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Does Everyone Experience an Initial Breakout when on Accutane?

My Consultant Dermatologist has prescribed me isotretinoin, however after watching youtube diary's of users of this drug, I have my doubts. I understand that the medicine in longterm will benefit my acne, but i am worried about the initial breakouts the users have been noting in their videos. The breakouts seem painful and quiet ugly, which is going to affect my confidence a lot, as after 1-2months I will start Sixth form/College. Therefore I was wondering does the breakout happen to everyone?

Doctor Answers (3)

Accutane and initial breakouts

+1

Accutane is a great medication for the right acne patient.  To prevent initial flares, I start patients on a low dose for 2 weeks, then increase to the full dose, which is dependent on the patient's weight.  It is very unusual for patients to flare with this regimen.  Topical medication, cortisone injections into cysts, oral antibiotics or oral cortisone may be required to control flares.  Make certain you see your dermatologist monthly for assessment and blood tests. 


Toronto Dermatologist
5.0 out of 5 stars 15 reviews

Initial Breakouts and Accutane

+1

No, not everyone experiences as initial breakout; however, the majority of people who take Accutane have more severe acne, so yes, this does happen as the pores are changing. There's not a lot that can be done to avoid it, though some topicals do help. Consult your dermatologist about using topicals at the beginning of the course.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.5 out of 5 stars 7 reviews

Initial Breakouts When Starting Isotretinoin

+1

When starting isotretinoin, some but not all patients flare.  It can depend on the severity of your acne, your starting dose of medication, and any other medications that you are on.  If the flare is severe, it is sometimes necessary to prescribe oral steroids or topcial treatments in addition to the isotretinoin.  I advise you to discuss your concerns with your physician to develop your best treatment plan. 

Hallie McDonald, MD
Austin Dermatologist

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