How long do patients usually purge on Accutane?

Question

I am 44 years old and have struggled with cystic acne for about 5 years. I only get one or 2 every other month, but I scar very easily. My dermatologist has tried topicals, antibiotics and years of Spironolactone. She feels Accutane is the best option. She says that most patients experience 2 weeks of purging. I have seen so many reviews online where people purge for months. I have a history of depression and I’m concerned about months of breakouts. What do your patients typically experience?

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

How long do patients usually purge on Accutane?

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