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Doctor insights on: Severe Acne Accutane

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Does Accutane help with just severe acne?

Does Accutane help with just severe acne?

Use caution: To use Accutane for mild acne would be inappropriate because there are other meds that work adequately without the cost, unpleasant side-effects, and risks. Most acne can be managed without it, which is a good thing. Severe acne requires it. ...Read more

Dr. Ed Friedlander
2,096 doctors shared insights

Acne (Definition)

Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne 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 face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics ...Read more


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Does your acne have to be severe in order to use accutane?

Does your acne have to be severe in order to use accutane?

Better choices: Isotretinoin isn't for the faint-hearted or those unwilling to accept the risks. There are easier, safer remedies that work for milder disease. One that's sometimes forgotten is topical spironolactone. Your physician is your best guide here. ...Read more

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How will i know what does accutane( 20mg) do to people with very severe, dry acne?

How will i know what does accutane( 20mg) do to people with very severe, dry acne?

Heals but not easy: If your acne is severe, then i would urge you to be brave and try this challenging medication. It is not cheap, pleasant or entirely without risks, but you will probably be very happy with the outcome. At first your skin will be even more uncomfortable and your acne may appear to flare. Work closely with your prescribing physician to get through this. Good luck. ...Read more

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I've been dealing with acne for a few years now and I'm 16 and the acne is quite severe, I was accutane for a while but once I finished it acne came?

 I've been dealing with acne for a few years now and I'm 16 and the acne is quite severe,  I was accutane for a while but once I finished it acne came?

More Treatment: Some acne is more difficult than others. Other treatment options are available, and occasionally, more than one course of Accutane is required. Seek a board certified dermatologist in your area of further treatment and your options. ...Read more

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Severe acne on chin since 5 years ago. Been on minocycline 4 times. What is a good dose of accutane and for how much time?

Severe acne on chin since 5 years ago. Been on minocycline 4 times. What is a good dose of accutane and for how much time?

Accutane: Accutane is a very powerful medication that needs to be given under the strict supervision of a doctor. Normally, you would need to see a dermatologist before getting accutane, and would get a penal of required bloodwork starting accutane. If you are female, you most likely will need to be on birth control pills and take monthly pregnancy tests. ...Read more

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I have been taking 20mg Accutane for two weeks. First week acne cleared 60% now in second week my acne come back more severe? Is this normal?

I have been taking 20mg Accutane for two weeks. First week acne cleared 60% now in second week my acne come back more severe? Is this normal?

Yes: The initial flare is common. You do need to phone your prescribing dermatologist; you may need a short course of another Rx to keep this at bay. ...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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What is the criteria needed to be put on Accutane ? I have severe back acne, and mild facial acne with some red acne marks.

What is the criteria needed to be put on Accutane ? I have severe back acne, and mild facial acne with some red acne marks.

Failure: You ought to have been placed on failed topical and/or oral antibitics for a sufficient period of time. Topical approaches such as benzoyl peroxide foams combined with topical antibiotics can often be very effective. If you fail these, then Accutane is certainly a reasonable option. ...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


Dr. J. Lawrence Dohan
2,405 doctors shared insights

Pimples (Definition)

Pimples are a kind of acne, and are a condition where oil gets trapped in a pore of the skin resulting in small area of ...Read more