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Doctor insights on: Is It Possible To Treat Mild Cystic Acne Without Accutane

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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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Dr. Neal Schwartz
164 doctors shared insights

Cystic Acne (Definition)

Acne cysts are large nodules developing deep within the dermis, or second layer of skin. They are painful, disfiguring, and may cause deep scars. There is often a genetic predisposition to cystic acne. Treatment usually requires systemic medication including oral isotretinoin, and should be started early, before ...Read more


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I am 21yrs with mild cystic acne (3-4 huge pimples continuously occurring at a time). My doctor asked if i wanted to take accutane. What should I do?

I am 21yrs with mild cystic acne (3-4 huge pimples continuously occurring at a time). My doctor asked if i wanted to take accutane. What should I do?

Try it: Since your doctor knows your medical and personal history i believe he/she knows what it best. Accutane is a good solution, i would give it a try and if it doesn't work try another one :]. ...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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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

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I'm taking Accutane for severe cystic acne. I also get a lot of allergy. Is it save to take allergy medication while on accutane?

I believe you are ok: These are working on different systems. The best anti-allergy medicines for you may be those that are relatively non-drying to the mucosal surfaces. Should you develop nosebleeds, get with your primary care physician. As always, i'd welcome ideas from other healthtap physicians. ...Read more

Dr. Ed Friedlander
2,131 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


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