I’m about to be on month 6 of Accutane and had clear skin thru the first 3-4 months, but my acne has come back, is this normal?

Question

As a teenager, I had severe breakouts and went on Accutane with success. Seven years later, occasional breakouts became more severe and I went back on Accutane. Initially, my skin cleared up, but around the fourth month I started developing cystic acne again. My mom has also struggled with acne and has taken Accutane twice with mixed results. The first time it went well for her, but the second time she saw no results. Is this a normal course of events during treatment? Male 145 lbs 80mg / day

Raffy Karamanoukian, MD, FACS · Answer

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. I'm sorry to hear about your struggles with acne. Unfortunately, yes, breakouts may occur until the end of treatment. I highly recommend you consult with your prescribing physician regarding Accutane treatment and breakouts. Take care and good luck.

I’m about to be on month 6 of Accutane and had clear skin thru the first 3-4 months, but my acne has come back, is this normal?

Answers (2)