57 year old starting Accutane - Worried about cystic acne purge

July 1, 2025
Asked By:DGF1968 in Chicago, Illinois

Hi, I am a 57 year old woman who has struggled with cystic acne my entire adult life. I typically will have maybe 2 - 3 cysts at most at a time, but they will get very large and I am constantly going to my derm for steroid injections. I am on 150 mg of spironolactone and taking Seysara daily as well as using a topical tretinoin/spironolactone/clindamycin nightly and Onexton daily. These all help, but I still get cysts. I am very worried about a cystic acne purge when I start Accutane. I know I should start with a low dose, but I am hoping to complete my course of medication as quickly as possible. I weigh 110 pounds

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