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Doctor insights on: Accutane Log

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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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What helps best for cystic acne? Probiotics or evening primerose? Currently taking Spironolactone, Aczone, & genetic tazorac (tazarotene).

What helps best for cystic acne? Probiotics or evening primerose? Currently taking Spironolactone, Aczone, & genetic tazorac (tazarotene).

Adjuncts only: Sandy, forgive my frankness. I'm not a dermatologist, but if a retinoid (tazorac), dapsone, and spironolactone have failed, you need to consider isotetinoin therapy despite all the scare stuff you've read on the doctor-bashing websites. Acne is a grave personal and professional liability. You're an adult now, you have job interviews coming up, and it's probably the right choice. ...Read more

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Since I'm on tretinoin cream which speeds up your cell turnover rate, would getting gylcolic peels for acne scars actually work faster?

Since I'm on tretinoin cream which speeds up your cell turnover rate, would getting gylcolic peels for acne scars actually work faster?

Both products: can lead to drier skin, so I recommend you stop using tretinoin a few days prior and after a glycolic peel. But acne scars are best treated with stronger retinoids like Tazarotene and lasers. Hope that helps ...Read more

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How to control mild oily skin, mile acne & redness of acne?

How to control mild oily skin, mile acne & redness of acne?

A few options: For over the counter methods try using products that have benzoyl peroxide, salicylic acid, alcohol, and acetone. For prescription treatments you may be prescribed antibiotics, retinoids or vitamin a derivatives, azelaic acid, oral contraceptives, or spironolactone. Always ask a dermatologist about the possible affects and the risks vs benefits of each treatment. Make sure it's best for you. ...Read more

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Doctors! what acne skincare product/skin care system keeps your acne under control?

Doctors! what acne skincare product/skin care system keeps your acne under control?

Individualized: It really depends on what kind of acne you have. I would recommend you have your doctor take a look at it and classify what kind of acne it is which will make it much easier for him/her to advise which medications and products would benefit you the most. Some therapies include topical retinoids or antibiotics, and oral antibiotics among other more intensive therapies if those don't work. ...Read more

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Medication for cystic acne & saeborrheic dermatitis causing severe migraines.Using isotretinoin, minocycline as HCl BP & desloratadine. Drug reaction?

Medication for cystic acne & saeborrheic dermatitis causing severe migraines.Using isotretinoin, minocycline as HCl BP & desloratadine. Drug reaction?

Stop meds, check eye: If you are having headaches, i would stop the Minocycline and isotretinoin. When given together there is an increased risk of a rare side effect, pseudotumor cerebri. I would have my eyes checked and if no evidence of pseudotumor, restart either the Minocin (minocycline) or isotretinoin, but not both. Migraines can also worsen with Isotretinoin and not affect the eyes, but it definitely needs to be ruled out. ...Read more

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Some headaches on acutane low dose 10 mg (i spend many hrs on my iphone) what to blame?

Some headaches on acutane low dose 10 mg (i spend many hrs on my iphone) what to blame?

Maybe neither: Accutane is not a common cause of headaches and neither is talking on the phone. However there are many potential causes for your headaches such as hypertension, migraines, caffeine withdrawal, sinusitis, tumors and much much more. ...Read more

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Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise.    ....A1c 9.7     please help!

Your endocrinologist: Needs to adjust/ increase the dose of your medicine esp Insulin to attain good control of your sugar reflected in your a1c (ideally in the 6 or 7 range). A good diet & exercise regimen would help as well. Increase your water intake to maintain good kidney function. Annual or periodic ekg is a must have your annual eye check , lipid and kidney function monitored closely .Take care & god bless u! ...Read more

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Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise.    ....A1c 9.7     please help!

High Hb a1c: You need to go to an endocrinologist (e) to see if your diet needs to be changed. The regimen of medicines you take to control your diabetes is clearly not working and this may be due to inadequate dosing or ingesting too many carbohydrates. If you reduce your bmi, there is a chance to control your glucose better. Get your glucose under control to avoid harmful complications of diabetes, see an e. ...Read more

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Can i take Accutane for mild acne on oily skin?

Can i take Accutane for mild acne on oily skin?

Too strong: The stuff is pricey, unpleasant and not entirely risk-free. If your acne is confined to your face, ask your physician about a mix of topical benzoyl peroxide and topical clindamycin. Only the worst acne requires Isotretinoin / accutane. ...Read more

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Since starting Accutane i've experienced more frequent herpesvirus outbreaks consisting of more lesions. Why? Valtrex (valacyclovir) and Accutane together?

Since starting Accutane i've experienced more frequent herpesvirus outbreaks consisting of more lesions. Why? Valtrex (valacyclovir) and Accutane together?

Possibly related: There are some reports in the literature of increased h. Simplex perioral outbreaks with Isotretinoin use. Some dermatologists recommend pre-treatment with herpecidal medication (such as valtrex) for one week prior to starting Isotretinoin in those with a history of outbreaks. ...Read more

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Could the clarisonic acne daily clarifying cleanser work?

Could the clarisonic acne daily clarifying cleanser work?

Get tough with it: This is weak, pricey, gimmicky stuff. Grab some 5% benzoyl peroxide and apply it 2x/day. If you're not clear in two weeks, or it's on your trunk, get with your personal physician for prescription-strength treatment. ...Read more

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How long should you keep clearasil (benzoyl peroxide) vanishing acne cream on for?

How long should you keep clearasil (benzoyl peroxide) vanishing acne cream on for?

Indefinitely: It is advisable that you use the topical benzoyl peroxide creams available over the counter on an as needed basis for treatment of mild to moderate acne without cystic component. If it has been for a prolonged period of time such as over three months, i would recommend following up with your physician. ...Read more

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Can I apply serum based on ceramides and toner stem cell after washing my face, while taking accutane? ??

Yes but may not help: This sounds like a reasonable approach and ceramides provide excellent protection but it may have little effect on the acne ...Read more

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Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.

Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.

Either work: If you took accutane and still have problems then maybe try something different. Also spironolactone will not require the multiple visits and tests that accutane does. And best of all it is effective. ...Read more

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I'm 16 and I suffer from acne and I'm suggested to use Benzoyl peroxid, Doxycycline, Isotretinoin, n vitamin-e, so I'm askin if there'd b sideaffects.

I'm 16 and I suffer from acne and I'm suggested to use Benzoyl peroxid, Doxycycline, Isotretinoin, n vitamin-e, so I'm askin if there'd b sideaffects.

Yes: Acne is a chronic disease that's a grave personal and professional liability. It is well worth the likelihood of side effects. If topical benzoyl peroxide isn't a bit unpleasant, consider increasing the strength / frequency until it is. This plus tetracycline may be enough for moderate acne. Isotretinoin is brutal but hugely effective; talk with your physician at length about it. ...Read more