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Doctor insights on: Acne Treatment Accutane

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Dr. Ed Friedlander
2,147 Doctors shared insights

Acne (Definition)

A very common skin condition that starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the ...Read more


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Does accutane acne treatment cause a lot of side effect?

Does accutane acne treatment cause a lot of side effect?

Yes: And you can easily find them online or on the package insert. Always do that homework before starting any new drug please. ...Read more

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Is Accutane recommended for acne treatment?

Is Accutane recommended for acne treatment?

For severe cases: Accutane is a very strong but very effective drug for acne. It has potential serious side effects and requires close monitoring. That said, I know multiple patients who have had phenomenal improvements with Accutane that say they would do the treatment over. I recommend you see a local dermatologist for a consultation and more information. ...Read more

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Is it supposed to get worst before it gets better while on Accutane for acne treatment? If yes why is it?

Is it supposed to get worst before it gets better while on Accutane for acne treatment? If yes why is it?

Acne: With most acne meds, you will get a little worse before it gets better. Along with the pimples on the surface of your skin, there are others developing deeper in your pores. The meds may bring those forward, so you will initially see more pimples, then as they resolve, you will see fewer of them. ...Read more

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Do you thik Accutane is a good treatment for the acne in the chest and the back?

Do you thik Accutane is a good treatment for the acne in the chest and the back?

Yes but only if. .: Only if you're willing to tolerate side effects and very strict requirements for taking it. Remember that Isotretinoin is associated w/birth defects. That's why you need to promise to use 2 forms of birth control regularly. If you can't, then it's not worth risk of delivering baby w/physical deformities. Discuss your options w/your dermatologist. Only you can decide if it's appropriate for u. ...Read more

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Whit is the cumulative dose should I take from net look or Accutane and concentration 40mg for 6months is enough for completely treatment of acne??

Whit is the cumulative dose should I take from net look or Accutane and concentration 40mg for 6months is enough for completely treatment of acne??

Treat until better: Accutane is extraordinarily potent and is a very potent teratogen (causes birth defects) even after you are not taking it!! Try NOT to get pregnant for at least several months after you stop taking it because it is stored in your body fat. Try using it for as short a time as you can. ...Read more

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Is it possible to get rid of acne with just one month of treatment with Accutane 10mgs? I've been taking it for a month but i'd rather stop. Should i?

Is it possible to get rid of acne with just one month of treatment with Accutane 10mgs? I've been taking it for a month but i'd rather stop. Should i?

Dose too low: For it to work you need to take an adequate dose 1 mg per kilo of. Weight. Ideally a 132 lb person. Should be on 60 mg. The minimum dose is a half a mg per kilo or 30 mg for 132 lb. This shoul be for. 15-20 weeks. If you need the Accutane because nothing else worked stick with it and get the benefit. Discuss this with your dermatologist. ...Read more

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I have been taking isotreitoine (accutane) for about 7 years. Starting the treatment but leaving it when acne stops. What is the main problem of that?

Return of acne: The biggest problem would just be that the acne would probably return eventually. Once you get it clear, you might try switching to something else, like a topical cream/gel/face wash, etc. To see if that keeps it away. ...Read more

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Acnes : can I have n-light treatment before starting my roaccutane for acnes? I was told I can not get n-light treatment after taking accutane?

Acnes : can I have n-light treatment before starting my roaccutane for acnes? I was told I can not get n-light treatment after taking accutane?

Accutane: Is toxic stuff but very effective. However, it takes 6 months off of Accutane before you can undergo other procedures since it can lead to hyper or hypo pigmentation. ...Read more

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Other then accutane is there any other strong acne treatment I'm on tetracycline for about 6 months now but when I take a break it just comes back?

Other then accutane is there any other strong acne treatment I'm on tetracycline for about 6 months now but when I take a break it just comes back?

Spironolactone: For adult females the best therapy is usually an anti androgen. If it is effective it can be continued for years. It is not an antibiotic. Do not use if pregnant or kidney failure. Usual dose 100mg a day but varies from 25 to 200. Note that some birth control makes acne worse while some pills make acne better. Do you have normal menses? ...Read more

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I've just finished accutane, when can I get a laser treatment to get rid of acne red marks?

I've just finished accutane, when can I get a laser treatment to get rid of acne red marks?

6-12 months: It can take 6-12 months for the skin to totally recover from changes caused by accutane. ...Read more

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Bc you're put on bcpills while on accutane. Can stopping the pills after accutane treatment cause the acne to come back due to change in hormones?

Bc you're put on bcpills while on accutane. Can stopping the pills after accutane treatment cause the acne to come back due to change in hormones?

Not the issue: The issue is the destructive nature of Accutane on a fetus. It is not prescribed because it helps the Accutane. It is known to produce birth defects if taken during pregnancy. That is why you are asked to avoid pregnancy. Anyone can have a flare of acne after coming off Accutane, or any other time, but it would not be directly related to the BCP. ...Read more

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Acne on my chin and jawline. Derm prescribed Accutane on first app. Should I try hormonal treatment first?

Acne on my chin and jawline. Derm prescribed Accutane on first app. Should I try hormonal treatment first?

Yes: Acne on the chin and jawline is almost always hormonal. I don't think trying Accutane before other more conservative treatments is a wise decision. Accutane is a great drug and can really help this type of acne but has a lot of risks and side effects. It is best to try other treatment first like creams, lotions, washes, facials, antibiotics, and even birth control pills. ...Read more

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I'm ending my treatment of Accutane and I have light pink wide bumps from previous cystic acne on my face. Will this go away? Not filled with pus.

I'm ending my treatment of Accutane and I have light pink wide bumps from previous cystic acne on my face. Will this go away? Not filled with pus.

Scars: These are old acne scars. You can address them with a plastic surgeon or dermatologist now that your acne is under control and can be expected to remain so for at least several months -- and if you're lucky, forever. ...Read more

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Any other treatment for correcting irregular menses (late) plus acne other than bc pills. Don't tellme Accutane as its only for acne not for menses?

Any other treatment for correcting irregular menses (late) plus acne other than bc pills. Don't tellme Accutane as its only for acne not for menses?

Spironolactone: Some women produce more androgen hormones than needed. Anti-androgens like spironolactone block androgen receptors in the body, preventing cells from absorbing androgen hormones. Simply, spironolactone limits hormonal fluctuations that can contribute to acne breakouts. Hormones, specifically androgens, have been linked to the development of acne. ...Read more

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How long should I wait after Accutane to use hydroquinone or do any other treatment for melasma and acne marks? What other treatment is recommendable in short term being that i´m doing autohemotherapy?

How long should I wait after Accutane to use hydroquinone or do any other treatment for melasma and acne marks? What other treatment is recommendable in short term being that i´m doing autohemotherapy?

Forever: Why would you use such dangerous toxins to treat something that is not life-threatening? Has anyone evaluated your gut for dysbiosis? Has your antioxidant status been checked? Have your oxidative stress markers been checked? Melasma is oxidation damage. Scars are inflammation damage. Accutane and autohemotherapy do not address those problems. ...Read more

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Finished Accutane tx and still have acne. Do a second round? I'm worried about the risks of that treatment. What about oral contraceptive instead?

Finished Accutane tx and still have acne. Do a second round? I'm worried about the risks of that treatment. What about oral contraceptive instead?

It depends: Dermatologists can suggest a variety of medications that can be used after Accutane treatment, and oral contraceptives are sometimes recommended. Topical medications can also be used. If acne is still severe, another round of Accutane is sometimes the best choice of treatment, but the dermatologist is the best person to ask about what is the best plan for each patient. ...Read more

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Accutane for me was really hard to be on. Is there any new oral permanent treatments on the horizon for acne sufferers?

Accutane for me was really hard to be on. Is there any new oral permanent treatments on the horizon for acne sufferers?

Wrong question: See a dermatologist. There are various treatments for acne which are tailored to the individual. You left out all the details. Your dermatologist will help you. Frequently a full course of full dose isotretinoin is close to a permanent cure. ...Read more

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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


Dr. J. Lawrence Dohan
2,459 Doctors shared insights

Pimples (Definition)

A pimple is a small inflamed spot on the skin. Also known as zit, ...Read more