I was on Accutane 1 month into my topical steroid withdrawal and I'm very red and my face is burning, what can I do?

Question

I had been using betnovate n for 4 years on my face unknowingly it is a steroid, off late got was getting pimples a lot so consulted a derm who asked me to stop using it and post it I have had a bad flare of acne and redness. That had just begun to resolve a bit that after a month into my withdrawal my derm has put me on accutane. It's been 3 days since accutane that my face is again red and very hot. I can't make out whether its a withdrawal flare or accutane could be the cause. Help

Pankaj Chaturvedi, MD · Answer

Hi... your dermat has done good by stopping your steroids, however i will not recommend using accutane in this condition. In TSDF, the skin becomes habitual of steroid and after sometime steroid acne start appearing. If the topical steroid is stopped, they usually get worsen and skin shows various symptoms of inflammation to compel you to start steroids again. In this situation accutane further produced inflammation and symptoms worse. The best approach is use topical Pimecrolimus cream for 3-4 wks and gradually withdraw. At the same time,  for acne- go for IPL Laser treatments and Carbon Peel Therapies by Q-Switch Nd YAG laser , which are very efficient and quick in treating acne and reducing the symptoms of steroid damage.

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I was on Accutane 1 month into my topical steroid withdrawal and I'm very red and my face is burning, what can I do?

Answers (1)

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