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Should I go on another dose of accutane? I've had a relapse (Photo)

McIntyreMAug 14, 2015
Hi I was on accutane before and it cleared me up, but when i was finished it really dried up my eyes. They have gotten better and no longer look as red as befofe. I went on some steroid eye drop and it helped a lot. They do still feel like theyre burning sometimes... If i go back on accutane will it destroy my eyes :0 I have like no acne on my nose and none right below the eye area!

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Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
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Answered on Sep 28, 2023
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Dr. Alim R. Devani, MD, FRCPC
Certified Dermatologist
Answered on Jun 26, 2018
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Alim R. Devani, MD, FRCPC

The course of accutane is usually 4-6 months in dose ranges from 20-60 mg/day. The goal is to reach a 120-150 mg/kg dosage over the single 4-6 month course. The typical dose ranges from 0.5-1 mg/kg/day. This gives you a 90-95% success rate of clearing acne for lifetime. When starting...

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Alim R. Devani, MD, FRCPC

Yes, these can be taken together usually for the first 2 weeks to prevent s severe flare of cystic acne. Good luck. 

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Michael A. Greenberg, MD

It's no problem to take a few weeks or even a month break during Accutane treatment.  In my experience of over thirty years, the results come out the same.I would definitely finish the course prescribed by your physician.   Even if you appear clear, the additional time will help...

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Michael A. Greenberg, MD

The first question is how are you going to continue if your doctor thinks it unsafe and has stopped you?We see elevated enzymes and cholesterol all the time with Accutane.  It's not a disaster, nor is it necessarily the end of the treatment.  I send my patients to their internists for...

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Monika Soni, MD

Peeling and Soret are used to treat and heal acne. The only problem is in combining these two treatments. I would suggest you not to undergo peeling while on Sotret. Once your skin is clear and you are done with Sotret, you can undergo mild peeling to improve your skin texture. Good luck!

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Alim R. Devani, MD, FRCPC

Thanks for your question. There are a few drugs that can increase the drug circulation of accutane and these are the  CYP 3A4 substrates. In other words,  AVOID all tetra/doxy/minocycline, gemfibrozil (NEVER give with bexarotene!), macrolides (including azithromycin), azoles, and...

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