Is a 4 month accutane course too short? Even for mild to moderate acne?

Question

I started accutane one month ago. My acne is considered mild to moderate (it flares up around the time of my period or when I'm stressed). I'm currently on 30 mg. My doctor has me down for a 5 month treatment, but I'm wondering if a 4 month would be better? Also, the only side effects I'm experiencing are dry lips and skin. Thanks.

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

Jason Emer, MD · Answer

The studies are now showing that longer is better than shorter.  You need at least 20 weeks at normal dosage based on your body weight otherwise the rate of recurrence is high.  See someone with expertise.  Best, Dr. Emer.

Mary P. Lupo, MD · Answer

Total dosage is more important than duration or dosage, but I have always found that Accutane seems to work best for really severe acne, and when you take it for the first time. Subsequent courses never seem to go quite as well, so if you are taking it for the first time, I tend to go as high as your weight and your tolerance for the side effects will permit.

Is a 4 month accutane course too short? Even for mild to moderate acne?

Answers (3)

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