Related Questions

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...

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...

I have been taking Accutane for 5weeks ive noticed little improvements but more cystic acne, when I wash my face it goes very red but then calms down?

Accutane. the treatment only reduces the appearance of acne over time, and requires regular skin washing with non-abrasive soaps, benzoyl peroxide as directed to keep the skin surface clean and dry, and following directions. Your genetics determines how your acne progresses, your medications can only help your acne to a degree, acne can't be "cured" Good luck ! Read more...

My son has severe painful cystic acne. He taking accutane. I heard that sometimes oral antibiotic is also added on some patients. Is this a good idea?

Probably. Since junior is on accutane, he's under a dermatologist's care and the decision should be made by him/her. Sometimes the rapid death of the bacteria from antibiotics in cystic acne can itself be troublesome. I'm very glad junior's getting effective treatment; thanks for making it possible. Read more...

Is it possible to treat mild cystic acne without accutane?

Yes. On the face laser can be helpful .In a series of 3-4 sessions the cysts can be reduced or flattened. Topical medications may still be necessary after wards depending on how responsive the acne is to laser treatment. Dietary changes avoiding sugar and simple carbs is also helpful as well as the addition of vitamins containing zinc and niacinamide. Read more...
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...

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...