Accutane (aka isotretinoin is the generic name) was a phenomenal advancement in the management of acne and is the only FDA-approved medication known to substantially change the course of disease. Sadly, it is not a silver bullet, and according to clinical studies and in my experience, many people need some type of ongoing acne management after they complete Accutane. Adapalene is one very good option, especially if your remaining acne is mild or your skin is very sensitive. It does appear that the need for ongoing therapy (topical medications or oral drugs) relates to the duration and dose of Accutane prescribed. Whenever I discuss this medication in clinic with my patients, I like to discuss longterm goals and potential management plans for when Accutane is done.