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Doctor insights on: Accutane Cystic Flareups

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Taking Accutane (Definition)

Accutane (Isotretinoin) is a powerful medicine that treats acne. It is known to cause severe birth defects if a woman becomes ...Read more


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

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

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. ...Read more

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Is it possible to treat mild cystic acne without accutane?

Is it possible to treat mild cystic acne without accutane?

Yes: Other options include oral antibiotics such as Doxycycline and minocycline. You coule also use Retin-A (tretinoin) which is the topical version of Accutane (isotretinoin). Also the cysts can be injected with a dilute corticosteroid medication called kenalog (triamcinolone). Laser treatment for cystic acne is still somewhat investigational and probably would not be covered by insurance. ...Read more

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Accutane still gold standard for cystic acne?

Accutane still gold standard for cystic acne?

Yes: Isotretinoin in various forms is by far your best remedy. Adjuncts for disease this severe may include spironolactone and sometimes other supportive medicines during the flareup when treatment is initiated. It's not for the faint-hearted but it's remarkably effective in keeping the disease at bay for a year or two. Cystic acne is a terrible personal & professional liability. ...Read more

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Help! Is 20 mg of Accutane a day for a few months long enough to help hormonal cystic acne?

Help! Is 20 mg of Accutane a day for a few months long enough to help hormonal cystic acne?

Maybe: Let the prescribing physician determine the appropriate dose. If you are self-medicating, be aware that what you're going is very dangerous -- someone on isotretinoin has to have labs run occasionally and if female must be very careful not to become pregnant. ...Read more

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How many breakouts do you get on accutane? Considering that I have 1 or 2 cystic acne and never had bad skin.

How many breakouts do you get on accutane? Considering that I have 1 or 2  cystic acne and never had bad skin.

Accutane: About 80% of people who take Accutane (isotretinoin) for severe (cystic) acne will never need to have it again. However, your skin will still make oil which can still lead to pimples. It is not usually as severe as that which required accutane. Some people with really bad acne can actually worsen at first with accutane. Your dermatologist can discuss in detail what to expect. ...Read more