5 days since starting, my pimples have spread even more. My derm gave me face wash for dry skin but mine is oily. Advice?

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

Hello and thank you for your question. One of the common side effects of Accutane is acne flare, especially upon starting the medication. I sounds like that is what you may be experiencing. Another common side effect of the medication is dryness of the skin, and washing your face with a gentle cleanser is recommended. I also recommend a follow up with your board certified dermatologist for evaluation of your progress and discussion of appropriate treatment. Best of luck.