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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July 4, 2025
Answer: Minimizing Cystic Acne Flare Risk When Starting Isotretinoin at Age 59
Experiencing extreme dryness and discomfort in your skin years after completing a course of Accutane (isotretinoin) can be challenging. Here are some recommendations to help manage and alleviate your symptoms:
Moisturizers:
Use a rich, hydrating moisturizer designed for sensitive skin. Look...
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It is generally recommended to wait until you are fully healed from your surgeries before starting Accutane (isotretinoin), as it can affect wound healing. Most surgeons and dermatologists suggest waiting at least 4 to 6 weeks after surgery, but this can vary depending on individual healing...