Am I now dependent on Accutane?

I took Accutane for 4 years, with very low dose in the past 3 years. My face was not perfect, but much better. I stopped the treatment 5 months ago, and now I experience severe acne breakout on my face, neck, and chest, with very oily skin and scalp. What should I do now? Does this mean I'm now dependent on Accutane?

3 answers to “Am I now dependent on Accutane?”

A: Accutane dependence

Bryan K. Chen, MD

People generally do not become dependent on Accutane. Frequently when patients discontinue Accutane, after 5-6 months, they will begin to develop some acne. I have never seen the acne return to the degree of severity it was prior to the course of Accutane. Approximately 1/3 of patients who are placed on a full... more

A: I don't believe so

Don Mehrabi, MD

Thank you for your question.  While low dose accutane does have beneficial effects and minimizes the side effect profile, it is not the optimal way for long term acne treatment. If possible, it would be best to do a solid six months of traditional therapy and see what results you get. Of course, doing six... more

A: You can't take Accutane forever

Patricia Farris, MD

Accutane is an excellent treatment for acne but you can't stay on Accutane forever.  We do use low doses of Accutane for longer periods of time, but this is really not a long term solution for you.  I would speak to your dermatologist about perhaps taking something like oral contraceptives or other... more

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Comments (1)

donnelle
1 post
14 Jul 2009

Hi.. I have been on ro-accutane now for 4 months, there has been a big improvement, but i still am getting pimples.. and they are sometimes quite red and painful. Is this normal afetr 4 months?? I am on a 6month course of 20mg for my cystic acne on my neck.

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