I'm allergic to oral antibiotics and 4-5 mos. of Accutane was unsuccessful. Cystic acne back in full force. Tried Perricone MD Skin Clear products and think they made it worse. Have moderate melasma on forehead, nose & cheeks from birth control. Enlarged pores, blackheads & whiteheads. What do I do? I know some people need to take Accutane a couple times to be effective & some have no success. It's such a hassle w/ iPledge & expensive even w/ ins.! It worked while I took it, but is it likely to cure me?
Do I Need a Second Round of Accutane for Cystic Acne?
Doctor Answers (2)
Accutane works, but you need to take enough!
For most people, one course of Accutane puts their acne into remission. However, a certain percentage of people do require a second course. Make sure you are taking an appropriate amount for your body weight. I find that under-dosing often leads to recurrence of the acne.
Sometimes "Two Rounds" of Accutane are Needed
In some patients, a repeat course of Accutane is needed to achieve the desired results. It is recommended that one wait a period of at least two months before repeating Accutane therapy. Accutane is unquestionably the most effective treatment for nodulocystic acne.
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