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Doctor insights on: Accutane Initial Breakout

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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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How bad is the initial breakout when using accutane?

Depends: If you have been using topical retinoids, like Retin-A or differin, (adapalene) the initial break out may not be significant. Your dermatologist can start at a lower dose so that you do not have a big initial flare. ...Read more

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How long will your initial breakout with Accutane last?

How long will your initial breakout with Accutane last?

4-8 weeks: Most patients show improvement within 12 weeks on isotretinoin. There are always a few patients who require longer to show improvement. ...Read more

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Getting small breakouts after finishing Accutane course.... Is it normal?

Accutane: It can be. It depends on the dose you were given and the length of therapy. About 50% of people are cured with one course of Accutane at 1 mg per kg for 20 weeks. The other 50% of patients need a second course of 2mg per kg for an additional 20 weeks. A rare person needs a third course. Even if acne returns after one course of Accutane it is usually very minor compared to before treatment. ...Read more

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After completing the course of accutane, after two weeks got one breakout.... Is it normal?

Common.: It is not unusual to get new breakouts after treatment with accutane. Statistically, one third of such patients need another course of Accutane later on; another third need additional treatment, but not with accutane; and the rest never need acne therapy again. You could be in any of those three categories; only time will tell. ...Read more

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If you start clearing up on your 4th week on accutane, is it possible that there will be no more breakouts?

Acne Therapy: Yes it is possible that after 4 weeks of Accutane you will not have anymore breakouts. However, it is not likely that you will not have more breakouts. Since there is no more brand accutane, the treatment can be 4-8 weeks longer. ...Read more

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Does a reduced initial dose of Accutane usually help with the initial breakout? How long does this take to heal?

Does a reduced initial dose of Accutane usually help with the initial breakout? How long does this take to heal?

Accutane : It can. Over time the acne starts to clear. Stay on the medicine for he prescribed amount of time. You will start to see results ...Read more

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Does a reduced initial dose of Accutane usually help with the initial breakout? How long does this take to clear up?

Does a reduced initial dose of Accutane usually help with the initial breakout? How long does this take to clear up?

Accutane: The duration of the initial break out is a variable experience. But sticking with the treatment program is recommended. ...Read more

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Does a reduced initial dose of Accutane usually help with the initial breakout? How long does this take to clear up?

Does a reduced initial dose of Accutane usually help with the initial breakout? How long does this take to clear up?

Wrong question: I think you are assuming that acne gets worse before it gets better. This is not the way it works. Low initial dose may help long-term tolerance. Full dose, with worse dry lips and skin, is more likely to result in permanent cure. Small dose still is very effective to clear acne. At any dose, the improvement may be seen in 1, 2, 3, or 4 months. Typical complete course is 5 months. Individual respo ...Read more

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Going to start second Accutane course, first Accutane gave me A LOT of breakouts in the beginning but went well later, will I get breakouts again?

Yes: Starting acne treatments can initially cause the acne to worsen for 2-4 weeks before it actually improves. Normal course of Accutane is 4 months or longer. It's important to stick with a treatment for at least a month or more to give a fair assessment. Stop treatment if getting serious side-effects. Needs to be monitored by doctor with lab work. ...Read more

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I finished Accutane course having 20mg twice a day for 6 weeks. Nd still getting the small breakouts.After one month of completion. Is this normal?

I finished Accutane course having 20mg twice a day for 6 weeks. Nd still getting the small breakouts.After one month of completion. Is this normal?

Accutane is longer: Taking Isotretinoin (accutane) for acne takes roughly 5-6 months to complete the treatment course. Taking is for just 6 weeks will not be long enough the experience the lasting benefits. I would get back in to see your doctor/dermatologist to continue treatment if that is what is needed. ...Read more

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After getting off accutane..... Can eating fast food and chocolates cause breakout?

After getting off accutane..... Can eating fast food and chocolates cause breakout?

Acne: It is a common belief that greasy food, or chocolate can cause acne. It is still very controversial if there is any food causing acne. ...Read more

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On Accutane 10mg. Its day 2. Skin got abit worst. Is an initial breakout occurs this early at such low dosage?

On Accutane 10mg. Its day 2. Skin got abit worst. Is an initial breakout occurs this early at such low dosage?

Not really: Your breakout is responding to issues prior to your first dose. You are very early to be trying to analyze any results. Take the medication as prescribed and continue the regiman your doctor put you on and hopefully you will start to improve. Acne is life long and it will take time to help clear it up. Acne can be triggered by lack of sleep, sun damage, stress, hormones, and picking. ...Read more

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How can doctors say your skin does not breakout everywhere during the first 2-3 months on Accutane when I broke out everywhere? I don't get it. :(

Dosage too high?: I have been prescribing Accutane for 30+ years and my patients never get worse before they get better. When it happens, it's usually because the prescribing doctor has started with too high a dosage. But what's done is done. Stay the course, and your acne will subside. Patience is a virtue. ...Read more

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Why did i breakout all over on Accutane? I started with lots of stuff under my skin and its as if it all came out to the surface. I'm at a low dose.

Why did i breakout all over on Accutane? I started with lots of stuff under my skin and its as if it all came out to the surface. I'm at a low dose.

Accutane: It's not common to break out on Accutane unless there is a side effect of it. I suggest you contact the prescribing physician and discuss this situation with him. ...Read more

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How long does the initial breakout when using Accutane last? Derm has prescribed a lower dose for first 2 weeks, will this help, if so how, how much?

How long does the initial breakout when using Accutane last? Derm has prescribed a lower dose for first 2 weeks, will this help, if so how, how much?

Let it unfold.: Good that you have started the therapy. It will have its effect. And everybody is different. That is the beauty of living being. We are not machines so it is not like 2+2 is always 4.
Wish you the best and follow up with your doctor. ...Read more

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I missed 4 pills of Accutane. I'm breaking out when I haven't in ages, I've started the pills again does this mean ill go through initial breakout agai?

I missed 4 pills of Accutane. I'm breaking out when I haven't in ages, I've started the pills again does this mean ill go through initial breakout agai?

Not likely: It would be unusual to break out with only a four-day lapse in the accurate. Accurate has seriously potential side effects, so keep close follow up with your doctor about how long you should take it and what dosage. Of course, you absolutely can't have a normal pregnancy while on it, so be very deliberate an out birth control. ...Read more

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I am on Accutane 10mg for last 7 days and my acne got worse I am having more breakout all over my body should I stop the dose? Please suggest

I am on Accutane 10mg for last 7 days and my acne got worse I am having more breakout all over my body should I stop the dose? Please suggest

Go see ur Dermatolog: Go see your dermatologist or whoever prescribed your Accutane (it's no longer sold under that brand here in the states). Tell her/him about your concerns. Please make sure you're using 2 forms of birth control & be sure to get monthly pregnancy test. You don't want to get pregnant while on Accutane because of tremendous risk for birth defects. ...Read more

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Acne breakouts while using accutane, but now it's gone. Now small pimples came again. Can I reuse Accutane and will I get breakouts like I did before?

Acne breakouts while using accutane, but now it's gone. Now small pimples came again. Can I reuse Accutane and will I get breakouts like I did before?

Maybe: Try using the topical acne treatments for now. If the acne is not responding well enough to those, then see the doctor. You might need prescriptions or even another course of accutane. ...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

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3 months after finishing accutane is it normal to have small breakouts? They are tiny red pimples but I am scared its coming back?

3 months after finishing accutane is it normal to have small breakouts? They are tiny red pimples but I am scared its coming back?

Yes: Acne is certainly possible for it to come back after Accutane but usually Acutane lasts long time. Ask your dermatologist for specific diagnosis treatment or advice ...Read more

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20 yr old guy. Haven't had a bad breakout since before my Accutane days. Suddenly been getting acne along my jawline. Tiny nodules but very annoying.

20 yr old guy. Haven't had a bad breakout since before my Accutane days. Suddenly been getting acne along my jawline. Tiny nodules but very annoying.

It's back: I'm glad you got a good result with accutane. Acne is a chronic disease that comes and goes without any explanation. If the benzoyl peroxide and retin a (tretinoin) that you are now taking aren't sufficient to manage you, your physician may add something that will work -- up to and including another round of accutane. Best wishes. ...Read more

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Took Accutane 20mg 2yr ago. My doctor prescribed me laser fr scar. But 1yr+ didn't visit dermatology. Now stil hv breakout and smtym cyst. Laser help? Or?

Took Accutane 20mg 2yr ago. My doctor prescribed me laser fr scar. But 1yr+ didn't visit dermatology. Now stil hv breakout and smtym cyst. Laser help? Or?

Accutane doesn't: Always clear your acne. If hormones are a big cause of your acne then birth control pills or spironolactone works better. I would not do laser until your acne is under good control. See dermatologist ...Read more