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Seborrheic dermatitis is due to a yeast called Malassezia. The key treatments address the killing of the yeast. Such treatments includeketoconazole shampoosselenium sulphide shampooszinc pyrithione shampoosciclopirox shampoosoral itraconazoleAs well as treatments that stop inflammation such as topical steroids. Accutante is not a primary treatment, although a proportion of users could notice changes based on alteration of the oil glands. Some individuals with seborrheic dermatitis will flare with treatment with accutane as well.
This is an interesting question. Accutane is certainly no indicated for seborrheic dermatitis and the side effect profile presents more risks than benefits. However, accutane modifies oil glands as it treats acne and seborrheic dermatitis is mediated by oil gland activity as well. While accutane would certainly impact seborrheic dermatitis in a positive manner, it is not a practical treatment option for this otherwise benign condition.
It's commonly agreed upon protocol among core aesthetic physicians that ablative (even partially ablative) skin procedures should be postponed for 6 months after Accutane. However, I would not place microdermabrasion in that category and we have plenty of patients who have done...
Maintenance therapy post accutane treatment--- easiest is 20 mg once a week !!!
Both Accutane and St John's Wort cause the skin to be more light sensitive. Together they can cause a severe phototoxic reaction. So this combination is not recommended. The question is did these mood changes start while on Accutane? There is no evidence of Accutane causing...
