Taking Accutane for Rhinophyma, It has Gotten Worse and Spread, Should I Discontinue Use of Clarvis?

I believe Accutane can treat mild phyma, or prevent recurrence of phyma. For moderate to sever rhinophyma, the treatment of choice is laser. The does of Accutane you are on is high (60mg), and if your rhinophyma is worsening, I would consider laser. You do need a wash out period of 3-6 months before laser is considered. For more info, see the web ref. below. All the bestDr Davin Lim Brisbane, Australia

Accutane can be effective in treating rhinophyma, but it does take longer. Typically patients who take Accutane for acne start seeing results at months 2-3, so you're not far behind that. I would suggest you continue the Accutane. I have recommended it for people with rhinophyma and have found it to be effective - in fact there's not much else that's remotely effective. It will take several months for you to see results, maybe 3-4 and you will need to most likely be on a low dose of Accutane (1-3 pills a week) for the long haul, but I would suggest you continue your course of Accutane. If have have concerns, see your prescribing physician, but don't stop taking the medication. For rhinophyma, Accutane takes awhile to work, but is effective.