How long will I need to be on low-dose (20mg) Accutane for cystic acne if I am a 165 lb male and I get 1-2 small cysts a month?

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello and thank you for your question. Isotretinoin is typically prescribed to be taken on a daily basis until you achieve your minimum target goal depending on your weight. If you take a low dose isotretinoin then the duration may be longer, as opposed to taking a higher dose that is ideal for your weight (if tolerated). I recommend consultation with a board certified dermatologist for evaluation of your skin and discussion of appropriate treatment. Best of luck.