Houston Accutane doctors

Anthony Perri, MD Anthony Perri, MD
Houston Dermatologist
9305 Pinecroft Dr. Sadler Clinic , The Woodlands
16 answers
Melissa Chiang, MD Melissa Chiang, MD
Houston Dermatologist
17115 Red Oak Drive Suite 210, Houston
4 answers
C. William Doubleday, MD C. William Doubleday, MD
Houston Dermatologist
515 Post Oak Blvd Ste 535, Houston
1 answer
Narin (Joe) Apisarnthanarax, MD Narin (Joe) Apisarnthanarax, MD
Houston Dermatologist
450 Medical Center Blvd. Suite 309, Webster
Esta Kronberg, MD Esta Kronberg, MD
Houston Dermatologic Surgeon
7500 Beechnut St Ste 228, Houston

Recent Answers

For a Healthy Adult Male, is There a Special Diet Recommended with Accutane?

Given optimal lab results to begin with, is there a special diet recommended with a course of accutane for adult males (mid 30s)? Additionally, can/should minocyn be used during the initial month or two of an accountant course to minimize early flare ups? What are the risks? Lastly, saw the answers regarding avoiding elective cosmetic surgery while on accutane, but what about non-cosmetic elective, specifically a vasectomy?

A: Recommended Diet on Accutane

Although Accutane is best absorbed with a food that has high fat content such as ice cream, a low fat and low cholesterol diet is recommended during the treatment course.  Accutane can elevate triglyceride and cholesterol levels so avoiding cholesterol laden foods should help minimize such elevations in the lipid profile. As always, discuss dietary recommendations with your board certified dermatologist as every patient's condition is unique.

Anthony Perri, MD
Houston Dermatologist
What is the Max Accutane Dose?

i'm 130 lbs 23 male with moderate face/back acne. i have done 40, 40,80,80 have been 100% clear since third month, but my doc wants to do 120(mg)for the final month. His reasoning:"your liver is doing fine, 2mg/kg necessary to prevent relapse" how common is this rationale among you doctors?

A: Accutane Dosing

The guidelines for Accutane dosing to cure nodulocystic acne is 1mg/kg/day with a cumulative dose of 120mg/kg over the entire treatment course.  As each patient is unique, I always recommend being evaluated and treated by a board certified dermatologist

Anthony Perri, MD
Houston Dermatologist
When Accutane is Consummed, What Happens Inside the Body?

Like, how does it reduce the amount of oil produced in the sebacous glands?

A: Accutane Mechanism of Action

Accutane has a direct effect on decreasing oil production in the skin by causing sebaceous gland atrophy (shrinkage of oil glands).  Unfortunately, this effect is usually transient and oil production may return to baseline when Accutane is discontinued.  Most importantly, Accutane permanently normalizes the keratinization process in the skin leading to a long term durable response in most patients.

Anthony Perri, MD
Houston Dermatologist
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