5 months into Accutane with 2 weeks left, my skin still looks awful. Is it not working or can I expect acne to clear afterward?

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

Hello and thank you for your question. Acne flares may occur during the Accutane course, and the medication stays in your body for some time after taking the last dose. If you meet your minimum target dose and yet your skin is still with acne flares, you may in the future consider repeating another course of Accutane or consider other treatments such as oral antibiotics and topical medications. I recommend a consultation with a board certified dermatologist for evaluation of your skin and discussion of appropriate treatment. Best of luck.