face is relatively clear i'd say about 70% and I am honestly happy where it is even having a few pimples on my face because it was a lot better than it was 4 months ago. Now I have been experiencing this side effect and I have really started to notice it more as of late but I seem to be waking up really late and having 10 hours sleep and still feeling really tired when I wake up and having this feeling of wanting to sleep even more. I am kind of getting sick of this since I never used to be like this before taking minocycline so I feel as if this may be a side effect? Now I spoke to my doctor and he said I could just stop taking the drug but i've read online that it's better to cut back your doses. So currently I am on 50mg twice a day so I could go cut down to 50mg once a day for a while and then 50mg every other day to minimize getting a bad breakout from coming offer the minocycline? Thanks for your help in advance.
Kind Regards,
XXXX

Thanks for the reply doctor can it be a possible side effect at all though this general feeling of tiredness? Will I notice a massive increase in pimples once I come off the medication and would it be ok or wise to continue the Retin-A as I am not getting much side effects from it? I feel that it is doing more than the minocycline is doing. I have only been on Retin-A for a total of 2 months out of the 4 months of taking minocycline/doxy.

Sounds good I think that's what I will do that with the tapering off the minocycline though how slowly should I do it should I go down to tablet a day for a week or two before I start going to every other day?