Do I Need a Second Round of Accutane for Cystic Acne?

I'm allergic to oral antibiotics and 4-5 mos. of Accutane was unsuccessful. Cystic acne back in full force. Tried Perricone MD Skin Clear products and think they made it worse. Have moderate melasma on forehead, nose & cheeks from birth control. Enlarged pores, blackheads & whiteheads. What do I do? I know some people need to take Accutane a couple times to be effective & some have no success. It's such a hassle w/ iPledge & expensive even w/ ins.! It worked while I took it, but is it likely to cure me?

Doctor Answers 2

Accutane works, but you need to take enough!

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For most people, one course of Accutane puts their acne into remission.  However, a certain percentage of people do require a second course.  Make sure you are taking an appropriate amount for your body weight.  I find that under-dosing often leads to recurrence of the acne.

Los Angeles Dermatologic Surgeon

Sometimes "Two Rounds" of Accutane are Needed

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In some patients, a repeat course of Accutane is needed to achieve the desired results. It is recommended that one wait a period of at least two months before repeating Accutane therapy. Accutane is unquestionably the most effective treatment for nodulocystic acne.

Adarsh Vijay Mudgil, MD
New York Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.