Should I stop taking Roaccutane because of high cholesterol? What happens if I stop taking the medication after only 4 months

Hello

Thank you for your question regarding the use of Roaccutane (isotretinoin) and its impact on cholesterol levels. It’s great to hear that you are committed to a healthy lifestyle and that your skin has shown significant improvement.

It is not uncommon for isotretinoin to cause elevations in cholesterol and triglycerides as a side effect. Your cholesterol levels have indeed increased from 222 mg/dL to 258.1 mg/dL over the course of your treatment. These levels are higher than the normal range and should be discussed with your dermatologist.

Here are a few points to consider:

Consult Your Dermatologist: It is crucial to discuss your concerns and cholesterol levels with your dermatologist. They will evaluate your overall health, the severity of your acne, and weigh the benefits of continuing the medication against the risks associated with elevated cholesterol levels.

Duration of Treatment: The typical course of isotretinoin treatment ranges from 4 to 6 months, but this can vary depending on individual cases. Some patients may achieve satisfactory results within 4 months, while others might need a longer duration to prevent relapse. Your dermatologist will assess whether your 4-month treatment has been sufficient based on your skin's response and other clinical factors.

Management of Cholesterol: If your dermatologist decides to continue the treatment, they might suggest ways to manage your cholesterol levels, such as dietary adjustments, increased physical activity, or possibly medications to control cholesterol.

Stopping the Medication: If it is determined that you need to stop isotretinoin due to high cholesterol, your dermatologist will discuss alternative treatments to maintain your skin's improvement and prevent acne from returning.

It is important not to make any changes to your medication regimen without consulting your healthcare provider. They will provide the best advice tailored to your specific situation.

I hope this information helps, and I wish you the best in your continued treatment and overall health.