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Doctor insights on: Accutane Failed Now What

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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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Do I need to use any topicals now that I'm off Accutane? If so, how long after stopping?

Do I need to use any topicals now that I'm off Accutane? If so, how long after stopping?

Maybe none: Everyone is different. Many people need no more acne treatments after Accutane. Some people need topical or oral treatment, some people need a second course of Accutane. Depends on what you see when you look in the mirror. ...Read more

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What to do if i just started my 4th month of accutane, shouldn't it have all cleared up by now?

Not necessarily: Depends upon dose but sometimes will continue to work for 6 months after last dose. Old lesions will not be resolved yet, should see a decrease of new lesions. ...Read more

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I've been off of Accutane for 3 months and now im starting to break out. Do I have to start taking it again?

Not neccessarily: Usually would like to wait 6 months before re starting, sometimes other treatments work very well after Accutane even tho failed prior. Have never seen anyone break out as bad after a course with correct dosing. ...Read more

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I've been on Accutane now for 2 months and have seen minimal improvement. When will this medication actually work?

I've been on Accutane now for 2 months and have seen minimal improvement. When will this medication actually work?

Most within 12 weeks: Acne can flare the first few months on isotretinoin. Most patients start to see improvement within 12 weeks. However, there are always a few patients who require a longer amount of time to see improvement. Your dermatologist will be adjusting your dose as the months progress. ...Read more

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I took Accutane twice for six months each when i was fifteen and sixteen, i'm 19 now. I am shorter than my predicted height, did it stunt my growth?

I took Accutane twice for six months each when i was fifteen and sixteen, i'm 19 now. I am shorter than my predicted height, did it stunt my growth?

Unlikely: Accutane is an oral form of vitamin a. The worst side effect for a pregnant female is defects in the development of the fetus. Other side effects can include night vision compromise, dry mucosa/skin, sunburn, nausea/diarrhea, headache, depression, fatigue, triglyceride elevation, aching joints. There is no reliable study that links compromised bone growth/height deficits to taking accutane. ...Read more

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If im off Accutane for a year (i was on it for 4 months) what are the odds my face will be bad again? Its pretty good now (sometimes worsens a bit)?

~33%: Statistically, about 1/3 of patients will require additional treatment with accutane, 1/3 will require additional treatment but not with accutane, and 1/3 will not require any further significant treatment. So your odds are pretty good; but if you start to see a significant flare, get back to your dermatologist promptly. ...Read more