Doctor insights on:
Not a good idea: Accutane has been linked to severe depression and suicidality in some people. Adding another drug that can leave you depressed to that one is not a good idea. I'm sure some have combined these and will say they've had no problems, but i would still not recommend it. ...Read moreSee 1 more doctor answer
No. But it can help: Reduce acne breakouts and more cyst formation that can lead to new scars. Accutane is powerful medicine that requires monitoring and absolute avoidance of pregnancy (causes birth defects). See dermatologist for advice and prescription if you are a candidate. ...Read moreSee 1 more doctor answer
Heals but not easy: If your acne is severe, then i would urge you to be brave and try this challenging medication. It is not cheap, pleasant or entirely without risks, but you will probably be very happy with the outcome. At first your skin will be even more uncomfortable and your acne may appear to flare. Work closely with your prescribing physician to get through this. Good luck. ...Read more
I got pregnant exactly three months after the last dose of accutane. Should i terminate pregnancy?
Few if any: Doxy: most side effects we've experienced are nausea. Accutane: most side effects we've experienced are dry skin and headache. However, dry skin after use of Accutane should be seen as 'normal'. Because it decreases/controls the function of sebaceous glands which leading to the control of acne. Depression is very rare. Suicide? Only happened in lawsuit, not in my (and my many colleagues’’) exper. ...Read more
Skin redness: Benzaclin (clindamycin and benzoyl peroxide) is a topical antibiotic of benzoyl peroxide and clindamycin, commonly prescribed for acne. Caution should be used if patients have an allergy to either medication or have a history of ulcerative or infectious colitis. The most common side effects are dry, red, scaling skin or a burning sensation. ...Read more
In selected patients: Accutane works for certain types of treatment resistant acne. However, it has significant side effects that limit its use. It causes serious birth defects so is not safe during pregnancy. It may causes problems with the skin, liver, muscles and vision. While not proven, it has also been linked to depression/suicidal thinking. You need a doc experienced with its use before starting accutane. ...Read moreSee 1 more doctor answer
Y doctors prescribe Accutane when its mechanism is not completely understood that how it reduces the sebum without affecting hormones?
Not Recommended : Both medications can cause pseudotumor cerebri, and when taken together the risk of this is much higher. It is reversible, but i still never prescribe both Accutane and Minocycline (solodyn is a version of minocycline) together. If an antibiotic is needed while on accutane, I use a different antibiotic that is not associated with pseudotumor. ...Read moreSee 1 more doctor answer
Time for a visit: Accutane is considered more dangerous than many other medications because of a variety of unusual side effects in some recipients. I do not use it in my practice preferring to let the dermatologists determine those most appropriate for its use and monitoring their case for the potential side effects.Schedule a visit and expect to sign release forms that document your understanding of the risks. ...Read more
Unknown: Isotretinoin's main indication is for the treatment of severe cystic acne vulgaris. Isotretinoin's exact mechanism of action is unknown but several studies have shown that Isotretinoin induces apoptosis (cell death) in various cells in the body such as cells in meibomian glands, hypothalamic cells, hippocampus cells and important for treatment of acne, in sebaceous gland cells. ...Read more
Define "safe": The medication wouldn't be allowed on the market unless it passed through the vigorous FDA approval and product surveillance process. Its ability to be a winder drug for some who suffer otherwise is well known, but its potential for serious side effects is also present. Selective use and continuous monitoring for side effects is needed in this drug more than many others. ...Read moreSee 3 more doctor answers
Isotretinoin: Isotretinoin. For deep cysts, antibiotics may not be enough. Isotretinoin (amnesteem, claravis, sotret) is a powerful medication available for scarring cystic acne or acne that doesn't respond to other treatments. This medicine is reserved for the most severe forms of acne. It's very effective, but people who take it need close monitoring by a dermatologist because of the side effects 80% effectiv. ...Read more
Meds: Many patients do well with over the counter benzoyl peroxide or salicylic acid preparations. Some patients require topical or oral antibiotics or retinoids as well. If the over the counter meds alone don't control your acne after a month of daily use, see a doctor for additional treatment options. It is important to be persistent, and some patients 'get worse before they get better'. ...Read moreSee 1 more doctor answer
Feeling occasional pain in kidney. Used Accutane for 6 months. Blood test good for HCG and related. Never drank alcohol. ?
How effective are second Accutane courses compared to first courses? Should a higher cumulative dose be used the second time around? 18 y/o, m
Probably less: The response rate is probably a bit less for a second course, but its usually still very worthwhile to try, unless you just didn't do well the first time. I use the same routine for the second course, which for me is 1mg/kg daily dosage, usually divided into bid dosing with a total goal range of 120-150 mg/kg. ...Read more
Depends: If you are a woman trying to conceive then absolutely not. Otherwise, it does have a significant number of potential adverse effects which need to be monitored. There are other, safer acne medicines but they may not be effective for you. It is not a medicine I use first line, but if the acne has not responded well to anything else, you have to weigh the risk vs. Benefit. ...Read more