My acne got worse on isotretinoin 30mg for 14 days. Pus filled pimples/red bumps formed in my face. What shall I do? (Photo)

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

Thank you for your question and photographs. It is common to have breakouts when starting any acne treatment, especially Accutane. In my experience, breakouts can last for a few weeks, but in some individuals, breakouts can be severe and persist for several months. I understand the breakouts are discouraging, but in my opinion, 14 days of treatment is too early to render it ineffective.  Please be patient with the treatment because acne tends to get worse before it gets better. I highly recommend you consult with your prescribing physician regarding your questions and concerns about treatment and expectations. Take care and good luck.