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A 53-year-old female asked:

When accutane fails for severe cystic acne what's next?

1 doctor answer1 doctor weighed in
Dr. Arthur Balin
Dermatology 47 years experience
Accutane: Accutane rarely fails for cystic acne. Normally 50% of people are cured taking 1mg/kg for 20 weeks. 50% of people need a second course at double the dose. A very few people need higher doses and more prolonged therapy. Weekly blood tests are need to monitor for adverse effects at these higher doses. See a dermatologist experienced in administering higher doses of accutane.

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A 47-year-old member asked:

What should I wash severe cystic acne with while on absorbica/ accutane?

1 doctor answer1 doctor weighed in
Dr. Robert Hartman
Dermatology 39 years experience
Mild soaps: Dirt does not cause acne. Use a mild gentle bar soap such as dove or cetaphil bar.
A 47-year-old member asked:

Does your acne have to be severe in order to use accutane?

1 doctor answer1 doctor weighed in
Dr. Ed Friedlander
Pathology 44 years experience
Better choices: Isotretinoin isn't for the faint-hearted or those unwilling to accept the risks. There are easier, safer remedies that work for milder disease. One that's sometimes forgotten is topical spironolactone. Your physician is your best guide here.

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Last updated Jan 11, 2018

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